How to stop bleeding from cervical polyps

Cervical polyp bleeding can be treated by local compression hemostasis, drug hemostasis, electrocoagulation hemostasis, cryohemostasis, surgical resection, etc. Cervical polyps may be related to chronic inflammatory stimulation, abnormal estrogen levels, cervical damage and other factors, and usually manifest as contact bleeding, abnormal menstruation and other symptoms.

1. Local compression to stop bleeding

For small amounts of bleeding, use sterile gauze or cotton balls to directly compress the polyp surface for 5-10 minutes. The perineum needs to be cleaned before operation to avoid secondary infection. This method is a temporary measure and must be combined with other treatments if the bleeding is repeated or excessive. It is recommended to rest in bed for 1-2 hours after compression and avoid strenuous exercise that may cause further bleeding.

2. Drugs to stop bleeding

Use Yunnan Baiyao capsules, tranexamic acid tablets, ethylamine injection and other hemostatic drugs as directed by your doctor. Yunnan Baiyao Capsules can improve capillary permeability, and tranexamic acid reduces bleeding by inhibiting plasminogen activation. Drugs to stop bleeding need to be combined with anti-infective treatment. If there is inflammation, cefaclor dispersible tablets can be used in combination.

3. Electrocoagulation to stop bleeding

Under the guidance of colposcope, high-frequency current is used to coagulate the blood vessels at the base of the polyp, which is suitable for moderate bleeding. There will be a small amount of light yellow discharge after the operation, and the perineum needs to be kept clean for 2 weeks. This method stops bleeding completely but may affect the elasticity of the cervix, so it should be used with caution in nulliparous women. Bathing and sexual intercourse are prohibited within 1 month after the operation.

4. Freezing to stop bleeding

Liquid nitrogen freezing is used to cause polyp tissue to become necrotic and fall off, and the wound blood vessels to close. There may be a slight feeling of distension in the lower abdomen during treatment, and watery discharge may occur within 2 weeks after surgery. This method bleeds less but requires multiple treatments, and is suitable for polyps less than 1 cm in diameter. Cervical recovery needs to be reviewed regularly after freezing.

5. Surgical resection

Cervical polyps are removed for polyps with large pedicles or recurrent bleeding, and the wounds are sutured with absorbable sutures. Postoperative pathological examination can rule out malignant transformation, and the hospitalization time is usually 3-5 days. The menstrual period needs to be avoided during surgery, and HPV and TCT screening needs to be completed before surgery. Heavy physical labor and sexual life are prohibited for 2 months after surgery.

You need to choose cotton underwear and change it every day. Avoid using tampons during menstruation. Increase lean meat, animal liver and other iron-rich foods in your diet to prevent anemia, and avoid spicy and irritating foods. During the period of bleeding, sexual intercourse and bathing are prohibited, and gynecological examinations should be performed every six months. If fever or bleeding exceeds menstrual flow or lasts for more than 7 days, you should return to the hospital for review immediately.