Gynaecological polyps (cervical, ectropion, endometrial))

Question 1

What is cervical ectropion

Answer 1

normal epithelium of endocervix is columnar bu tecto cervix is squamous

in ectropion– ectocervical mugration of culumnar epithelium ( columnar comes out of cervix into ectocervix)
Linked with oestrogen -pregnancy, COCP

sx- IMB, PCB, increased discharge
Ix - speculum
Mx - reassure, cauterise, cryotherapy
avoid oestogen contraceptives

Question 2

What is cervical polyp

Answer 2

normal epithelium of endocervix is columnar but
ectocervix is squamous

Overgrwoth of endocervial columbar epithelium -benign/solitary
can be linked to oestrogen

Ix - speculum
sx - often asympto-but can get small bleeding/discharge -if around cervix can have PCB

Mx - generally advised to remove -if small twist off
or surgery
send for histology in case

Question 3

What is Endometrial polyps

Answer 3

sx - PCB, IMB -often asympto discovered randomly

Ix TVUSS
outpatient hysterescopy

mx - can self resolve if small
polyeptomy to allieviate