Dawaa Reference

chronic

Cervical polyp

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources4 sources

Cervical Polyps - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK562185/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GD65.01 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Cervical Polyps - StatPearls - NCBI Bookshelf - disease-level clinical article (cervical-polyp-full.txt)

Verified against2 documents
  • No dose - referral pathway, no medicine given in primary care
  • Cervical Polyps - StatPearls - NCBI Bookshelf - disease-level clinical article (cervical-polyp-full.txt)

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (5)

  • About two in three affected women notice nothing at all
  • Bleeding after intercourse when there are symptoms [bleeding]
  • Abnormal uterine bleeding - heavy periods, bleeding between them, or bleeding after the menopause [abnormal uterine bleeding · bleeding · heavy periods]
  • Vaginal discharge is reported [vaginal discharge]
  • Frequently turns up by chance at a routine pelvic check, colposcopy or scan

Signs — what you find (3)

  • Speculum inspection usually shows a stalked growth on the cervix
  • The lesion tends to bleed when touched or handled
  • Rarely a large one seals the canal off entirely and causes infertility [infertility]

Tests (5)

  • Only tissue examination under the microscope settles the diagnosis
  • On scan they look a little brighter than surrounding mucosa and shift when the probe presses on them
  • Doppler may show a feeding stalk running in from the endocervical lining, supporting that origin
  • Scan accuracy depends heavily on the operator because most of these lesions are small
  • Work-up to exclude coexisting disease: triple (VCE) smear, transvaginal scan of the endometrium, and endometrial sampling where indicated

If not this — what else fits (10)

  • Uterine fibroids
  • Endometrial hyperplasia or malignancy
  • Endometriosis
  • Adenomyosis
  • Cervical ectropion
  • Nabothian cyst
  • Cervical cancer
  • Sexually transmitted infection
  • Ectopic pregnancy
  • Endometrial polyp

SourceStatPearls "Cervical Polyps" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)

1st line
Adult dose and duration

Cervical polyp, a common benign growth causing spotting or postcoital bleeding; the GP recognises it on speculum exam and refers for outpatient removal and histology to exclude malignancy. - Refer, with advice

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose source

No dose - referral pathway, no medicine given in primary care

Why

Cervical polyp, a common benign growth causing spotting or postcoital bleeding; the GP recognises it on speculum exam and refers for outpatient removal and histology to exclude malignancy.

Cautions
  • No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
  • RED FLAG - Do not attempt to remove a polyp you cannot see clearly; blind removal from the cervical canal or uterine cavity risks uterine perforation. Only easily visible polyps belong in an outpatient setting.
  • In a postmenopausal woman, or where polyps recur, the cervical canal and uterine cavity must be examined by hysteroscopy to exclude endometrial polyps or malignancy.
  • Up to a quarter of women with a cervical polyp also have an endometrial polyp, so a cervical polyp is not a reason to stop looking.
  • Among women who are symptomatic, up to 5% of polyps turn out to be precancerous or cancerous.
  • Arrange endometrial sampling where indicated, alongside a triple (vaginal-cervical-endocervical) smear and transvaginal ultrasound.
  • In pregnancy, removal of a cervical polyp is generally deferred unless complications arise, because of the risk of bleeding and infection.
  • In a pregnant woman with recurrent unexplained bleeding, colour Doppler ultrasound is recommended to identify an endocervical polyp and to exclude other causes such as vasa praevia. Bleeding from a polyp can otherwise be mistaken for an inevitable miscarriage.
  • Cervical polyps are vascular, and bleeding in the postpartum period can be a significant complication.
  • A large polyp that blocks the cervical canal can cause infertility.
  • A polyp that becomes inflamed or infected presents with a yellowish vaginal discharge.
  • RED FLAG - Heavy or persistent bleeding, bleeding after the menopause, or a polyp with an atypical or friable appearance: refer.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.