Cervical Polyps: What to Expect from Your Treatment - Obstetrics and Gynecology

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Cervical polyps are common benign growths on the cervix that can cause abnormal bleeding, such as the symptoms you have described. It’s understandable to feel anxious about your diagnosis and the recommended treatment, especially after experiencing abnormal bleeding for an extended period. Here’s a comprehensive overview of what to expect from your treatment and answers to your specific questions.


Understanding Cervical Polyps
Cervical polyps are usually small, finger-like projections that can develop on the cervix, which is the lower part of the uterus that opens into the vagina. They are often asymptomatic but can lead to issues such as irregular bleeding, especially after intercourse or between menstrual periods. In your case, the polyp measuring approximately 7 cm is considered relatively large, which may explain the abnormal bleeding you have experienced.


Treatment Options
The most common treatment for cervical polyps is removal, which can be done in a few different ways. The method your doctor has recommended—electrosurgery (or diathermy)—is a common approach. This technique uses electrical current to remove the polyp and is generally performed in an outpatient setting.


What to Expect During Electrosurgery
1. Anesthesia: Electrosurgery can be performed under local anesthesia, which numbs the area around the cervix. In some cases, sedation may be offered to help you relax during the procedure. The choice of anesthesia will depend on your comfort level and the specific practices of the medical facility.

2. Duration: The procedure itself is relatively quick, typically lasting about 10 to 30 minutes. However, you should allow additional time for preparation and recovery.

3. Recovery: After the procedure, you may experience some cramping and light bleeding, which is normal. Your doctor will provide specific aftercare instructions, including what activities to avoid and when to follow up.


Potential Risks and Complications
While electrosurgery is generally safe, there are some risks associated with the procedure, including:
- Infection: As with any surgical procedure, there is a risk of infection. Your doctor may prescribe antibiotics as a precaution.

- Bleeding: Some bleeding is expected, but excessive bleeding should be reported to your healthcare provider.

- Cervical Stenosis: In rare cases, the cervix may become narrowed after the procedure, which could affect future pregnancies.

- Recurrence: While the removal of the polyp is usually effective, there is a possibility that new polyps may develop in the future.


Follow-Up Care
After the procedure, it’s essential to attend follow-up appointments as recommended by your healthcare provider. They will monitor your recovery and check for any recurrence of polyps or other issues. Additionally, if you experience any unusual symptoms, such as heavy bleeding, severe pain, or fever, you should contact your doctor immediately.


Conclusion
It’s completely normal to feel apprehensive about medical procedures, especially when it involves something as sensitive as the cervix. However, electrosurgery for cervical polyps is a routine procedure that many women undergo successfully. By addressing the polyp, you are taking an important step toward managing your symptoms and improving your overall reproductive health. Remember to communicate openly with your healthcare provider about any concerns you have before, during, and after the procedure. They are there to support you and ensure you have a positive experience.