A 38-year-old woman presents to the GP with a 4-month history of postcoital bleeding. Speculum examination shows a small (1 cm), smooth, pedunculated ...

Question

A 38-year-old woman presents to the GP with a 4-month history of postcoital bleeding. Speculum examination shows a small (1 cm), smooth, pedunculated cervical polyp. Her cervical screening (2 years ago) was HPV negative with normal cytology. What is the most appropriate management?

Accepted Answer

Avulse (twist off) the polyp and send for histology, or refer for outpatient polypectomy

Answer

Observe and repeat screening in 3 years

Answer

Prescribe topical vaginal oestrogen

Answer

Refer for cone biopsy

Answer

Cauterise with silver nitrate without sending tissue

uk-drcog MCQ (SBA): Symptomatic Cervical Polyp - Avulsion and Histology

A 38-year-old woman presents to the GP with a 4-month history of postcoital bleeding. Speculum examination shows a small (1 cm), smooth, pedunculated cervical polyp. Her cervical screening (2 years ago) was HPV negative with normal cytology. What is the most appropriate management?