{
  "schema_version": 1,
  "kind": "condition",
  "id": "cervical-polyp",
  "name": "Cervical polyp",
  "category": "chronic",
  "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)",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Cervical Polyps - StatPearls - NCBI Bookshelf - disease-level clinical article (cervical-polyp-full.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 382,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "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.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "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."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "cervical-polyp"
    }
  ]
}