Post Date August, 26 2023
The appearance of Cervical polyp is a particular worry for many women. It is also a common gynecological disease. Symptoms will also appear after illness. Therefore, reasonable examination and diagnosis must be carried out according to the situation.
Symptoms of Cervical polyp
1. Hemorrhage in marital life: Small polyps generally have no clinical symptoms. Some polyps exposed outside the cervix bleed after sexual intercourse and seek medical attention. For the pedicled elder, laser surgery can be performed under hysteroscopy, and the small polyps found at the same time can be treated together, which is the typical symptom of Cervical polyp.
2. Pain and bleeding symptoms: The most obvious symptoms of Cervical polyp are pain and bleeding, including pain in peacetime, in married life and in physiological days.
3. There is a mass in the cervix: a mass growing in the cervix and cervical canal, and the thin pedicle of the uterine cavity is attached to the uterine wall. It is clinically called cervical polyp. Therefore, a polyp like mass in the uterine cavity enters the uterine cavity with a pedicle under the fibroid mucosa and becomes a fibroid like polyp.
4. Abnormal leucorrhea: Cervical polyp is small, and usually there will be no very obvious symptoms. However, as the polyp increases, abnormal changes can easily occur in the vaginal discharge. The common cause is bloody leukorrhea, especially after sexual intercourse and defecation, which is prone to minor bleeding. Some patients also turn yellow in their vaginal discharge, and many patients have a strange odor in their vaginal discharge.
Examination of cervical polyps
1. Cervical scraping showed Pap class II: cervical scraping was a method to check cervical polyps in the past. The first level was completely normal, the second level was abnormal, and the possibility of inflammatory infection was high, but it could also be early Cervical cancer precancerous lesions. The examination method of cervical polyps should be further clarified. The best method is TCT ultrathin cell examination, which can not only detect low-grade lesions and early cancer before cervical polyps, but also correctly diagnose trichomonas, mold, bacteria, human papillomavirus and herpesvirus infections.
2. Inspection method and biopsy of cervical polyps: patients with severe cervical polyps can have cervical biopsy to make a clear diagnosis. When the cervix is exposed with a vaginal endoscope in routine gynecological examination, the polyps seen are different in size and shape.
3. Gynecological examination: acute inflammation can see cervical congestion, edema or erosion, Cervical polyp examination method, there is purulent secretion, when the cervical tube discharges and touches the cervix, there can be pain, chronic Cervicitis can see the cervical erosion, hypertrophy, polyps, glandular cysts, ectropion and other manifestations of varying degrees, or see the mouth of the cervix purulent secretion, palpation of the cervix is hard, if it is Cervical polyp, there can be contact bleeding.
Identification and diagnosis of cervical polyps
1. Identification of early Cervical cancer: early Cervical cancer is bloody, with contact bleeding and papillary processes. Cervical polyp are flat or dripping red Neoplasm, soft and crisp, easy to bleed, and their stems are thin and long. Cervical biopsy can confirm the diagnosis.
2. Submucous Uterine fibroid should be differentiated from submucous Uterine fibroid: submucous Uterine fibroid is a long Uterine fibroid. The surface of the myoma covers the endometrium, increases the area of the endometrium, occupies in the uterine cavity, affects the blood flow, and causes abnormal contraction of the uterus. One third of patients with physiological pain can be accompanied by infertility, accounting for about 10% of the total number of myomas. It is a kind of Uterine fibroid. Cervical polyp lead to infertility, which protrudes from the surface of the uterine mucosa to the uterine cavity, with a long pedicle. After Uterine contraction, the myoma can be discharged from the cervix and suspended in the vagina. Generally, fibroids have a pedicle in the uterine cavity and are hard and round on palpation; The Cervical polyp is connected to the cervix with a peduncle, which is soft and can be exposed in the outer mouth of the neck.
3. Differentiate from Uterine fibroid, most of them are Asymptomatic, and a few of them are vaginal bleeding, abdominal palpation of tumors, and compression symptoms. If torsion of the pedicle or other conditions occur, it can cause pain.
