The relationship between cervical conection and the possibility of pregnancy or miscarriage

This is an automatically translated article.


Cervical conection is a procedure indicated for the treatment of early cervical cancer. This technique can affect a woman's ability to get pregnant or have a miscarriage in the future.

1. What is a cervical cone?


Cervical cone is the surgical removal of a cone of the cervix to remove damage in this area. This method is indicated mainly for the diagnosis and treatment of cervical diseases. Specifically, the doctor will assign the patient to perform a cervical cone to:
Monitor abnormal Pap tests continuously; Diagnosis of precancerous conditions of the cervix; Diagnosis of invasive cervical cancer (cancer cells invade surrounding tissues or spread beyond the cervix); Treatment of cervical precancer, carcinoma in situ, or stage IA1 cervical cancer. Side effects of cervicectomy:
Vaginal discharge for several weeks, discharge is brown or yellow; Spasms and mild discomfort; Infection; Bleeding: Causes bleeding during or after surgery. Bleeding during surgery can be controlled with techniques such as stitches or even hysterectomy if the bleeding is severe. If the patient is bleeding after surgery, the doctor may prescribe a topical medication to stop the bleeding; Cervical stenosis and cervical insufficiency are late complications.

Khoét chóp cổ tử cung là thủ thuật cắt bỏ một phần hình nón của cổ tử cung nhằm loại bỏ tổn thương ở khu vực này
Khoét chóp cổ tử cung là thủ thuật cắt bỏ một phần hình nón của cổ tử cung nhằm loại bỏ tổn thương ở khu vực này

3. Is it possible to have a baby with a cervical cone?


3.1 About fertility Cervical conection (nns biopsy) is a method applied to women with early stage cervical cancer (stage 0 or IA1). If the cone biopsy after the cone removal of the cervix has removed all the tumor and the biopsy sample shows that the rest is free of cancerous cells, the patient can completely have a baby before any more intensive treatment. . However, during this time, the patient needs to be closely monitored by the treating doctor.
On the other hand, there are also some cases where cervical cone cleavage affects the ability to get pregnant. Those are cases where deep and wide incisions are required or complications of cervical stenosis, cervical insufficiency, etc. make it harder for sperm to meet eggs to fertilize and form embryos. In addition, if the patient develops serious bleeding complications during the cone-removal surgery, the need to remove the cervix will also affect the ability to get pregnant in the future.
3.2 About the risk of miscarriage According to a study in the journal Obstetrics & Gynecology, women who became pregnant within 12 months of having a cervical cone with an electric ring had a 6 times higher risk of miscarriage compared with pregnant women. after this period.
In fact, cerclage in cervical pathologies is strongly associated with the risk of late miscarriage or preterm birth because of concerns with cervical integrity. When conserving the cone, a large amount of collagen fiber in the cervix is ​​lost, reducing the tolerance of the cervix, leading to the risk of miscarriage, premature birth. On the other hand, conical resection also causes loss of cervical glands, during pregnancy, the cervix will not form a mucus plug, increasing the risk of amniotic membrane infection, increasing the risk of premature rupture of membranes and preterm labor. . In addition, the scars on the cervix also make the cervix not soft and increase the rate of premature rupture of membranes.
Besides, the cervix needs time to recover and restructure. Therefore, in order to reduce the risk of preterm birth, it is important to note that the time from the time of cervical dilation to the time of pregnancy needs to be longer than 12 months.

Để giảm nguy cơ sinh non, cần chú ý khoảng thời gian từ lúc khoét chóp cổ tử cung đến thời điểm mang thai cần phải kéo dài trên 12 tháng
Để giảm nguy cơ sinh non, cần chú ý khoảng thời gian từ lúc khoét chóp cổ tử cung đến thời điểm mang thai cần phải kéo dài trên 12 tháng

Cervical conical resection is a simple, minimally invasive treatment for early cervical cancer. However, there is still an association between this technique and the risk of difficulty getting pregnant or having a miscarriage. Therefore, it is best for women to have regular health checkups, especially for reproductive health, to promptly detect the disease and have an early treatment plan, reducing the risk of complications.
Vinmec International General Hospital performs an effective cervical cone dilation (LEEP) for cervical cancer treatment and screening. Patients can be completely assured with the advantages of ease of use, low cost, good hemostasis and especially the ability to remove cervical cancer cells very effectively.
After the procedure, you will have to see the doctor after 1 week and if normal, you will have a gynecological examination every 6 months. You will have cervical cancer screening tests again to make sure all abnormal cells are completely gone and to make sure they don't come back.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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