Patient's question:
Recently, during a gynecological examination, I was informed of mild cervical erosion, cervical hypertrophy, and a polyp with a deep root, for which removal was recommended. When I asked the doctor, they replied that if the polyp were removed, the cervical hypertrophy would also improve.What is cervical hypertrophy, and can it recover? Is it necessary to remove the polyp? Do I need to rest after the polyp removal?
Doctor's answer:
Hello. The main causes of cervical hypertrophy are:(1) Long-term stimulation by chronic inflammation, causing congestion and edema of the cervix, leading to hyperplasia of cervical glands and stroma, resulting in varying degrees of cervical hypertrophy.
(2) Mucus retention may occur in the deep part of the cervical glands, forming cysts of varying sizes, making the cervix hypertrophic.
Cervical hypertrophy can sometimes be 2 to 4 times larger than a normal cervix. The surface of the cervix can be smooth or may have erosion. The texture of the cervix is generally hard, which is due to the hyperplasia of fibrous connective tissue.
Cervical hypertrophy generally does not require treatment. If there is erosion, cervical erosion can be treated.
Cervical polyps are one manifestation of chronic cervical inflammation. One type of polyp has its root attached to the cervical os or the cervical canal. It is formed by local hyperplasia of the cervical mucosa under the stimulation of inflammation, and protrudes outward from the cervical os. The surface of the polyp is covered by a layer of columnar epithelium, containing cervical glands. The stroma is rich in capillaries and loose connective tissue, accompanied by inflammatory cell infiltration. This type of polyp can be solitary or multiple, generally small in size, with a diameter of less than 1 cm, appearing tongue-shaped, bright red in color, soft and fragile in texture, and easy to bleed, with a long and slender stalk. The other type of cervical polyp occurs in the vaginal part of the cervix, with its surface covered by stratified squamous epithelium. The stroma contains fibrous connective tissue. This type of polyp is superficial in position, protruding outward, with a wide base, pale red in color, and relatively tough in texture.
Generally, women with cervical polyps do not have any discomfort. Sometimes, they may experience increased leukorrhea, blood streaks in leukorrhea, or bleeding during sexual intercourse.