Targeted Cauterization of Bleeding Cervical Polyps During Pregnancy: A Case Series

Pregnancy-associated cervical polyps have been linked to an increased risk of spontaneous late miscarriage and preterm delivery. In particular, bleeding cervical polyps, often suspected to be decidual in origin, may represent a high-risk condition requiring clinical intervention. We report a case series of three pregnant women with bleeding cervical polyps in whom decidual polyps were suspected based on clinical and ultrasonographic features. In all cases, targeted cauterization of the polyp surface was performed primarily to achieve hemostasis under adjunctive administration of oral synbiotic therapy. This approach resulted in immediate hemostasis and was followed by gradual regression and complete macroscopic disappearance of the polyps. All three pregnancies resulted in term deliveries. Targeted cauterization may represent a minimally invasive management option for bleeding cervical polyps during pregnancy, although further studies are needed.