Role of Ultrasound in Managing Cervical Polyps During Pregnancy

Abstract

No definitive management guidelines exist for cervical polyps during pregnancy. Ultrasound can aid in creating a treatment plan by assessing the type of polyp and source of symptomatology. Three pregnant patients in the first, second, and third trimesters of pregnancy presented with polyps. On examination, the polyps ranged from 2 to 6 cm in size. In all cases, the origin of the cervical polyps was first identified on ultrasound. Polypectomies were performed with no complications. All patients subsequently had uncomplicated normal spontaneous vaginal deliveries at term. Ultrasounds can help localize the source of symptomatology to polyps versus placental pathology. Additionally, ultrasound can determine the origin and type of polyp for creating an individualized, safe treatment plan during pregnancy.

Perinatal Outcomes in Women With Endocervical and Decidual Polyps During Pregnancy

“…The author highlighted that infection may occur due to suture site migration, which is caused by the enlargement of the uterus after the second trimester and placental migration (Kondagari & Josephs, 2021). Another study recommended cervical cerclage for pregnant women with cervical polyps (Hirayama et al, 2022).…”

The Efficiency of Cervical Pap and Comparison of Conventional Pap Smear and Liquid-Based Cytology: A Review

“…Cervical cancer is a preventable disease due to the long premalignant stage [3]. Implementation of a vigorous screening program can help in early detection and timely management [4].…”