Treatment of cervical polyp by obstetrician-gynecologist Irina Ivanovna Kulbach in Dnipro.

Patients present with symptoms such as irregular discharge, lower abdominal discomfort, pain during sexual intercourse, or unexplained changes in their menstrual cycle.

The doctor conducts a comprehensive assessment of the condition, carefully analyzes the complaints and medical history, and, if necessary, orders additional tests for an accurate diagnosis.

The patient receives a clear and understandable action plan: what to do immediately, which examinations to undergo, and how to monitor changes in order to respond promptly to the progression of the condition.

Irina Ivanovna Kulbach pays special attention to differential diagnosis and ongoing patient management, providing support at every stage of treatment.

When to See a Doctor

If you are concerned about changes in the cervical area or experience discomfort, it is important to consult an obstetrician-gynecologist. You should make an appointment with a specialist if, with a cervical polyp, you notice:

• irregular or increased vaginal discharge
• spotting or bleeding between periods
• the appearance of pain or discomfort in the lower abdomen
• tenderness or unpleasant sensations during sexual intercourse
• changes in the menstrual cycle, such as irregularities or delays
• symptoms recurring or worsening over time
• discomfort interfering with work, sleep, or daily activities
• no improvement after self-care attempts
• worsening of the situation following stress or infections
• first-time occurrence of alarming symptoms
• need to clarify the diagnosis after initial examination
• worsening symptoms during pregnancy or other conditions

It is important to remember that these signs may have various causes. To get an accurate assessment and choose the appropriate course of action, you should see a doctor who will conduct a thorough examination and decide on monitoring or treatment strategies. Do not delay the visit if symptoms cause concern or change over time.

Emergency Conditions or When to See a Doctor Immediately

• Sudden and heavy bleeding from the genital area
• Increasing lower abdominal pain that does not go away
• Onset of high fever with chills and worsening general condition
• Combination of pain, dizziness, and weakness
• Sudden increase in discharge with an unpleasant odor or color change

If you experience any of these symptoms, do not wait for a scheduled appointment—seek emergency care immediately. Our clinic offers a doctor-at-home service to quickly assess your condition and provide the necessary support.

Causes and Risk Factors of Cervical Polyps

In this section, we will discuss where cervical polyps may develop from and which factors influence the likelihood of their appearance. This will help understand what to discuss with your doctor and which examinations might be necessary.

Main Causes / Mechanisms (Briefly)

• hormonal imbalance, especially elevated estrogen levels
• chronic inflammation or infections of the cervical mucosa
• injuries and microtraumas to the mucosa, for example, after childbirth or medical procedures
• impaired blood circulation in the cervical tissues
• age-related changes, particularly in women over 40 years old

Risk Factors

• prolonged use of intrauterine contraceptives
• frequent gynecological infections and inflammations
• irregular menstruation and hormonal disorders
• weakened immune system or prolonged stress
• obesity and related hormonal changes
• smoking and harmful habits
• hereditary predisposition
• late childbirth or lack of childbirth altogether

Reversible Causes That Should Be Ruled Out

• inflammatory processes requiring treatment
• hormonal imbalances that can be corrected
• infections that may mask or worsen the condition

Cervical polyps develop under the influence of various factors, and an accurate understanding of the situation requires a medical examination. Knowing the possible causes helps in timely detection of the problem and planning monitoring or treatment.

Diagnosis

Diagnosis of cervical polyps is aimed at accurately understanding the cause of symptoms and choosing the optimal management strategy. The doctor will take a detailed medical history and, if necessary, order additional examinations to develop a clear treatment plan.

Diagnostic approach

• taking medical history: identifying complaints, disease history, and risk factors
• visual and instrumental examination of the cervix
• taking smears and biological material for analysis as indicated
• performing ultrasound of the pelvic organs to assess their condition
• prescribing additional tests as needed (e.g., colposcopy)
• interpreting results and formulating a plan for further action

Typical investigations as indicated

• colposcopy — detailed examination of the cervix with magnification
• cytological examination of cervical smears
• ultrasound of the pelvic organs
• histological examination if necessary
• tests for infections and inflammations

What to bring to the appointment

• results of previous gynecological examinations
• list of medications being taken
• records of the menstrual cycle and symptoms
• results of previously performed ultrasounds or tests

This diagnostic approach allows for identification of cervical polyps and differentiation from other conditions. If necessary, the doctor will suggest further examinations and monitor the course of the disease.

Treatment

Treatment of cervical polyps is aimed at reducing symptoms and preventing possible complications. The therapy plan is tailored individually, taking into account the patient's condition and examination results.

Goals of Therapy

• reduce symptoms and discomfort
• address the underlying causes contributing to polyp development
• restore the normal condition of the cervical mucosa
• prevent complications and recurrence of polyps

Main Treatment Approaches

• may include medication to reduce inflammation or correct hormonal imbalances
• non-pharmacological methods aimed at improving overall health and strengthening the immune system
• in some cases — polyp removal based on medical indications and under physician supervision
• monitoring and regular check-ups to assess condition
• therapy adjustment depending on dynamics and accompanying factors

What the Doctor Does

• selects and adjusts the treatment plan based on individual patient characteristics
• takes into account coexisting conditions and the patient’s overall state
• monitors possible side effects of the therapy
• explains effectiveness criteria and the importance of following recommendations
• coordinates comprehensive examination and treatment when necessary

What to Expect: Planning and Monitoring

• preliminary evaluation of effectiveness after the initial stage of treatment
• regular monitoring and adjustment of the plan as indicated
• observation of any changes in symptoms and the body's response
• follow-up visits to assess progress and make decisions about further treatment

For detailed information on treatment options for cervical polyps, please consult with Dr. Irina Ivanovna Kulbach.

Prevention

Prevention is important for reducing the risk of the occurrence and recurrence of cervical polyps. The prevention plan is tailored individually and takes into account the specifics of your health.

Main Primary Prevention Measures

• monitoring women’s health and regular gynecological examinations
• timely treatment of inflammatory and infectious diseases
• maintaining hormonal balance under medical supervision
• quitting smoking and reducing exposure to harmful factors
• healthy lifestyle and balanced nutrition
• stress management and adequate rest

Screening and Secondary Prevention / Regular Monitoring

• regular check-ups with an obstetrician-gynecologist as recommended
• performing colposcopy and cytological tests as indicated
• monitoring the condition of the cervical mucosa if risk factors are present
• monitoring hormonal status and correcting it if necessary

Practical Advice

• discuss any changes in your menstrual cycle or discharge with your doctor
• pay attention to symptoms of inflammation or discomfort
• keep health records for easier monitoring
• adhere to the prescribed examination schedule and doctor’s recommendations
• maintain physical activity appropriate for your condition
• consult your doctor promptly if you have chronic diseases

Prevention of cervical polyps requires regular attention and discussion with your doctor to achieve the best results.

Important to Know

The treatment of cervical polyps requires a careful and comprehensive approach. It is important not only to eliminate the symptoms but also to understand the cause of polyp formation in order to select a reasonable strategy. Timely consultation helps assess the condition and reduce the risk of complications. Sometimes prolonged monitoring and adjustment of the treatment plan are necessary, taking into account changes in the body and the influence of accompanying factors. Self-treatment should be avoided, as it can complicate an accurate diagnosis and lead to unwanted reactions.

• it is important to identify triggering factors, not just eliminate symptoms
• early assessment helps choose the appropriate plan and reduce the risk of complications
• treatment often includes dynamic monitoring with regular check-ups
• stress, physical exertion, and comorbidities can affect the course
• self-treatment can obscure the clinical picture and delay proper treatment
• comprehensive examinations in a clinic allow consideration of all health aspects

Detailed information about the causes, symptoms, and treatment methods for cervical polyps can be found on the general page of our website dedicated to gynecological issues. If you have any questions, it is best to consult a doctor to choose the most suitable approach and monitor your condition.

Self-care Before the Appointment: What You Can and Cannot Do

Before your visit to Dr. Irina Ivanovna Kulbach, it is important to follow safe measures to avoid worsening your condition or distorting the clinical picture during the examination. If your condition deteriorates, seek medical help immediately.

What You Can Do Before the Appointment

• Write down when and how your symptoms started, as well as their characteristics and any changes
• Bring a list of your current medications, including dosages if you know them
• Measure and record your temperature, blood pressure, and pulse if possible
• Keep a symptom diary, noting intensity and possible triggers
• Reduce physical activity and ensure rest before seeing the doctor
• Drink enough water unless contraindicated
• Avoid using agents that may alter the condition of the mucous membranes

What You Should Not Do Before the Appointment

• Do not cancel or change medications without prior consultation
• Do not start combining new drugs or dietary supplements on your own
• Do not use folk remedies without agreement from the doctor
• Do not interpret lab tests or examinations by yourself
• Do not postpone visiting the specialist if symptoms worsen or intensify
• Do not use local treatment products not recommended by the doctor
• Do not subject your body to stress or physical exertion that may worsen symptoms

If urgent symptoms appear, contact Dr. Irina Ivanovna Kulbach immediately for help.

How I Can Help as a Doctor with Cervical Polyps

During a consultation regarding cervical polyps, I can assist you in the following ways: thoroughly reviewing your symptoms and medical history, assessing your condition, and identifying possible causes. Together, we will develop a plan for examination, treatment, and monitoring, taking into account the specifics of your body and any other existing conditions. I will explain each step, help adjust your current therapy if needed, and inform you when a follow-up visit is necessary for ongoing assessment.

• Review symptoms and gather a complete medical history to identify causes
• Assess the severity of the condition and potential health risks
• Analyze current medications and consider drug tolerability
• Develop a systematic plan for examination, treatment, and follow-up
• Take into account comorbidities and concurrent medications
• Provide lifestyle and regimen recommendations tailored to your condition
• Explain monitoring criteria and when to seek re-evaluation
• Perform initial diagnostics and differentiate between possible causes of symptoms
• Adjust treatment if effectiveness is insufficient or adverse reactions occur

During the consultation, you will gain a detailed understanding of your situation and a step-by-step action plan. This comprehensive approach helps reduce risks and promotes effective management of your condition. If needed, the consultation can include reviewing previous examinations and selecting additional preventive measures to avoid complications.

What questions can you ask the doctor about a cervical polyp

During a consultation regarding a cervical polyp, you can discuss the following issues with Irina Ivanovna Kulbach: irregular vaginal discharge, pain or discomfort in the lower abdomen, spotting outside of menstruation, recurring symptoms, or lack of effect from previous treatment. You can also seek advice if you need a second opinion or monitoring after procedures. In case of sudden heavy bleeding, sharp pain, or high fever, urgent care is required — do not wait for a scheduled appointment.

• Irregular or unusual vaginal discharge
• Pain and discomfort in the lower abdomen
• Spotting outside of your menstrual cycle
• Recurring symptoms that interfere with daily life
• Lack of improvement from ongoing treatment
• Need for a second opinion regarding examination results
• Questions about methods for removal or monitoring of the polyp
• Changes in symptoms during pregnancy or after childbirth

If you experience sudden heavy bleeding, increasing pain, or high fever, seek emergency care immediately rather than postponing your visit.

• What is happening to me and what could it be?
• Why have the symptoms appeared now?
• How can I tell a cervical polyp apart from other possible issues?
• What tests do I need to better understand my situation?
• Which analyses and procedures are mandatory, and which ones can be skipped?
• How should I prepare for the appointment and examinations?
• What treatment options are available and how do they differ?
• Is it possible to manage without surgery or medications?
• Why is the prescribed treatment not working so far?
• How long does treatment usually last and how often are check-ups needed?
• What signs indicate that my condition is improving or worsening?
• What should I do if symptoms suddenly worsen or flare up?

During the consultation, the doctor will help you understand your situation, answer all your questions, and suggest a plan for next steps. If emergency symptoms occur, you will be advised on how to quickly get the necessary care or who else to contact.

How the Consultation Takes Place

The consultation for a cervical polyp includes discussing complaints, assessing the condition, and developing a plan for further actions. The extent of necessary examinations is determined individually, based on indications, to assess the situation as accurately as possible. A complete diagnosis is not always possible during one visit, but you will receive a preliminary evaluation and recommendations for the next steps.

1. Clarifying complaints and the purpose of the visit: what concerns you, when symptoms appeared, what worsens or alleviates the condition, and what you expect from the consultation.
2. Taking medical history with emphasis on potential risk factors and comorbid conditions.
3. Reviewing previous examinations and treatments: please bring results of tests, imaging, and a list of medications you are taking.
4. Examination of the cervix and, if necessary, performing additional tests as indicated.
5. Preliminary conclusion: discussing the most likely causes and the importance of ruling out other conditions without making a final diagnosis.
6. Plan for further examinations, which may include colposcopy, pelvic ultrasound, cytology, and infection tests.
7. Discussion of treatment options or management strategies based on the data obtained.
8. Setting timelines for follow-up and recommendations on when to return for a repeat visit or seek earlier medical attention.

If this is your first time consulting for this issue, special attention is given to gathering all necessary information and identifying possible causes. If previous treatments have been ineffective, the main focus is on analyzing the reasons for the current situation and adjusting the plan of action.

This approach allows for a step-by-step understanding of your condition, avoids unnecessary procedures, and creates a clear and convenient plan for examination and treatment. You will always know what to expect at the next stages and how to monitor your recovery process.

Preparation for the Appointment

Preparing for an appointment with an obstetrician-gynecologist will help speed up diagnosis and the prescription of the appropriate treatment plan. Following simple recommendations will improve the quality of the consultation and examination.

• Bring a list of all current medications with names and dosages, if known
• Take results of previous examinations, imaging, and tests (if available)
• Write down main complaints: when symptoms started, what worsens or relieves them
• Do not stop taking prescribed medications without consulting your doctor
• If necessary, come on an empty stomach; do not eat or drink for 8–12 hours unless otherwise advised
• Do not use cosmetics or intimate hygiene products on the day of the appointment
• Prepare a list of questions to discuss with the doctor, if any
• Come with a flexible schedule to avoid being rushed during the consultation

If you have any doubts about preparation, it’s better to clarify details when making the appointment. Do not change your medication regimen without consulting a specialist.

About the Doctor

Irina Ivanovna Kulbach is an obstetrician-gynecologist of the highest category with over 40 years of experience. She specializes in the treatment of cervical polyps and often works with patients at the initial diagnosis, in cases of recurring symptoms, and when previously prescribed treatments have been ineffective.

In her practice, Irina Ivanovna places special emphasis on differential diagnosis and dynamic monitoring, which helps to adjust treatment at every stage. During the consultation, you will receive a clear explanation of your situation and recommendations for the next steps.

Why Patients Choose Dr. Irina Ivanovna Kulbach

When treating cervical polyps, Irina Ivanovna designs the treatment based on the specific symptoms and individual characteristics of each patient, avoiding unnecessary examinations. She carefully takes into account concomitant diseases and potential drug interactions, which enhances the safety of the therapy. The doctor monitors the condition's dynamics, promptly adjusting the treatment if there is insufficient effect or if side effects occur. Great attention is given to reviewing previous prescriptions and analyzing the results of already completed examinations for a more precise choice of strategy. All recommendations and plans are explained in clear, accessible language, including goals, risks, and possible alternatives. Ongoing monitoring allows timely detection of changes and reduces the risk of complications, which is important during long-term observation. This approach helps patients feel calm and understand every stage of their treatment.

• Clear treatment plan with defined steps and timing for control
• Examinations prescribed only as indicated, without unnecessary procedures
• Consideration of concomitant diseases and drug interactions to ensure safety
• Monitoring therapy response and adjusting treatment if there is no effect
• Review of previous prescriptions and interpretation of already conducted examinations
• Explanation of goals, risks, and alternatives in accessible language without complications
• Focus on prevention of complications and exacerbations during follow-up
• Experience in managing complex and recurrent cases for a comprehensive approach

Irina Ivanovna’s approach is characterized by systematization and attention to the comprehensive aspects of the patient’s condition. This working process allows for adapting treatment according to changes and ensures quality control at all stages.

Case Studies

Initial Consultation Suspecting Cervical Polyp

A middle-aged patient presented with irregular spotting and discomfort during intercourse. It was important to exclude other causes, including inflammation and benign changes. A comprehensive examination was conducted, including an inspection and necessary tests, and a preliminary diagnosis was made. Over time, symptoms decreased and the condition stabilized. The patient remained under observation with a plan for regular follow-up visits.

Adjustment of Treatment Strategy Due to Lack of Effect

A middle-aged woman, already undergoing therapy without the expected improvement, sought a follow-up consultation. The physician thoroughly reviewed her medical history and previous procedures, assessing tolerance to prescribed medications. Based on a comprehensive evaluation, a decision was made to adjust the treatment plan and supplement the examination. At the control visit, the condition was stable and symptoms had become less intense.

Chronic Course with Comorbidities

A patient with chronic polypoid formation of the cervix and other gynecological diagnoses came for comprehensive management. It was important to consider drug interactions and the impact of comorbid conditions on disease progression. The physician developed an individualized plan taking all factors into account, conducted regular monitoring, and timely adjusted therapy. The clinical course showed stability and gradual improvement in quality of life.

Exacerbation of Symptoms and Prevention Plan

A woman presented with increased pain and discharge causing concern and interfering with daily life. The physician performed a detailed examination and additional testing to exclude complications. A control plan was made including supportive therapy and measures to prevent exacerbations. During subsequent follow-up, the patient’s condition stabilized, with recommendations provided to maintain health and monitor symptoms.

Second Opinion and Review of a Complex Case

A patient with an ambiguous clinical picture after several examinations came for a consultation to clarify the diagnosis and adjust treatment. The physician carefully analyzed all available data, correlated symptoms and results, and addressed possible risks and alternative causes. A sequential action plan and monitoring strategy were proposed. The patient received clear recommendations and reassurance regarding the next steps.

How long does the consultation last?

Usually, a consultation takes from 30 to 60 minutes; please confirm the exact duration when scheduling.

How to prepare for the appointment?

It is recommended to write down your symptoms, questions, and bring a list of medications you are taking.

What should I bring to the appointment?

Bring the results of any previous examinations, tests, images, and medical reports.

Do I need to come on an empty stomach?

Usually, fasting is not required unless specifically instructed when making the appointment.

How many visits are usually needed for treatment?

The number of visits depends on the complexity and progress of your condition, typically ranging from several visits to several months of follow-up.

When can I expect to see the first results of the treatment?

The timing of results varies individually and depends on the chosen treatment approach and your body’s response.

What should I do if my condition worsens before the appointment?

If symptoms worsen with severe pain, bleeding, or fever, seek emergency medical assistance.

Is it possible to combine treatment with my current medications?

All medications should be discussed during the appointment; do not independently stop or add medications.

Is an online consultation available?

Yes, online consultations are possible upon prior appointment and if examination results are available.

Can I come with already completed tests and examinations?

Yes, please bring all existing results for a more accurate assessment and treatment planning.

Do I need to come for follow-up visits, and how often?

Follow-up visits are scheduled individually depending on your condition and therapy results.

Can I get a second opinion?

Yes, the doctor is always ready to review previous examinations and provide an independent conclusion.

What should I do if symptoms return after improvement?

It is recommended to consult the doctor for plan adjustment and additional examinations.

What examinations are needed for cervical polyps?

Examinations are selected individually; the doctor will explain what is necessary in your case.

How can I tell if the treatment is working?

By the reduction or disappearance of symptoms and results of follow-up assessments.

What should I do if the treatment is ineffective?

The consultation will include an analysis of causes, after which the treatment plan will be adjusted.

Should I stop taking medications before the appointment?

Do not stop prescribed medications without consulting your doctor.

How long does patient management last?

The duration depends on the individual situation and response to treatment.

Can I come without prior examinations?

Yes, the doctor can order necessary tests during the appointment based on indications.