Dawaa Reference

Clinical reference

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.