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Menopausal. Found a red polyp in the cervical. Surgery essential? What can happen in the long run?

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OBGYN, Gynecologic Oncology
Practicing since : 1984
Answered : 99 Questions
I'm a 53 year old female who has been menopausal for about 4 years. I saw a gynecologist yesterday for a routine exam (after not doing so for several years). She found a red (filli-like) polyp in the cervical. The polyp had previously NOT been bleeding, and I had felt no symptoms. But it bled only when the gynecologist touched it during the exam. Because of the bleeding, she strongly recommended that I have it removed - preferably within a week. Because I've never had any sexual activity before, she also recommended that to avoid agonizing pain, I should have the polyp surgically removed under general anesthesia. I've observed that the bleeding seemed minimal, and seemed to have stopped quite soon after the clinic visit. (I've observed no bleeding at all for the past 20 hours have passed.) Because of this minimal bleeding, and the absence of previously observed symptoms, I would like to seek a second opinion to ask if this surgical removal of the polyp is absolutely necessary? What would happen in the long run if I don't have it removed? How long can I wait before having it removed. (3 months, 1 years or more?) Also, is general anesthesia really necessary? Would a local anesthesia be sufficient? Is there any natural alternative to surgery? Thank you.
Posted Tue, 22 May 2012 in Vaginal and Uterus Health
Answered by Dr. Manjunath L Ramarajapalli 18 hours later
Hello Dear,

Removal of polyp and submitting it for histopathological examination is necessary to rule out any pathology.

If it is not removed it may cause you problems if it is having any major (? malignant) disease or it may bleed often.

It is advisable to remove it as early as possible; waiting for long may cause problems.

General anesthesia is not necessary; it can be removed under local anesthesia.

I have no knowledge of any natural alternative.

With good wishes
Above answer was peer-reviewed by
Follow-up: Menopausal. Found a red polyp in the cervical. Surgery essential? What can happen in the long run? 4 hours later
Dear Dr. Ramarajapalli,

Thank you for your reply to my previous message. When I asked my gynecologist whether I could do the surgery under local anesthesia, she was quite adamant that I would need to do it under general anesthesia. What do you think may be the reason for her insisting that I should do it under general anesthesia? Should I look for another gynecologist who may be willing/able to do it with local anesthesia? Should I ensure that whoever is going to perform surgery on me will not merely twist off the polyp, but will ensure that the base of the poly is totally scrap off? After surgery, how long is the recovery time? Because I won't have any family member with me, should I request for an overnight stay at the hospital? What are the side-effects and inconveniences (e.g. with showering or cleaning that area after going to the toilet) that one can expect after the cervical-polyp-removal surgery? Regarding the timing of the surgery, do you think it'll be okay for me to wait for one to two months until I can return to my own country to have the surgery? Thank you.
Answered by Dr. Manjunath L Ramarajapalli 1 hour later
Hello Dear,

Probably your Gynecologist wanted to remove the polyp under general anesthesia because your hymen is intact and you may experience some pain during procedure under local anesthesia.

Yes, you are right. The base of the polyp should be removed and to be submitted for histopathology.

After surgery the recovery time is few hours.

After surgery do not douche the vagina for about a week and ask your gynecologist for further advise.

I have no comment regarding waiting time for which I have already given my opinion.

With warm regards
Above answer was peer-reviewed by
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