Management of an Asymptomatic Cervical Polyp with No Abnormal Bleeding and Normal Pap Test

Clinical scenario

Asymptomatic cervical polyp
No abnormal vaginal or uterine bleeding
No abnormal Papanicolaou (Pap) test result

Approach

Current evidence does not support routine removal of asymptomatic cervical polyps in the absence of abnormal bleeding or an abnormal Pap test. The structured protocol addresses whether and when an intervention may be considered — the full guidance covers the complete decision pathway.

A particular approach involving shared decision making may be applicable in select cases — see the full protocol for details.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.46747/cfp.710126

There is currently no strong evidence that supports removal of asymptomatic cervical polyps, so long as there is no associated abnormal Pap test results or other abnormal uterine bleeding.

Despite this, patients with an asymptomatic cervical polyp might prefer to have it removed for reassurance.

Management in these cases is influenced by shared decision making and variations in clinical practice.

View source ↗