Treatment of Cervical Polyp with Intermenstrual Vaginal Bleeding

This protocol covers the management of a symptomatic endocervical cervical polyp presenting with intermenstrual vaginal bleeding in a patient with a normal Papanicolaou test result and no postcoital bleeding.

Clinical Scenario

The patient has a symptomatic endocervical polyp causing intermenstrual bleeding. Papanicolaou test results are normal and there is no postcoital bleeding — a profile appropriate for an office-based procedural approach to resolve symptoms.

Treatment Approach

When a cervical polyp is symptomatic, cervical polypectomy is the recommended management. The protocol specifies a mechanical removal technique; the full procedural steps and approach to hemostasis are detailed in the complete protocol.

Treatment Goal

Resolution of intermenstrual vaginal bleeding and relief of symptoms.

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References

DOI: 10.46747/cfp.710126

An example of an appropriate patient for consideration of cervical polypectomy by a PCP is a patient with normal Pap test results, a symptomatic cervical polyp, and minimal intermenstrual bleeding.
If patients are symptomatic, cervical polypectomy should be considered.
The patient was offered cervical polypectomy with the goal of relieving intermenstrual bleeding.

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