Endocervical polyps are common and often benign. An ulcerated polyp may bleed but is not itself suspicious unless it shows atypical features. The appropriate management is to remove the polyp (polypectomy) and send it for histopathology to exclude malignancy.

Toronto Notes 2023 – Gynecology, Cervical Pathology:

“Endocervical polyps are removed by polypectomy and sent for histological analysis. Most are benign. Atypical or ulcerated appearance may raise concern, but biopsy is unnecessary if the entire lesion is excised.”

MCCQE1 Objectives – Gynecology > Abnormal Bleeding and Cervical Lesions:

“Candidates should recognize that cervical polyps causing intermenstrual bleeding should be removed and assessed histologically.”

Colposcopy (B) is reserved for abnormal cytology or high-risk lesions. Cryotherapy (A) is for cervical dysplasia. Punch biopsy (E) is used for lesions that are not amenable to polypectomy.

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