Gynecology

Pregnancy and childbirth after conization of the cervix!

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Often, the onset of a desired pregnancy is complicated by a woman’s illness or surgery. One of these operations is cervical conization. What kind of surgery is this and how can it affect the future conception and childbearing?

What is cervical conization?

Conization is a surgical procedure to remove a cone-shaped fragment of the cervix. This fragment includes abnormal tissue and a small area of ​​the cervical canal. The main goal of such surgery is to treat the cervix and identify the likely pathology in the form of invasive cancer.

Conization of the cervix is ​​done in cases where the modified tissue is placed deep in the cervical canal, and there is no guarantee that the biopsy will be reliable. This is explained by the fact that a malignant process that is not detected can provoke serious problems for a woman’s health.

During the procedure, the doctor will receive a small piece of tissue from the mucous membrane of the cervix, which is sent for histological examination. In the absence of cancer, the test results will be negative. The result of surgery will be the removal of a small part of the cervix with a modified epithelium. This means that a woman will get rid of the risk of developing cancer. In addition, histology will determine the cause of the tissue change - a chronic viral or bacterial infection.

The indications for this surgical procedure are dysplasia of cervical epithelium cells, which is histologically confirmed, the detection of a large abnormal tissue area of ​​the cervical canal, the detection of dysplasia with a cytological smear.

That is, conization allows you to accurately find out whether women with dysplasia have foci of invasive cancer and whether prevention of the malignant process is possible.

Contraindications to conization are usually infectious processes in the vagina, ovaries, uterus.

Anna Chekmareva

Psychologist, Transformational Coach Specialist from the website b17.ru

The author, conizated to do with "cancer on the spot." You would think everything went well and there were no atypical cells left, and not about pregnancy. Baba-fools, forgive, Lord. You need to be observed and think about yourself! No pregnancy for you now, if you want to live.

guest yourself you are a fool. I was conizated for mild dysplasia so that it would not develop into third-degree dysplasia and cancer. They said that it would have no effect on pregnancy and childbirth. I am 22 years old, can die immediately once was conizability? this is just an excision of a small piece of the neck that then grows over. Do not worry the author, in the internet a lot of all sorts of garbage is written, when I read - I find all the problems at once.

Yes, here I have been reading. I would like to know the opinion of those who already have babies, were there problems with conception, during pregnancy and childbirth?

I made conizatsii. She got pregnant as soon as she wanted (a few years later) and gave birth without problems

Thanks for the answer, you yourself gave birth or was a Caesar. Health you have your baby!

Related topics

Girls, I also had to conization about dysplasia, and then there was a pregnancy, I was forced to interrupt. Now I am worried about how it will pass?

Girls, and who during the conization cut out half of the cervix. There was a 2-3 degree dysplasia. How then to give birth? Is it really impossible to do without Keserevo?

Grade 2 dysplasia was when I was going to the laser, and then I learned that I was pregnant, now I’m sniffing a miracle, go to the doctor, and then the laser

Cancer cells, so-called grade 0 cancer, were found. On February 14th a conization was made, on May 1 a confirmed pregnancy. By the way, unplanned pregnancy, because Said that getting pregnant will be very problematic

I had an operation half a year ago, I am going to get pregnant (really afraid of it) as my super onco-gynecologist said that not earlier than after 5 years. And about conception, they say the opposite is easier to get pregnant, but to make. Well, let's hope.

After conization, I had occlusion of the cervical canal, partial narrowing, now everything seems fine, we want to wait half a year and try to start

Yes, here I have been reading. I would like to know the opinion of those who already have babies, were there problems with conception, during pregnancy and childbirth?

Hello! In 2007, I went to get registered for pregnancy, discovered - cervical cancer, 0 degree, in place! Pregnancy had to be interrupted. Now I am pregnant again, I did not succeed before, since Monday I will go to the regional oncology to take tests, I am very worried. Health to you.

Me again! It turns out after conization give birth to units. Pregnancy, as an internal surge of hormones, provokes the resumption of cancer! Doctors in our city, to put it mildly, are shocked by my decision to give birth! I did not go to the regional hospital, they said it was still early, the deadline was small. But they say that there is a chance to give birth in the regional. Gave time to think and make the right decision.

Girls, do not worry. I had dysplasia 2 stpeni. In 2006, with a break of 7 months, I had a cervical conization twice, because after the first conization was relapsed. Pregnancy in the near future is not planned. In 2008, after the only time when my husband and I were not protected, I became pregnant. The pregnancy went great. Caesarean was planned because after conization, the cervix will not open. My daughter is already a year old. Recently became pregnant again. So do not lose optimism.

Hello! I had grade 3 dysplasia (severe form), conization was done in 2007, in 2009 I became pregnant, now it's 36 weeks. I went for a consultation at the maternity hospital: Medical conclusion: prenatal hospitalization at 38 weeks, the cervix will be examined, if the oak is planned KESAREVO, if it is soft and mobile, then the birth is independent. And it happens too.

three years ago there was a conization of CM. In situ diagnosis after three months was repeated — everything was normal. Now the pregnancy is 39 weeks. My gynecologists say that a cesarean section-cervix may not open up or even rupture, which can be treated as a cancer. that the scar on the cervix is ​​not an indicator for cesarean section. Tell me who was in that situation to do what.

with the first pregnancy was severe dysplasia. She did nothing - carried out and gave birth to a healthy baby (although almost all doctors referred for an abortion), after birth the dysplasia disappeared.

with the first pregnancy was severe dysplasia. She did nothing - carried out and gave birth to a healthy baby (although almost all doctors referred for an abortion), after birth the dysplasia disappeared.

Privet :) me 27 Rodila s displazijei 3 stepeni Carcinoma in situ rak 0 stepeni (about diagnoze uznala tolko posle rodov). Vinosila malisa bez problem, rodila toze be problem. Sdelali koonizaciju, no virezali ne radikalno. budet povtornaja operacija. I konecno ze vtoroi malis :) Vraci govoriat cto mozet i sama rodis. Vse zavisit ot sostojanija matki

In January 2008, I was diagnosed with grade 2-3 dysplasia, as it turned out at that time I was already pregnant for 3 weeks. The doctor categorically recommended an abortion, since during pregnancy, according to her, dysplasia will change due to the rapid cell division. And I am 29 years old, behind 6 years of marriage, beloved husband, the first pregnancy ended in a miscarriage, and then - again, a miracle and again such a desirable pregnancy. They ran around the half of the city of oncologists. No one could really say anything. Because of the unrest there was a threat of disruption, laid on the conservation and in the same time repeated abortion. As a result, when my husband once again ran with my analyzes on the doctors, one practicing elderly gynecologist-professor told my husband - to bear pregnant, now every second person has such problems. And we decided come what may. As a result, we have a 2-year-old son. Bore herself very easily. During pregnancy nothing aggravated, I observed the whole pregnancy + for another year and a half while feeding my son. Yesterday they made electroconization. The operation was done quickly under local anesthesia. sensations are not very pleasant, but you can tolerate. After the operation that day, he pulled his stomach as during menstruation and there was general weakness. The next day, everything is fine, no feelings. At the doctor's appointment in a month.

I am 30 years old, in 2000 I gave birth to a daughter myself in the buttock, 2004 gave birth to the second daughter herself, also in the buttock, in 2009 there was a cervical cervix, currently 34 weeks of twins, I feel good, so do not frighten each other, the main thing is to believe and not what not to be afraid of.

spilled out of the virus now I wait for 3 weeks and tell us what is on the ureoplasma tell me what to expect. and what will happen next?

27 years old, was dysplasia 2 degrees in histology. While doing tests on the biopsy, she became pregnant. Biopsy came - 3 degree. Revised tests in another laboratory - cancer "on the spot." Let's go to the regional cancer center - they found an invasive cancer 1-2 mm. We performed a second biopsy - 2 degrees of dysplasia, no hints of cancer. As a result, 3 different laboratories - 4 different results. My husband and I sent all the doctors nah. I wrote a bunch of refusals of abortion, 2 months ago I gave birth to a beautiful little son, EP.
Yesterday was colposcopy, no worsening, normal dysplasia. Will make a cone. I am happy that I did not listen to the doctors then, although everyone said that it was definitely an abortion, with no options.

Girls, do not be afraid! Most importantly, in time, contact a good specialists, I have two children, made conizatsiya, absolutely painless. Planning a third — the only problem — maybe a caesarean section, because incompetent gynecologist IN TIME did not refer to this procedure.

A year ago, discovered dysplasia 3rd. when discovered, it turned out that I was pregnant. There was no question of any abortion. They said give birth, and then we will treat. I gave birth to 42 weeks myself, quickly in 2 hours (this is my second pregnancy and childbirth, the first was 8 years ago). Now again took the Pope, the same diagnosis. They made the first conization - cancer on the spot. Did the second - nothing, cut out still the first time, it turns out. The doctor said that if I plan a third, then under strict supervision, so the risk of premature birth has not been canceled. I believe that the third time everything goes well. and you girls give birth to your babies, and only then are treated. DO NOT listen to incompetent doctors, it's not they who kill their children. You just have to watch the situation and believe that everything will be fine!

The girls I also did diathermokonizatsiyu, in 2008. The tests are all normal. They said there was no cancer, but I don’t know what it is. I was pregnant and said only Cesarean, and there is no talk about natural births. They are terribly depressed when the hospital always roars. And you will probably need to wear a neck.

Say and what type of smear is cancer grade 0?

The author, conizated to do with "cancer on the spot." You would think everything went well and there were no atypical cells left, and not about pregnancy. Baba-fools, forgive, Lord. You need to be observed and think about yourself! No pregnancy for you now, if you want to live.

Girls posuti Guest Law. But how to be Esli pregnancy est?

I had conizationalization in 2010, too, they put dysplasia, now they are pregnant with 3 children, the doctor assumes that there will be a cesarean, but I myself do not agree to the usual birth, and so time will tell. They also said that if a pregnancy was planned, then conization could not be done until I give birth.

I have 2-3 degrees of dysplasia, now I’m pricking injections, then a repeated biopsy and probably a cone, although I’m very afraid of the consequences, I want another baby (in the summer I gave birth, my son died a day before giving birth, I still come to my senses, although I have daughter is 14 years old).

Natalia, I sympathize with you very much. Now you should take care of your health and not be afraid of anything, the worst has already happened, and conization is a trifle compared to your grief. All you will be fine and think about your daughter.

I had a conization (CIN3). I can’t get pregnant in any way. I can’t do anything with myself, I constantly think about it. All tests are normal. And now I’m only afraid of relapse. and really want a baby.

Konizatsiyu did in 2007. Got pregnant as soon as she wanted. It's 21 weeks now. The first girl is 14 years old. No problems yet. Observed in the LCD and oncologic dispensary. Said caesarean will do only if the neck does not open. I am 32.

Share, pozh, I’m going to have to conizate the students. I discovered problems when planning for a ber-ti, they say they don’t even try a year, I’ve been reading passions, I would like to know who had similar problems. Thanks in advance!

Hello I was given a cervix of the cervix after the first pregnancy, before the operation I was warned that subsequent births are only Caesorev, but now they write that the cervix is ​​in good condition and it will be possible to give birth itself, in a month I can give birth. She got pregnant normally, there were no problems. The operation was painless when local anesthesia was done and at the end of the operation, cauterization (I was done with lazar) there were unpleasant feelings. There was no bleeding after the operation, the main task was not to do hard work and would abstain from sex for about a month. After the operation, every six months I give a smear.

Hello I was given a cervix of the cervix after the first pregnancy, before the operation I was warned that subsequent births are only Caesorev, but now they write that the cervix is ​​in good condition and it will be possible to give birth itself, in a month I can give birth. She got pregnant normally, there were no problems. The operation was painless when local anesthesia was done and at the end of the operation, cauterization (I was done with lazar) there were unpleasant feelings. There was no bleeding after the operation, the main task was not to do hard work and would abstain from sex for about a month. After the operation, every six months I give a smear.

I generally made cervization of the cervix about cervical erosion, it didn’t heal as it is located in an inconvenient place, the operation was a year ago and now I want to get pregnant but the doctors are afraid to say the horrors, and I don’t know who to hear.

Yes, here I have been reading. I would like to know the opinion of those who already have babies, were there problems with conception, during pregnancy and childbirth?

I have a severe dysplosia. They gathered to have an operation, but then it turned out that I was pregnant. This is my first pregnancy and the baby is very desirable. Doctors say I have an abortion, because I can go to cancer, but I don’t want to kill the child. Advise me what to do. I do not know who to contact (((

I have a severe dysplosia. They gathered to have an operation, but then it turned out that I was pregnant. This is my first pregnancy and the baby is very desirable. Doctors say I have an abortion, because I can go to cancer, but I don’t want to kill the child. Advise me what to do. I do not know who to contact (((

Hi everyone! I did conization in 2008. Now I have 15 weeks, 38mm neck is all closed, doctors say to put stitches on the neck, but I don’t want something. Girls tell everyone stitches impose?

I now have the 32nd week of pregnancy, talked about this topic with the professor immediately after conization (2008), he said that pregnancy after conization is desirable. Naturally, not immediately, but after a year is very necessary, because positive effect on the process of the body's struggle with atypical cells. After that, during the pregnancy I communicated with 3 doctors and the only negative thing I learned was that the cervix lost elasticity after conization. In the internet, I read several times about neck loosening, and the doctors (all three) say that, on the contrary, it is difficult to open the neck of a cervix . If there is an cervical cervical insufficiency, it is already visible at 12-13 weeks. I consulted with experienced specialists, I was passing their words.

Hello girls. For several days I read this and similar topics on the conization of n.m., since the procedure itself was coming up (degree 2 dysplasia plus some other ***, there is no oncology). I was not afraid of the procedure, thanks to all those who wrote their reviews, I am afraid of the consequences, like problems with pregnancy and childbirth.
Today everything was done, just 2 hours ago. It was made with a wide cone (I understood it from the look of the piece - about 1 cm was removed). It does not hurt definitely. She sat in a chair, the doctor looked, at first she wanted to postpone, since her periods had not quite ended (I have the 6th day), then I decided to do it all the same. Under the buttocks they put a small pillow, probably, some kind of electrode, I don’t know, they inserted a large mirror, I didn’t look further. Then there was such a sound of some kind of buzzing and smell, as they drilled a tooth, for about 5-10 minutes, probably, there were manipulations, then it was coagulated to a point and that was all. The doctor said that the operation went well, removed all the pathological tissue. Inserted an antiburn plate, on Wednesday I will take it off and put on a wound healing. More so far I do not know what will be appointed. If anything, I will write on Wednesday. Now a little bit pulls in the vaginal area, but it is not critical, if it hurts, they are prescribed to drink a soothing drink. While all tolerated.
Once again I want to emphasize that the operation is painless, yes, there is little pleasant, but there is no precancerous changes.
Good luck, patience and courage to all those who have this operation to be.

Hello girls I was made a month ago. Everything went well. I’m worried about when I can get pregnant. My husband really wants a second child, but for some reason I am afraid. Tell me, after what time is better to plan a pregnancy.

Hello girls! I was conizated in February 2011. In April, I became pregnant (it did not work out before) to a Son of 9 years old, how I wanted a second baby, I counted the days and weeks, but there was a miscarriage for 12 weeks.I just can't come to my senses, so I wanted to be a mommy. The gynecological oncologist told me that pregnancy can be planned after 2 months, if I knew that I would succeed so quickly, I would have suffered a year, the main thing was to endure and give birth. But it happened to me (((Now they say no earlier than 6 months how long and painful it may be, what if I fail again. And where is the guarantee that it will not happen again. Who faced this problem? Please respond!

Hello girls! I was conizated in February 2011. In April, I became pregnant (it did not work out before) to a Son of 9 years old, how I wanted a second baby, I counted the days and weeks, but there was a miscarriage for 12 weeks. I just can't come to my senses, so I wanted to be a mommy. The gynecological oncologist told me that pregnancy can be planned after 2 months, if I knew that I would succeed so quickly, I would have suffered a year, the main thing was to endure and give birth. But it happened to me (((Now they say no earlier than 6 months how long and painful it may be, what if I fail again. And where is the guarantee that it will not happen again. Who faced this problem? Please respond!

Albina, I sympathize with you.
And the cause of miscarriage you know? Many simply say that it is after conization that the probability of miscarriage is quite high.

Please advise! I did a biopsy. It turned out that I had dysplasia 3 tbsp. I was sent for an operation while they were postponed due to the fact that there were no places I became pregnant. I went to the doctor, she was scared that choose your life or a child, such as what could be such that I would not live until the baby was born. I’m in a panic! I live with my future husband. I can't tell mom, because when I thought that I got pregnant the last time before the operation (the test turned out to be wrong), she said that my health is more important than this “bastard” (this is about a potential grandson like that). I read that the girls gave birth with such a diagnosis. I really do not want to kill a child! I do not know what to do. listen to a doctor or not. Could it be that the cancer will not go? Ilm I after birth can be cured?

Varieties of conization

In modern medicine, there are 4 types of procedures:

  • Knife This method is the most dangerous in view of possible complications, therefore it is rarely used.
  • Laser conization can be done in two ways, it all depends on the reason for referral to the procedure. If the operation is carried out with the aim of obtaining a fragment for the study, then a beam excision is applied. And if there is no such need, then laser vaporization can be carried out, during which the tissues are evaporated using rays. Both procedures are expensive and are performed under general anesthesia.
  • Loop electroconization is performed using a pair of electrodes of various sizes. The disadvantage of the procedure is the lack of control over the depth of penetration and excision, which can lead to unpleasant consequences. But, despite this, this method is most popular in medical practice.
  • Cryosurgery is not acceptable for a diagnosis of cervical cancer. In other cases, the use of cold with caution gives a positive trend. The risk of the procedure is the possibility of anaphylactic shock in the patient.

Complications

Immediately after the procedure, there is discomfort and abdominal pain, having similarities with sensations during menstruation. Monthly after surgery is characterized by a duration greater than normal, and an increase in the amount of discharge. The occurrence of heavy bleeding should alert, and if they do not stop, you should consult a doctor.

Rehabilitation

It is better to spend the first days after conization at a measured pace, devoting considerable time to rest and observing the following recommendations:

  • The complete absence of sexual activity during the first month after surgery,
  • Not to visit baths and saunas, and also not to take a hot bath,
  • Limit physical exertion and lift no more than 5 kg,
  • Closely monitor the composition of the drugs taken in order not to provoke bleeding,
  • Use pads, tampons in this case are contraindicated, as well as douching.

In general, with the observance of these measures, complete healing occurs within 2 months.

Pregnancy and childbirth after conization

Conization does not interfere with conception at all, but can have an effect on gestation and natural childbirth. Most often this is due to the scar after the procedure, which acts as an obstacle to the opening of the cervix during labor. In this case, an emergency caesarean section is performed.

Another possible problem is the inability to bear the baby, due to the onset of preterm labor, when the cervix does not withstand the load that has befallen it. This is due to damage to the cervix during conization. Therefore, a pregnant woman, who carried out conization, should be observed by a specialist. If the neck begins to shorten and soften ahead of time, the doctor will put a suture to eliminate the threat. In the last weeks of pregnancy, stitches are removed, which makes it possible to give birth on their own within the specified period.

Features of cervical conization

Before this manipulation, the woman undergoes a preliminary examination. These include blood and urine tests, vaginal smears, cervical biopsy, and colposcopy. All the above procedures are recommended to do in the first phase of the menstrual cycle. Today conization is carried out in three ways:

  1. By laser. This method is the most expensive.
  2. The apparatus of radio wave surgery "Surgitron". This is the so-called loop electroconization.
  3. A scalpel. Nowadays, the method is almost not used because of its high trauma.

Manipulation is done under local anesthesia. As a rule, it is lidocaine with adrenaline. The duration of the operation does not exceed 15 minutes.

How does conization affect subsequent pregnancy?

Most often, before such an operation, women ask doctors if pregnancy is possible after surgery. The answer to this question is positive if the operation is done successfully. In this case, there are no concomitant factors of infertility.

Difficulties with conceiving and carrying a baby can occur only if there are complications after surgery. Such complications are stenosis of the cervical canal and occlusion of the external pharynx of the uterus, inflammation of the appendages caused by infection and changes in the cervical mucus, isthmic-cervical insufficiency. If we are talking about such a complication as stenosis, then it is treatable by mechanical expansion. With regard to the possible blockage of uterine throat, then it is restored. Inflammatory processes and cervical insufficiency after conization require complex treatment, and if the cervical mucus changes, artificial insemination or in vitro fertilization is recommended. Indeed, in this case, fertilization by natural means is almost impossible.

You need to know that diseases caused by complications of cervical conization sometimes lead to cervical infertility factor. This is 10% of all cases. Therefore, women need to be attentive to their health, be regularly examined by gynecologists and carry out their appointments and recommendations.

Especially forberemennost.net - Elena TOLOCHIK

Cervical conization - is it worth doing?

Cervical conization is a small and non-traumatic operation that can be performed in a day hospital. Today there are several ways to cervise the cervix. Radio wave conization is considered the most benign and modern.

What is conization and to whom it is carried out

Cervical conization is an operation in which the affected part of the cervix is ​​removed in the form of a cone. The wide part of the cone is located on the vaginal surface of the cervix, capturing the affected area, and the narrow reaches the cervical canal. Cervical conization is carried out not only for medical purposes, but also for diagnostic purposes.

The indications for cervical conization are cervical dysplasia II-III, as well as areas of altered epithelium on the surface of the cervix with a spread into the cervical canal. After removal of the tissue, it is mandatory sent for histological examination to exclude a malignant tumor.

Contraindications for cervical conization are any infectious-inflammatory diseases of the urinary organs, general acute diseases and exacerbation of chronic diseases, as well as histologically confirmed cervical cancer.

Ways to cervise the cervix

The operation of cervical conization can be performed:

  • in the usual surgical way with a scalpel,
  • by electroconization,
  • with the help of radio wave surgery,
  • by loop electroscission.

The operation of conization of the cervix is ​​carried out in the first few days after the end of menstruation. Its duration is about 15 minutes. Anesthesia is usually local, but general (usually intravenous) anesthesia is sometimes used.

The first two methods today are practically not carried out, as they leave rough scars on the cervix. For women of childbearing age, this is a serious complication, since the scars on the cervix prevent its disclosure during childbirth. In addition, bleeding is possible during and after surgery. A good way is considered to conduct cervical conization laser.

A more efficient method is radio wave conization of the cervix. In this method, radiowave surgical generators (Surgitron, Fotek) are used. The method of low-impact, does not cause burns of healthy tissue. There are no such complications as bleeding after cervical conization by this method. In the postoperative period there are practically no infectious complications. Healing in the postoperative period is quick and painless.

Loop electroscission (IEE or LEEP) is considered to be the most modern way to conduct cervical conization.

Excision of the lesion at the same time occurs with the help of a thin wire loop with the capture of part of the cervical canal. This method allows you to remove tissue without significant destruction, which is very important for further histological examination. The therapeutic effect after such an operation is also impressive: there is almost no bleeding and pain (the blood vessels and nerve endings in the wound coagulate).

Postoperative period

In the first one or two days after the operation, the woman is usually bothered by pulling pains in the lower abdomen. In this case, you can take as a painkiller from the group of nonsteroidal anti-inflammatory drugs (NSAIDs - diclofenac, ibuprofen). The discharge after conization of the cervix liquid, with an admixture of blood, in small quantities, can last 10-20 days. Special treatment after conization of the cervix is ​​not required.

During the month after the operation you should not use hygienic tampons. How to use a hygienic tampon - basic precautions, douching, swimming in a bath, a pool or in open water sources, visiting a bathhouseBath and health: the benefits and harm of bath procedures and sauna (only a warm shower), lift gravity or engage in heavy physical labor. You should also refrain from sexual intercourse.

What complications can be after cervical conization surgery?

Complications after conization of the cervix today are rare. However, they are possible. These are bleeding, infection, cervical canal stenosis (narrowing). It may also develop cervical insufficiency - a violation of the locking capacity of the cervix, which can lead to miscarriage of pregnancy. Abortion of pregnancy - why do you lose the most expensive? (the cervix does not hold the fetus) and to the penetration of infection into the uterus. But this is a rare complication in cervical conization. Rare scars on the uterus today, as electrocautery is not used.

Pregnancy after conization of the cervix

The operation usually does not adversely affect the process of conception, as well as during pregnancy and childbirth. Problems with pregnancy can only occur with the development of isthmic-cervical insufficiency. Problems with cervical dilatation during labor can occur if there are postoperative scars.

Conization of the cervix is ​​a low-impact and painless operation, and if the doctor recommends doing it, then you should listen to his advice.

The essence of the procedure

First you need to figure out what constitutes cervical conization. This part of the body is the muscular canal that connects the womb with the vaginal cavity. In the area of ​​the cervical canal and the mucous membrane of the vaginal part of the cervix, pathological processes often occur.

For their removal produce conizatsii. The procedure is the following intervention:

  • After the examination and preparation of the woman, she undergoes local anesthesia.
  • Using various devices, a section of the cervical mucosa and the cervical canal is removed in the form of a cone.
  • This material is sent to the laboratory for histological examination.
  • The postoperative period is to create peace and the appointment of painkillers.

There are several variants of conization, which are successfully used in modern medicine:

  1. Surgical - is a classic technique of intervention with a sharp cutting tool. The most complete way to remove abnormal tissue, but can cause complications.
  2. Laser - the high quality of this technique is outweighed by the high costs and the need for general anesthesia for a woman.
  3. Electrical excision is the most commonly used technique. It is carried out by a special loop, to which alternating current is supplied. It is characterized by the lowest frequency of complications.
  4. Cryodestruction - implies the effect on the affected tissue with low temperatures. It is characterized by simplicity of operation, but high risk of recurrence.

Why is this surgery performed at all? There are diagnostic and therapeutic tasks that are trying to solve with the help of conization.

The material obtained during the procedure is sent to the laboratory for histological examination. After the histology results are ready, the doctor will be able to diagnose with a dot.

Therapeutic conization is shown in the following pathological conditions:

  1. Erosion and pseudo-erosion of the cervix, mucous polyps and epithelial hyperplasia.
  2. Cervical cysts.
  3. Dysplasia stage 2-4. This disease can cause cervical cancer.
  4. Ectropion - inversion of the mucous membrane of the cervical canal into the vaginal part of the cervix.
  5. Cervical deformity after childbirth and gynecological interventions.
  6. Adhesions and scars in the lumen of the cervical canal.

These conditions require surgical treatment. The most benign technique in this case is conization.

If inflammatory infectious diseases of the vagina or uterus are detected, as well as invasive cervical cancer, conization is contraindicated.

Possible complications

To understand whether it is possible to successfully have children after conization, it is worth knowing what the health consequences of the procedure.

The main complications after manipulation are:

  • Bleeding - blood loss after surgical treatment, especially with surgery, can be quite serious. Properly follow the recommendations of the specialist in the postoperative period.
  • Infectious complications. The cervix after the procedure is a wound surface that pathogens can colonize. In this case, it is necessary to prescribe antibiotics on time.
  • Endometriosis is a serious disease in which endometrial foci develop in adjacent organs. Arises as a complication of the procedure is quite rare.
  • Cervical canal adhesions - this complication is possible if the procedure is improperly performed. Scar treatment occurs by surgery. Complication is not observed with laser conizability.

These states are the main consequences of the procedure. With proper operation and compliance with the rules of the postoperative period, all complications can be avoided.

Impact on subsequent pregnancy

Many women are interested in the question: can conization affect the possibility of pregnancy and childbearing? The old methods of performing the operation consisted in a rather radical intervention, which led to a serious violation of the reproductive functions.

Modern methods of performing the procedure are not associated with severe traumatization of female organs. Therefore, most often there is no serious reproductive health disorders.

Pregnancy after conization of the cervix may be associated with the following problems:

  1. Cervical insufficiency. The cervix during pregnancy is tightly closed and holds the contents of the womb until the onset of labor. In case of damage to this organ, cervical weakness is possible and there is a threat of abortion.
  2. Relapse of the disease. The problem is not connected with the treatment procedure itself, but with the disease about which the operation was performed.
  3. Endometritis after surgery can cause infertility.This complication should be prevented by the appointment of antibiotics and the correct management of the postoperative period.

Of these, the most common is cervical insufficiency, which is successfully eliminated by suture or obstetric pessary.

Other obstacles to the normal course of subsequent pregnancy does not exist.

Birth after conization

How does labor proceed after conization of the cervix? In most cases, this process is also not complicated.

The most serious obstacle to the physiological delivery of pregnancy can be scars on the cervix and in the cervical canal. Adhesions will interfere with the passage of the fetus through the birth canal of the mother.

If adhesions were not detected and removed in time, then the issue is resolved in favor of operative delivery. The cesarean section after conization is performed quite successfully and the cervix remains intact.

Do not be afraid of this modern and low-impact procedure. Subject to the recommendations of the doctor, the reproductive health of the woman will not suffer.

What is conization

Loop electroscission of the cervix or conization is the removal of a portion of the vaginal part with a special triangle electrode. The doctor neatly cuts the cone, facing the top deep. The tissue sample obtained during the intervention is sent for histological examination.

There are other ways of conization. Previously actively used surgical method. A woman under anesthesia with a scalpel cut out the area of ​​the cervix. But this method was combined with a large number of complications:

  • bleeding in the postoperative period,
  • infectious processes
  • cicatricial deformity.

Surgical conizations are being supplanted by safer and more effective methods. Electroconization and procedure using a laser is popular, because it allows you to get a tissue sample for histological examination, confirmation of the diagnosis and the choice of further tactics.

Laser vaporization, cryodestruction have the least number of side effects and complications. But they do not allow to get a sample for further study. Pathologically altered tissues are destroyed during the manipulation.

Read more about the procedure in a separate article.

Indications for surgery

Conization is carried out strictly according to indications. It is necessary in the following cases:

  • severe squamous intraepithelial damage (PID), corresponding to CIN 2-3 degrees,
  • during colposcopy, it is not possible to visualize the transitional zone between the pathological and normal epithelium,
  • the results of cytological and histological studies do not match,
  • the combination of cervix dysplasia with its deformation,
  • after treatment PIP relapsed,
  • The treatment used is ineffective.

For women with grade 3 dysplasia, treatment is mandatory. Pregnancy on the background of the disease can accelerate the transition of pathology to cancer.

The size of the focus for dysplasia may be different. It determines the diameter of the electrode during conization, the size of the removed cone. The probability of development of postoperative complications in the form of scarring, synechiae in the cervical canal is higher with a large lesion on the cervix.

Recovery period

After conization of the cervix grade 3 (CIN III), a recovery period is necessary. Compliance with the recommendations of the doctor will reduce the likelihood of complications.

In the first 4 weeks it is forbidden to have sex, douche and use tampons. During intercourse, damage to the wound surface is possible, leading to bleeding. Sex without a condom threatens the development of infection. The bleeding after conization is a good breeding ground for bacteria.

Douching is dangerous by leaching of beneficial microflora, ascending by pathogens into the uterine cervix. Tampons create an environment for the reproduction of microorganisms.

Discharges can last up to 20 days. Sometimes they increase and resemble menstruation. With massive continued bleeding, the help of a physician is necessary.

Rare complications of conization are stenosis of the cervical canal and occlusion of the external pharynx. They occur in 1-5% of all operations. These complications can cause a lack of pregnancy and delivery by cesarean section.

After conization, control examination is necessary. After 4-6 months spend:

Pending pregnancy planning results are prohibited. Examination earlier than 2 months after conization has no diagnostic value. Formation of a full-fledged scar occurs in 4 months.

Impact on conception

The period after conization of the cervix when it is possible to plan a pregnancy is individual. The minimum duration of the contraception period is 6 months. But in severe cases, doctors recommend postponing a pregnancy for 1.5 years.

Conization does not affect the state of the ovaries, does not lead to the suppression of ovulation. Therefore, 2 months after the procedure, if contraception is abandoned, pregnancy begins. The operation rarely causes the impossibility of fertilization. Only in 1-5% develops stenosis of the cervical canal or fusion of the external pharynx.

Cicatricial changes, deformation of the cervix are a consequence of its histological structure. At 85% it consists of connective tissue. Any damage leads to the activation of cells that direct their activities to repair the defect - the wound surface. Too rapid reproduction of cells of connective tissue elements and the slow division of smooth muscle structures leads to a predominance of dense connective tissue.

Developed cervical stenosis. The cervical canal is narrowed, bent. The consequence is a violation of the outflow of menstrual blood, it may linger in the uterus. At the same time it becomes impossible for sperm to reach the appendages.

Menstrual blood clots become a breeding ground for bacteria, infection joins, endometritis develops. Pregnancy on the background of inflammation is impossible.

Stenosis and complete fusion of the cervical canal is rare. Thanks to the use of modern methods of conization, the transition to the laser method, the restriction of indications for the procedure, most women can become pregnant.

Sometimes after conization, the glands of the cervical canal change. This leads to a change in the composition of the cervical mucus and causes cervical infertility. Modern reproductive technologies can help: insemination with sperm of a husband or donor, IVF.

Features of the course of pregnancy

In most cases, conization does not affect the course of pregnancy. Sometimes it can be complicated by the development of cervical insufficiency. This is a condition in which, under pressure from a growing fetus and amniotic fluid, shortening of the neck and gradual opening of the internal pharynx occurs.

With regular visits to the gynecologist and examination of the chair shortening is diagnosed on time. Most often, the first signs appear in the 2nd trimester of pregnancy. The diagnosis is confirmed by ultrasound. Signs of isthmic-cervical insufficiency (ICI) are shortening of the cervix less than 2 cm, disclosure of the internal os more than 1 cm.

Pregnant women after conization are at risk. They are being examined on a chair not only within the time limits set by clinical protocols. The sooner the ICN is diagnosed, the faster the treatment begins.

ICS after conization is traumatic, treatment with medications is ineffective. A surgical method is used or a gynecological pessary is installed.

How to keep pregnancy with ICN? About this on this page.

Suturing

Suturing the cervix, which restrain its disclosure, is more effective in the initial stages of pathology. The manipulation is carried out from 13 to 27 weeks of pregnancy.

The operation is carried out in a hospital. A prerequisite is the absence of the inflammatory process in the vagina. This will prevent the development of infection. After suturing a pregnant woman, the site of the operation is treated with antiseptic solutions for 1-3 days. Examination of the patient is held in the antenatal clinic once every 2 weeks.

Cervical sutures are removed at 38 weeks. From this date, pregnancy is considered full-term. The neck independently ripens and opens.

What complications can develop?

  1. Increased pressure with fetal growth can provoke the eruption of seams and tearing of tissues.
  2. The above processes lead to the development of sepsis. The likelihood of cervical canal stenosis, loss of elasticity of the cervical tissues increases, which makes it difficult or impossible for natural delivery.

Pessary installation

A gynecological pessary is a plastic or silicone ring mounted on the cervix in a hospital. The optimal installation time is 20 gestational weeks. The term depends on the state of the pregnant woman and varies from 16 to 34 weeks.

Pain depends on the type of device selected (plastic or silicone ring). Installing a silicone pessary is less painful.

The pessary is removed 2-4 weeks before childbirth (36-38 weeks of gestation), provided that in the process of wearing does not develop inflammatory changes in the vagina and neck, there is no premature birth or there is no need for early delivery for other reasons.

Modern obstetrician-gynecologists are less likely to use the method of suturing, and prefer gynecological pessary, because it is less traumatic, does not require the use of anesthesia, antibacterial and hormonal therapy.

Late diagnosis of the ICN after conization leads to spontaneous miscarriage or premature birth (especially their course and management, by reference). Women with an interruption of a previous pregnancy that occurred after conization should inform the physician about this when registering.

The choice of mode of delivery

The probability of the formation of a rough scar increases with severe dysplasia, a large focus and the use of crude methods of conization. During the first stage of labor, this affects the activity of the opening of the cervix. The lack of positive dynamics, despite the good strength and amplitude of the contraction, increases the risk of developing anomalies of labor, hypoxia of the fetus. These states are indications for changing the tactics of childbirth in favor of cesarean section.

Natural childbirth is possible if there are signs of ripening on the Bishop scale. Following signs are considered:

  • shortening
  • consistency,
  • open pharynx,
  • location relative to the wire axis.

Indicators are scored. The mature cervix is ​​shortened, has a soft texture, misses 1-2 fingers of a doctor, is located in the center.

Maturation doctor can wait until 40 weeks of pregnancy in satisfactory condition of the fetus and no indication for childbirth at 38-39 weeks. In some cases, it is possible to use auxiliary methods of accelerating ripening. For this purpose prostaglandin gels are used Prostin E2, Perpidil, Dinoprostone. Mechanical methods of stimulating cervical ripening using kelp or a Foley catheter are popular.

With the ineffectiveness of the methods and the absence of signs of maturity by 40 weeks pregnant, delivery by caesarean section is suggested. Planned surgery has advantages over emergency. A pregnant woman undergoes full preparation for the intervention, minimizes the risk of complications during surgery.

Signs of maturity and timely onset of labor do not mean that they will pass naturally. Indications for cesarean section may occur in the first stage of labor, when the opening of the cervix stops. In the interests of the mother and child, the tactics of labor change.

Is pregnancy possible after conization?

Is it possible to get pregnant after conization? This question is heard in the doctor’s office immediately after he prescribes such a procedure.

The answer can be given only after a full examination and surgery. Of great importance is the experience and specialization of the doctor. If he does everything right, and in a sparing mode (as far as possible), then the chances of becoming a mother are increased several times.

Ladies who plan to give birth, are included in the category of those patients with whom the surgeon will have to sweat. The operation is complicated, carried out sparingly. It is important to leave part of the body intact, conization is superficial. After such treatment, a relapse may occur, the disease will progress. But, but miscarriage is unlikely.

Also, difficulties during fertilization of the egg and bearing the child arise when:

  • inflammatory processes in the ovaries,
  • stenosis of the cervical canal,
  • istikomic-cervical insufficiency,
  • occlusion external uterine throat.

In order to get pregnant and bear the fruit, it is necessary to eliminate all diseases. To avoid such problems, it is important to be promptly examined in the gynecologist's office and more closely monitor your health.

Consequences for pregnancy

Sometimes after conization there are problems of the following nature:

  1. If the cervix is ​​damaged, it is open or weak. As a result, there is a risk of miscarriage or premature delivery. To avoid loss of the fetus, the surgeon stitches or installs obstetric pessary.
  2. When life began, and the formation of the internal organs of the baby began, a woman may experience a relapse of the disease. It is not always possible to wait for the birth of a child, therefore, the only thing that doctors advise is the termination of pregnancy and immediate repeated surgery.
  3. If, after the procedure, the doctor did not bother about the possible consequences, did not prescribe antibiotics for prophylaxis and did not tell how a woman should behave in the postoperative period, there is a risk of endometritis. This pathology often leads to infertility. It will be difficult and sometimes impossible to conceive a child.

Often, scar tissue does not allow sperm to break through, resulting in fertilization also does not occur.

When can you get pregnant after such a radical treatment?

Pregnancy after conization of the cervix is ​​possible, but not earlier than in 1.5 - 2 years. Before planning to conceive a woman is recommended to pass a series of tests, make an ultrasound. If everything is fine and there are no contraindications for pregnancy, determine fertile days and go ahead.

If the conception occurred earlier than the specified period, the pregnancy is not interrupted. It is important that the body recovers, but not earlier than six months after the operation.

Features of pregnancy and childbirth

In any case, carrying a child is a crucial moment that a woman is looking forward to. After conization, the neck is weak and vulnerable. Inflammation or cervical insufficiency may occur at any time.

To avoid problems throughout pregnancy, you need:

  • eat well (eat more vitamins and healthy foods),
  • give up alcoholic beverages and smoking (this not only has a detrimental effect on the fetus, but also negatively affects the state of the internal organs),
  • in any case not to lift heavy
  • observe the day regimen
  • less nervous.

All of the above is important to comply with any pregnancy. If a woman feels any discomfort, you should immediately visit your gynecologist. Registration should be started immediately after it became clear that conception had happened.

Delivery after cervical conization is rarely possible naturally. Scars, which are often available after such treatment, do not allow the baby to pass through the birth canal. Another reason - the neck can not fully open at the appointed time, because of its violation during the operation. As a result, the child will not be released on time, and this will have serious consequences.

Almost always, a planned cesarean section is prescribed. After such births, the mother recovers for a long time, and the child slowly develops and adapts.

If, nevertheless, they decided to take the risk and give birth on their own, then throughout the whole process, a doctor and a midwife are located near the woman in labor. If something goes wrong, an emergency caesarean is performed. If the woman had stitches or an obstetric pessary was placed, then everything is removed before the birth. Nothing prevents a woman from giving birth independently.

Conclusion and conclusion

Conization of the uterine cervix is ​​not a contraindication to pregnancy. This natural process can take place without hindrance if an experienced surgeon performed the conization, and after the woman fulfilled all his prescriptions. Naturally, there are pathological pregnancies or its complete absence, due to the developed infertility. Due to a weak neck, there is a danger of losing a fetus, so many people stitches.

Delivery is also different from the natural, as it is recommended to do cesarean section. This operation is transferred all differently, and the recovery period takes more than a week. All this is problematic, especially for women who have no one to help.

The reasons why conizations are used

Во время профилактического гинекологического осмотра врач может обнаружить патологические образования или изменения на шейке, что становится основным показанием к проведению операции.

Процедура рекомендуется в следующих случаях:

  • atypical cells were found in the analyzes,
  • abnormal changes in the structure of tissues were observed during the gynecological examination,
  • cervical deformity due to childbirth complicated by injuries,
  • dysplasia of varying degrees.
The process of cervical conization involves the removal of the epithelial pathological layer in the form of a cone. After the procedure, the obtained tissues are analyzed and the presence of tumor cells is determined.

The operation is not performed in the presence of sexually transmitted or infectious diseases, and is also contraindicated during the exacerbation of various chronic diseases. Therefore, before the procedure, all necessary tests are taken (urine, blood, smear) and instrumental examinations are carried out (colposcopy, ultrasound). If an invasive form of cervical cancer is diagnosed, conization is not possible.

Conization methods

The procedure does not apply to complex, as it is often carried out at the reception at the gynecologist and does not require subsequent hospitalization. In this case, wound healing can last from 2 weeks to a month.

Experts, based on statistics and personal experience, argue that pregnancy after conization of the cervix and subsequent labor can take place without complications, but it requires careful monitoring by medical professionals.

When can I become pregnant after cervical conization?

During the next month after the operation, it is necessary to refrain from too hot baths, sex and physical activity are prohibited. Discharges may be darker in the first week, as these are the effects of scab exit. Contraindications drugs that reduce blood clotting (aspirin, warfarin).

Many women are concerned about the question of when they can become pregnant after conization? Whether the short uterus neck will affect carrying?

The procedure for the removal of pathological tissues does not significantly affect the possibility of conception. Pregnancy can be difficult only after deep conization of the cervix of 3 degrees, when too much epithelial tissue is excised and the cervix is ​​shortened.

During the 9 month gestation period some complications are possible:

  • the risk of premature birth up to 37 weeks gestation increases,
  • it is not uncommon for a baby to be born with a low birth weight,
  • childbirth is often carried out by caesarean section.
Doctors warn that after conization pregnancy is better to plan, at least after one year, if there are no other contraindications. Such a long period is associated with the fact that healing has taken place in full, and during the carrying of the uterus, it does not begin to unfold earlier than it should be.

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