A 48-year-old woman presents to the GP with a 2-month history of postcoital bleeding and intermenstrual spotting. She is perimenopausal and not on HRT...

Question

A 48-year-old woman presents to the GP with a 2-month history of postcoital bleeding and intermenstrual spotting. She is perimenopausal and not on HRT. On speculum examination, a 1 cm cervical polyp is visible protruding through the external os. What is the single most appropriate management?

Accepted Answer

Refer for polypectomy (avulsion) and histological examination of the polyp

Answer

Reassure that cervical polyps are always benign and no action is needed

Answer

Prescribe topical vaginal oestrogen

Answer

Arrange colposcopy urgently

Answer

Cauterise the polyp with silver nitrate in the GP surgery

uk-drcog MCQ (SBA): Cervical Polyp Management

A 48-year-old woman presents to the GP with a 2-month history of postcoital bleeding and intermenstrual spotting. She is perimenopausal and not on HRT. On speculum examination, a 1 cm cervical polyp is visible protruding through the external os. What is the single most appropriate management?