International Journal of Case Studies in Clinical Research Volume 4 Issue 1, February 2020

International Journal of Case Studies in Clinical

Research
Research Article ISSN 2572-102X
Survey Report of Cervical Polyp Disease Affected Patent in the North site of
Bangladesh
Shakib Uzzaman*1, Sabrien Sobnom1, Rahul Mahata3, Nahid Hasan2, Tasnim Alam Shethil3
1
Department of Pharmacy, Varendra University, Rajshahi, Bangladesh
2
Departments of Psychology, University of Rajshahi, Rajshahi, Bangladesh
3
Department of Pharmacy, State University of Bangladesh

Abstract
The aim of this survey was designed to assess and evaluate the prescription of student which has affected in Cervical Polyp. In this study
we show that a total of 500 female people with an age of 18-90 years are all affected by this disease. Which maximum home district is
Rajshahi, but some of them are out of Rajshahi district. The surveys findings indicate that study sample have lack of awareness about the
health status. Result show that about 79.6% study sample are married and 20.4% are unmarried. Age Range is 18-30 is 19% and the maximum
in 31-90 is 81%. In the time of urinate about 89% result is No and 11% result is Yes. Most of present suffer Vaginal discharge been getting
better or worse, Vaginal discharge constant or come-and-go, Bleeding after sexual intercourse, Bleeding after douching, Bleeding after
the menopause.

Keywords: Cervical polyp, Urinate, Vagina, Sexual intercourse, Douching, Monopause

Corresponding author: Shakib Uzzaman Introduction

The growth and develops on the cervix, which is the canal connecting
Department of Pharmacy, Varendra University, Rajshahi, Bangladesh.
the uterus to the vagina is called cervical polyp. Sperm must pass
Tel: +88009638748839, through this canal to fertilize an egg. Cervical polyps are tumors, but
E-mail: [email protected] they are usually non-cancerous or benign.[1] It is a common benign
Citation: Shakib Uzzaman et al. (2020), Survey Report of Cervical polyp or tumour on the surface of the cervical canal.[2] It can cause
Polyp Disease Affected Patent in the North site of Bangladesh. Int J irregular menstrual bleeding. Treatment consists of simple removal of
Clinical & Case. 4:1, 01-05 the polyp and prognosis is generally good. However, as polyps have
a similar appearance to some signs of cancer. It is essential that a
Copyright: ©2020 Shakib Uzzaman et al. This is an open access doctor checks them to ensure that they are not cancerous. About 1% of
article distributed under the terms of the Creative Commons cervical polyps will show neoplastic change which may lead to cancer.
Attribution License, which permits unrestricted use, distribution, and Cervical polyp most common in post-menarche, pre-menopausal
reproduction in any medium, provided the original author and source women who have been pregnant. Cervical polyps can grow either as
are credited singular masses or in clusters. They vary in size but are usually around
Received: January 17, 2020 1–2 centimeters (cm) long. The women most likely to develop cervical
Accepted: January 24, 2020 polyps are those in their 40s and 50s who have given birth to more
Published: February 24, 2020 than one child. Higher estrogen levels can also make pregnant people
more susceptible to them.
Polyps can vary in color from a gray, almost-white color to bright red
or purple. They can grow to different sizes and look like bulbs growing
on stems.
Two different types of polyp can develop on the cervix:
• Ectocervical polyps: Postmenopausal women are more likely to
have these polyps, which grow on the cells in the outer surface layer
of the cervix.
• Endocervical polyps: More common overall, endocervical polyps
grow from cervical glands inside the cervical canal. This type of polyp
is more likely to affect women who are premenopausal.

Citation: Shakib Uzzaman et al. (2020), Survey Report of Cervical Polyp Disease Affected Patent in the North site of Bangladesh. Int J Clinical &
Case. 4:1, 01-05

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International Journal of Case Studies in Clinical Research Volume 4 Issue 1, February 2020

The exact cause of cervical polyps is not known. They may occur with: • After surgery
An abnormal response to increased levels of the female hormone The polyp is then sent to the laboratory for further evaluation. If your
estrogen[3] polyp is infected, your physician may prescribe antibiotics, and in the
• Chronic inflammation case that the polyp does show signs of cancer, your treatment will
• Clogged blood vessels in the cervix depend on the type and extent of the cancer. Your physician will talk
• Cervical polyps are common. They are often found in women over to you extensively about cancer types and treatment options if that is
age 40 that have had many children. Polyps are rare in young women the case.
who have not started having their period (menstruation). • Prevention
Most women have only one polyp. Some women have two or three. Cervical polyps may regrow in different areas of the cervix but usually
It is possible for someone to develop cervical polyps and not not from the original site. Regular pelvic examinations with your
experience any symptoms.[4] physician are the best way to help identify and prevent polyps from
Others will notice symptoms, which may include: causing symptoms.
• vaginal discharge that may be foul-smelling if an infection is present • Prognosis
• a heavier flow during periods The prognosis is very good for cervical polyps. The vast majority are
• spotting between periods benign (not cancerous), and cervical polyps are very unlikely to regrow
•bleeding after sexual intercourse after surgical removal.
• bleeding after douching Materials and Methods
• bleeding after the menopause
For the survey part of the study, age stratified sampling technique was
Cervical polyps are usually benign (not cancerous); however, since
used for selecting the study sample. Only female adult with an age
some, rare types of cancerous conditions can look like polyps, and
range is 18 to 90 years were interviewed. Samples were from residence
about one percent of benign polyps can show cancerous changes, they
of District town, Upazila town and Village. The number of participants
are always removed to treat symptoms and examined more closely.
was selected randomly. A total of 500 participants were interviewed
Sometimes a small polyp will come off on its own during sexual
with asking the questions individually.
intercourse or during a menstrual cycle[5]; however, it is important to
have the polyp examined for signs of cancer, so it is always best to The research involved a qualitative research method approach
see your physician for treatment. Treatment options include a gentle involving 500 in-depth interviews from the student which maximum
surgery performed in-office or surgery that requires anesthesia. home district is Rajshahi and some of them are out of Rajshahi
• Gentle surgery district. The residence of study sample is Rajshahi, Bagmara, Bogra,
The polyp will be removed surgically in your physician's office with an Chapainawabgonj, Durgapur, Ishwardi, Naogaon, Nator, Pabna,
instrument called a polyp forceps. The forceps are used to secure the Puthia,Rajabarihat & Sirajgonj.
base of the polyp stalk and remove the polyp with a twisting motion. The research methodology used direct interviews and discussion as
The procedure is gentle and bleeding is usually brief and minor. the primary research instruments. Interviews were chosen as the
• Surgery requiring anesthesia most appropriate form of data collection. The structured format of
Large polyps and polyp stems that are very broad need to be removed the interviews enabled particular contextual themes that contributed
in an operating room[6]. You will have to have anesthesia local, regional to the findings of the study. Data was collected on April to September
or general but, you will be discharged after the procedure and will not 2018. The following format was used to collect the data; all the
need to stay in the hospital overnight. questions were translated in Bangali while asking to the participants
for their easy understanding.

Citation: Shakib Uzzaman et al. (2020), Survey Report of Cervical Polyp Disease Affected Patent in the North site of Bangladesh. Int J Clinical &
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International Journal of Case Studies in Clinical Research Volume 4 Issue 1, February 2020

Result
Marital Status
Result show that about 79.6% study sample are married and 20.4% are unmarried. Age Range is 18-30 is 19% and the maximum in 31-90 is 81%.

Feel pain when you urinate

In the time of urinate about 89% result is No and 11% result is Yes.

Citation: Shakib Uzzaman et al. (2020), Survey Report of Cervical Polyp Disease Affected Patent in the North site of Bangladesh. Int J Clinical &
Case. 4:1, 01-05

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International Journal of Case Studies in Clinical Research Volume 4 Issue 1, February 2020

Result of Some Important and Special Question Maximum result shows Yes.
• Vaginal discharge been getting better or worse Vaginal discharge been getting better or worse- Yes (427), No (63)
• Vaginal discharge constant or come-and-go Vaginal discharge constant or come-and-go- Yes (423), No (77)
• Bleeding after sexual intercourse Bleeding after sexual intercourse- Yes (388), No (112)
• Bleeding after douching Bleeding after douching- Yes (383), No (117)
• Bleeding after the menopause Bleeding after the menopause- Yes (379), No (121)

Discussion In some instances, the polyps or the polyp stems are too large to
Sometimes, cervical polyps will disconnect from the cervix on their remove in a doctor’s office. If this is the case, you may need to have
own. This can occur while a woman is menstruating or during sexual surgery to remove the cervical polyp in a hospital or surgery in a
intercourse. hospital or surgery center.
Doctors don’t routinely remove cervical polyps unless they cause The outlook for people with cervical polyps is excellent. Once the
symptoms. Removing cervical polyps is a simple procedure that your doctor removes them, they don’t usually grow back.
doctor can perform in their office. No pain medication is necessary.[7] Cervical Polyps Are Diagnosed[7]
Methods for removing cervical polyps include: Polyps are easy for your doctor to see during a routine pelvic exam.
• twisting the polyp off at the base Your doctor will see smooth, fingerlike growths on the cervix that
• tying surgical string around the base of the polyp and cutting it away appear red or purple. The two types of cervical polyps are ectocervical
• using ring forceps to remove the polyp and endocervical.
Methods to destroy the base of the polyp include the use of: Ectocervical polyps arise from the outer surface layer of cells on the
• liquid nitrogen cervix. Endocervical polyps arise from the cervical glands, and they’re
• electrocautery ablation, which involves using an electrically heated the most common type of cervical polyp. Postmenopausal women are
needle more likely to have ectocervical polyps, and premenopausal woman
• laser surgery are more likely to have endocervical polyps.
You may feel a brief, mild pain during removal and mild to moderate Biopsies, or tissue samples, of the polyps are taken and sent to a
cramps for a few hours afterward. Spotting of blood from the vagina laboratory for testing. Results usually show benign polyp cells. In rare
may occur for one or two days after removal. cases, abnormal cells or precancerous patterns of growth known as
neoplastic changes may be present.

Citation: Shakib Uzzaman et al. (2020), Survey Report of Cervical Polyp Disease Affected Patent in the North site of Bangladesh. Int J Clinical &
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International Journal of Case Studies in Clinical Research Volume 4 Issue 1, February 2020

Recovery and prevention[7] point show neoplastic change. Cervical polyps are unlikely to regrow.
Polyp removal is a simple, safe, and noninvasive procedure. However, Cervical polyps are most common in women who have had children
if you’ve ever had polyps, you’re at increased risk of developing them and perimenopausal women. They are rare in pre-menstrual girls
again. Getting regular pelvic exams helps ensure finding any growths and uncommon in post-menopausal women. Endometrial polyps are
early in their development. usually benign although some may be precancerous or cancerous.
About 0.5% of endometrial polyps contain adenocarcinoma cells.
Since some infections are linked to cervical polyps, a few simple
Endometrial polyps usually occur in women in their 40s and 50s.
steps may help reduce your risk. Wear cotton underwear that allows
Endometrial polyps occur in up to 10% of women. It is estimated that
good air circulation. This prevents excess heat and moisture, which
they are present in 25% of women with abnormal vaginal bleeding.
is the perfect environment for infections. Also, use a condom during
intercourse. References
Be sure to get regular pelvic exams and Pap tests. How frequently 1. https://www.medicalnewstoday.com/articles/322437.php
you should get Pap tests depends on your overall health history and 2. The Pap smear. Taylor & Francis. p. 87. ISBN 3-7186-5857-7.
age. Your doctor can recommend the amount of time, which usually 3. https://medlineplus.gov/ency/article/001494.htm
is anywhere from three to five years for women who haven’t had a 4. www.buoyhealth.com/diagnoses-a-z/cervical-polyp/
history of abnormal Pap results. 5. www.health.harvard.edu/a-to-z/cervical-polyps-a-to-z.
Conclusion 6. www.wakemed.org/surgery-endometrial-polyp-removal-what-to-
expect.
About 99% of cervical polyps will remain benign and 1% will at some
7. www.healthline.com/health/cervical-polyps#treatments.

Citation: Shakib Uzzaman et al. (2020), Survey Report of Cervical Polyp Disease Affected Patent in the North site of Bangladesh. Int J Clinical &
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