Cervical Polyp with Postcoital Bleeding or Abnormal Pap Test Result
Clinical scenario
This protocol applies to patients presenting with a cervical polyp accompanied by postcoital vaginal bleeding, or to those with a cervical polyp found alongside an abnormal Papanicolaou (Pap) test result, regardless of symptoms. These findings together raise the need for further evaluation beyond routine polyp management.
Why this combination matters
Postcoital bleeding in the setting of a cervical polyp is a red-flag symptom that warrants investigation. Similarly, an abnormal Pap result concurrent with a cervical polyp — even without bleeding — requires additional workup. Both presentations indicate that watchful waiting alone is not appropriate.
Approach — partial overview
The structured protocol for this scenario centres on specialist referral for a specific gynaecological evaluation procedure. The full protocol details — including the precise referral pathway, examination steps, and subsequent management options — are available via the link below.
References
DOI: 10.46747/cfp.710126
- Thus, any patient with a cervical polyp and postcoital bleeding should be referred for colposcopy.
- Other reasons for referral include having patients with a cervical polyp and an abnormal Pap test result, regardless of symptoms, and patients with postcoital bleeding.
- Similarly, those with postcoital bleeding and an abnormal Pap test result should be referred for colposcopy.
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