How is the operation performed?
Depending on the method by which it is performed, there are three types of cervical conization:
- knife;
- electroconic (loop);
- laser.
Knife conization is practically not used today.is carried out, since there is a high risk of complications. The most common method is electroconization of the cervix. The popularity of this method is due to the optimal combination of the procedure's safety and its affordable cost. The most painless method is laser conization. But this is a rather expensive procedure. It requires special equipment and personnel who know how to work with it. Therefore, laser conization is carried out only in large medical centers. Indications for the procedure are the following: the presence of a damaged area of the cervical mucosa and the absence of infectious diseases of the pelvic organs. These indications are sufficient. If there are diseases, their preliminary treatment is required. And only after it is conization of the cervix performed. The operation is usually scheduled for the first few days after the end of menstruation. This is done so that the cervix has time to heal by the beginning of the next menstruation. It is carried out in a regular gynecological chair. Its duration is about 15-20 minutes. The procedure can be performed under both general and local anesthesia. After the operation, there is practically no bleeding, as the vessels are cauterized, and a tampon is inserted into the vagina. After a couple of hours, it is removed. You are examined by a doctor. If everything is fine, you can go home. Hospitalization is not required.
Life after surgery
At first, the uterus hurts, like during menstruation.After the operation, there may be watery and bloody vaginal discharge in small amounts. This is nothing to worry about during the healing period. About a week later, the scab that formed after the operation comes off. During this period, the amount of blood in the discharge may increase, but not much. If there is heavy bleeding after conization, you should immediately consult a doctor. You should also consult a doctor if the discharge does not stop within a month. But such cases are quite rare. Complete healing occurs in about 3-4 months, but already a month after the operation, the cervix heals enough to stop bleeding. For a month after the procedure, you cannot have sex, drink alcohol and drugs that dilate blood vessels, take a hot bath, go to a bathhouse or sauna. You also cannot lift any weights. So, find a person who will help you after the operation in advance before the operation. This could be your husband, parents, friends. During the first period after the procedure, you cannot use tampons, replace them with pads. There is an opinion that after conization of the cervix it is impossible to get pregnant and give birth. It is wrong. But it is better to plan the birth of a child no earlier than several years after the operation. Conization of the cervix has practically no effect on the fertilization process. There are cases when after the operation the patency of its canal decreased. This reduces the possibility of conception. However, the presence of modified tissues on the mucous membrane of the cervix reduces this possibility even more. It is also believed that after this operation it is impossible to give birth on your own and it is necessary to do a cesarean section. After it, the cervix does not lose its elasticity. A woman can give birth on her own, a cesarean section is not at all necessary. After conization, there is a possibility of adhesions and scars that will interfere with natural childbirth, but it is quite small. As a result of this operation, the length of the cervix decreases. And during pregnancy, under the weight of the fetus, it can begin to open prematurely. But in such cases, the cervix is simply stitched up and women successfully carry the child for all 40 weeks.
