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Unmarried cervical polyps can be intervened through conservative treatment with drugs, physical therapy, or surgical resection. The details need to be comprehensively evaluated based on the polyp size, symptoms, and patient needs. Cervical polyps may be related to factors such as chronic inflammatory stimulation, abnormal hormone levels, local blood vessel proliferation, etc. They usually manifest as abnormal vaginal bleeding, increased secretions, or bleeding after intercourse.

1. Conservative treatment with drugs

Suitable for asymptomatic polyps less than 5 mm in diameter. You can use progesterone capsules to regulate hormone levels as directed by your doctor, or use Chinese patent medicines such as Baofukang suppository to relieve local inflammation. In case of combined infection, antibiotics such as cefixime dispersible tablets need to be used in combination. During drug treatment, vaginal ultrasound must be reviewed regularly to observe polyp changes, and spicy food stimulation must be avoided.

2. Laser or cryotherapy

For pedunculated polyps of 5-10 mm, carbon dioxide laser vaporization or liquid nitrogen cryotherapy can be performed in the outpatient clinic. Cervical lesions need to be ruled out before the operation, and bathing and sexual intercourse are prohibited within 2 weeks after the operation. Temporary vaginal discharge may occur, and polycresolsulfonaldehyde solution must be used to prevent infection. This method is less invasive but may cause recurrence.

3. Hysteroscopic electroresection

It is suitable for polyps with a wide base or recurrent bleeding. After hysteroscopic positioning, an electric resection ring was used to completely remove the lesion, and the bleeding was stopped simultaneously during the operation. Drospirenone and ethinylestradiol tablets need to be taken orally after surgery to regulate endometrium repair, and strenuous exercise should be avoided within 1 month. This method can obtain clear properties of pathological specimens, and the recurrence rate is lower than that of physical therapy.

4. Traditional polyp removal

For polyps with thick pedicles or special locations, vascular forceps can be used to twist and remove the polyps, and the wound surface can be compressed with absorbent gelatin sponge to stop bleeding. After surgery, you need to use Nahuazizhu capsules to promote wound healing and monitor bleeding. This method is simple to operate but may leave polyp roots, which requires subsequent drug treatment.

5. TCM syndrome differentiation and conditioning

For patients with qi stagnation and blood stasis, Guizhi Fuling Pills combined with acupoint moxibustion can be used. For damp-heat patients, Fuyankang Tablets combined with Kushen Decoction can be used for sitz baths. During treatment, it is necessary to record changes in the menstrual cycle and avoid cold foods. TCM solutions take effect slowly and are recommended to be used in conjunction with Western medicine.

Unmarried patients need to pay special attention to protecting the cervical function during treatment, and review the cervical canal shape 3 months after surgery. You should choose pure cotton underwear and change it every day. Avoid using tampons during menstruation. Maintaining a regular schedule and moderate exercise can help regulate endocrine. If you find abnormal bleeding or changes in secretion properties, you should seek medical attention promptly. All treatment plans must be carried out under the guidance of a gynecologist, and self-medication or follow-up visits are not allowed.