Conization indications. Radio wave conization of the cervix. Surgical conization of the cervix

Conization of the cervix is an operation in which a cone-shaped excision of the affected tissue is performed. The procedure is performed for therapeutic and diagnostic purposes for various diseases, when other methods have proven ineffective or cannot be used for any reason. Until recently, conization was carried out with a regular scalpel. In modern gynecology, radio waves and other techniques are actively used to obtain quick and guaranteed results.

Radio wave conization of the cervix is the excision of an area of the desired size using electromagnetic waves. The purpose of such treatment is to eliminate the pathological focus (erosion) and save the woman from the possible consequences of this pathology. Radioconization is recognized as one of the most effective and safe methods of therapy and is considered the best option for young nulliparous women.

Advantages of radio wave conization of the cervix

Compared to the classical technique, manipulation has a number of advantages:

Low invasiveness: radio waves are directed specifically at the pathological focus, healthy tissues are not affected;
Possibility of use in nulliparous women: after the procedure, the structure of the cervix is not disturbed, no scars remain;
Low risk of complications;
Minimal risk of bleeding: the wound surface is treated directly during the procedure, the vessels are coagulated;
Radical removal of affected tissue in one stage;
Possibility of obtaining tissues for histological examination;
Painless;
Short rehabilitation period (4 weeks);
Possibility of carrying out on an outpatient basis.

All these factors make radioconization the method of choice for the treatment of cervical pathology in women planning pregnancy.

Radioconization involves the removal of a pathological cone-shaped area of the cervix with the capture of healthy tissue.

Note

As an alternative, the doctor may suggest laser conization - an effective, comfortable and safe treatment method.

Indications for surgery

Conization refers to surgical methods for treating diseases of the cervix. In clinical practice, various techniques for cone-shaped tissue excision can be used:

Knife – traditional excision of tissue with a scalpel;
Laser conization;
Radio wave conization.

Note

Reviews from patients clearly indicate that radio wave and laser conization are much better tolerated and usually proceed without complications.

Indications for conization:

Cervical dysplasia stages II and III (CIN);
Recurrent grade I dysplasia, not amenable to treatment by other methods;
Erosion of the cervix with pronounced cicatricial deformities;
Inability to visualize the transformation zone during colposcopy;
Spread of the pathological process into the cervical canal;
Cancer in situ (stage 0, non-invasive cancer, that is, not extending beyond the epithelium) - in some cases.

One of the indications for cone-shaped tissue excision is the development of cervical dysplasia, which can eventually develop into a malignant formation.

The possibility of using one or another conization method depends on the technical equipment of the clinic and the qualifications of the doctor. Modern medical centers are trying to offer their patients conization of the cervix using the radio wave method. This is one of the most effective and safest methods of surgical treatment, allowing you to radically solve the problem without consequences for reproductive health.

Note

The question of using one or another method of influence is always decided individually based on the severity of the patient’s condition and the presence of concomitant pathology.

For complicated erosion, ectropion, leukoplakia and other diseases, conservative methods are usually first used (cauterization of the cervix with radio waves, etc.). Lack of effect is a reason to prescribe radio wave conization of the cervix.

Contraindications to surgical treatment

Radio wave conization is not performed in the following conditions:

Inflammatory process on the cervix;
Invasive cancer;
Pregnancy (the operation is performed after the birth of the child and completion of the lactation period).

During pregnancy, radio wave conization is contraindicated.

Quite often, diseases of the cervix (dysplasia, ectropion) are combined with cervicitis - inflammation of the cervical canal. In addition to contact bleeding, profuse vaginal discharge with an unpleasant odor appears, and there is itching and burning in the vagina. Cervicitis not only aggravates the course of the disease, but also contributes to the development of complications. If conization is carried out against the background of active inflammation, the infection can spread to the overlying organs - the uterus and appendages. The operation is prescribed only after complete cure of cervicitis.

For invasive cancer that has penetrated beyond the mucous layer, radioconization is not effective. In this situation, the only treatment may be to remove the uterus (hysterectomy).

Preparation for radio wave treatment

Before the procedure, a woman must undergo a full examination:

Smear for oncocytology;
Colposcopy;
Biopsy (if indicated);
Examination for STIs, including human papillomavirus (if a concomitant infection is suspected).

After the examination, the doctor makes a final diagnosis and determines treatment tactics. If a decision is made to perform radiosurgical conization of the cervix, the following tests are prescribed:

Survey smear on the flora;
Bacteriological culture from the cervical canal.

Using a survey smear, the state of the microflora of the woman’s genitourinary system is assessed and the presence of pathogenic microorganisms is detected.

These examinations can also be carried out at the stage of primary diagnosis to find the cause of erosion. Further additional tests are prescribed:

Biochemical blood test;
General blood and urine tests;
Coagulogram;
Tests for infections (HIV, hepatitis, syphilis);
Determination of blood group and Rh factor;
ECG and consultation with a therapist.

Scheme of radioconization and the essence of the procedure

In most cases, the operation is performed under local anesthesia. For pain relief, an anesthetic injection is given into the cervix: 0.1% lidocaine along with adrenaline (to reduce bleeding). In special situations, the procedure can be performed under short-term anesthesia.

Radiosurgical conization of the cervix is prescribed in the first middle of the cycle. It is optimal to perform the operation on days 5-7. If a woman's menstruation lasts about 6-7 days, the procedure is postponed to another time. There should be no menstrual flow on the day of surgery.

Note

For postmenopausal women, conization is performed at any time.

Progress of the operation:

The patient is positioned on a gynecological chair;
The cervix is exposed in the speculum, the instrument is fixed;
Vaginal discharge is removed with a cotton swab;
Colposcopy is performed: pathologically altered areas of the cervix are recorded, the conization zone is determined;
Local anesthesia is performed;
The electrodes are connected, the radio knife is prepared;
The pathological area is excised in a cone shape with a radio wave knife. During the operation, the doctor captures the changed tissue on the cervix and 1/3 or 2/3 of the cervical canal;
The removed tissue is grabbed with tweezers;
The resulting material is sent to the laboratory for histological examination;
Bleeding areas coagulate.

During radiosurgical conization, an electrode-sail is connected, and then the pathological area is excised with a radioknife.

The whole procedure takes about 15-20 minutes. After radiosurgical conization, sutures are not placed on the cervix, since bleeding is stopped directly during the procedure. This reduces the recovery period and significantly reduces the risk of postoperative complications.

Note

Reviews of radioconization indicate that most patients tolerate this procedure well. It is not painful, and all the patient experiences during the operation is some discomfort in the lower abdomen (provided there is adequate anesthesia). The cervix heals faster than with other treatment regimens, and after 4 weeks the woman can return to her usual lifestyle. In the first two weeks after the operation, there may be minor bloody discharge that does not cause significant discomfort. Complications after radiosurgical conization are quite rare.

To carry out radio wave treatment, a modern Surgitron device is used. With its help, not only conization is carried out, but also radio wave loop excision - capturing a small area of the cervix with a thin wire loop.

Note

There is a slight difference between the concepts of conization and excision. Usually we talk about excision (or cone excision) when it is necessary to remove a small section of the cervix along with the lower part of the cervical canal. In foreign literature, this procedure is called LEEP. The term "conization" is correct when half or 2/3 of the cervical canal is removed, and a radioknife is used for this procedure. The technique is similar, the only difference is in the tools used.

Photos of the cervix before and after radioconization can be seen below.

Recovery after the radioconization procedure lasts from 4 to 8 weeks.

Advantages of using the Surgitron device:

Low risk of developing inflammation and burns of the wound surface (tissue temperature at the incision site does not exceed 55 °C);
All manipulations are carried out gently, effortlessly, which eliminates compression and displacement of tissues;
Possibility of simultaneous tissue dissection and bleeding stop;
The operation is performed in a “dry wound” without bleeding, which improves visualization of the pathological focus;
Non-contact – low risk of infection;
Possibility of targeted impact on the pathological focus - healthy tissues are not damaged;
The procedure can be performed in close proximity to blood vessels and nerves.

As an alternative to Surgitron, the Fotek device can be used.

Radiosurgical conization of the cervix is performed, among other things, using the domestically produced device “Fotek”.

The cost of radiosurgical conization depends on the region and the status of the clinic. In Moscow, the price of the operation is 25-40 thousand rubles; in the regions the cost may be lower. If a radio wave machine is installed in the antenatal clinic, the procedure can be done free of charge under the compulsory medical insurance policy.

For a speedy recovery, a woman should follow some rules during the first month after the procedure:

Sexual activity is prohibited until the mucous membrane of the cervix is completely restored (an average of 4 weeks);
It is not recommended to lift weights (more than 5 kg), engage in active sports, or physically overexert;
It is forbidden to visit the swimming pool, bathhouse, sauna, or lie in a hot bath;
You cannot use tampons or douche;
You should not take any medications without a doctor's prescription.

On average, healing of the cervix occurs in 4-5 weeks. The cervix takes a long time to heal if a woman does not follow the doctor’s recommendations and violates the prescribed prohibitions.

Postoperative period: norm and pathology

In the first days after radio wave conization of the cervix, there is sanguineous discharge from the genital tract. Gradually, the volume of discharge decreases, and by the third week it completely disappears. A specific odor may appear from the discharge - not too strong, but unpleasant. By the end of the first month after surgery, all discharge should completely stop.

Nagging pain in the lower abdomen may occur directly during the procedure, as well as during the first week after surgery. The pain is mild, localized above the pubis in the center, and is not accompanied by a significant deterioration of the condition. If you don’t want to endure pain, you can take No-shpa or Nurofen (no more than 3 days in a row).

Radioconization of the cervix does not have a significant effect on the menstrual cycle, and most women have their periods on time. There may be a slight delay of up to 3-5 days. According to reviews, the first periods may be heavy and painful, but later the cycle is completely restored.

As a rule, the menstrual cycle after the radioconization procedure of the cervix resumes on time.

The general condition after surgery is usually satisfactory. Some women note an increase in body temperature to 37-37.5 °C. The temperature lasts no more than three days; antipyretics are not prescribed.

Moderate nagging pain in the lower abdomen, sanguineous vaginal discharge and a slight delay in menstruation are normal after conization.

Warning symptoms to look out for:

Continuous or increasing bleeding from the genital tract (profuse, with clots);
Severe pain in the lower abdomen;
Increased body temperature more than 37.5 °C;
The appearance of purulent discharge;
Copious discharge with an unpleasant odor 3 weeks after surgery;
Delay of menstruation for more than 7 days.

All these symptoms indicate the possible development of complications and require mandatory consultation with a doctor.

A follow-up examination by a doctor after conization is carried out after 2 weeks, colposcopy - after 4-6 months. If the examination results are good, the woman should visit the doctor every 6 months or more often if indicated.

Undesirable consequences and complications

Conization of the cervix using the radio wave method can lead to the development of the following complications:

Bleeding is an extremely rare complication, since the vessels coagulate immediately after the incision (1-2% of cases);
Wound infection – occurs when personal hygiene rules are not observed or in the presence of chronic cervicitis at the time of surgery (1-2%).

Following the rules of personal hygiene will help to avoid various infectious complications after surgery.

If for some reason conization was carried out repeatedly, the risk of the following complications increases:

Scarring of the cervix;
Cervical canal stenosis.

The use of modern techniques makes it possible to reduce the likelihood of such consequences to almost zero.

Pregnancy and childbirth after radioconization

Unlike other treatment methods, after radioconization, stenosis of the cervical canal does not occur and complications that can affect the course of pregnancy and childbirth do not develop. The cervix heals without scarring. The cervical canal remains patent and sperm can fertilize the egg without interference. After the therapy, a woman can conceive a child. It is recommended to plan pregnancy 2-3 months after surgery.

Important to know

Properly performed radioconization does not interfere with conception, pregnancy, or natural childbirth.

Radioconization of the cervix does not affect the course of pregnancy and does not interfere with the development of the fetus. Since scars do not form on the cervix, the woman is not at risk of developing isthmic-cervical insufficiency. In the absence of other complications, a successful pregnancy and birth of a child is possible.

Childbirth after surgical treatment occurs without complications. A woman can safely give birth to a child through the vaginal birth canal. Radio wave treatment is a gentle method that does not have a negative effect on the cervix, does not interfere with its stretching during childbirth and does not interfere with the birth of the baby.

The successful course of pregnancy and childbirth largely depends on how the postoperative period went. If a woman followed all the doctor’s recommendations and was regularly observed by a gynecologist, she has a very high chance of experiencing all the joy of motherhood without significant problems and complications.

Interesting video about the benefits of radio wave conization

Schematic: technique for performing conization of the cervix

All materials on the site were prepared by specialists in the field of surgery, anatomy and specialized disciplines.
All recommendations are indicative in nature and are not applicable without consulting a doctor.

Conization of the cervix is an operation that belongs to a low-surgical technique in gynecology. It consists of removing a cone-shaped section from the cervix and part of the cervical canal, hence the name of the operation. Conization is one of the methods for treating background and precancerous diseases of the cervix.

When is conization prescribed?

Conization is carried out when there are visible pathological areas on the cervix, as well as when dysplasia of the cervical epithelium is detected in smears that are taken from women annually during medical examinations.

The main conditions under which conization is carried out:

Presence of zones of altered epithelium during colposcopy.
Detection of atypical cells in smears.
Dysplasia of 2-3 degrees according to the results of a morphological study.
Erosion.
Leukoplakia.
Ectropion (eversion).
Cervical polyps.
Cicatricial deformities of the cervix after ruptures, injuries, previous manipulations of the cervix.
Relapse of dysplasia after electrocoagulation, laser vaporization, cryodestruction.

Still, the main reason why a woman is sent for conization is cytologically or histologically detected cervical dysplasia. Dysplasia is a violation of the normal differentiation of layers of multilayer epithelium. It is believed that dysplasia in most cases turns into cancer. In other classifications (especially abroad) you can find the term “cervical intraepithelial neoplasia” (CIN), in which three degrees are distinguished. Conization is carried out mainly for CIN II.

Purpose of the operation

Therefore, the main goal of the conization operation is to remove areas in which the mechanism of cancerous cell degeneration has already started and to prevent the development of cervical cancer. The operation performs two tasks: diagnosis and treatment.

An area of mucous membrane with pathological changes within the unchanged tissue is removed (healthy tissue within 5-7 mm is captured).
The removed section of the cervix is sent for pathohistological examination.
If the study excludes invasive cancer, and the edges of the removed cone do not contain dysplastic changes, the pathology is considered radically cured.
If, during the study, doubts arise about incomplete removal of the dysplasia zone or the presence of invasive cancer, conization is considered a diagnostic step. In this case, another more radical treatment is planned.

Preparing for surgery

Conization is planned immediately after the end of the next menstruation (on 1-2 dry days). This is done because in the first phase of the cycle, the level of estrogen increases, which promotes proliferation (increased restoration) of the epithelium and speedy healing.

You need to prepare in advance. When planning an operation, a gynecological examination, colposcopy, and smears are taken for microflora and cytology at least a month in advance.

An ultrasound of the pelvic organs and lymph nodes may be prescribed. If necessary, the doctor can take a biopsy from the most suspicious area.

If an inflammatory process in the vagina is detected, appropriate anti-inflammatory treatment is carried out until normal smear results are obtained.

2 weeks before the proposed operation, tests are prescribed:

General blood and urine tests.
Blood for syphilis.
Antibodies to HIV, viral hepatitis B, C.
Hemostasiogram.
Determination of blood group and Rh factor.
Fluorography (during the year).
Electrocardiogram.
Examination by a therapist.

Conization is not carried out:

In the presence of an inflammatory process in the vagina and cervix.
For biopsy-proven invasive cancer.
For acute infectious diseases.
When the boundaries of epithelial transformation are poorly defined.
If the boundaries of pathology go beyond the technical capabilities of treatment.
For decompensation of chronic diseases (heart failure, hypertension, diabetes, renal and liver failure).
Blood clotting disorders.

What are the types of conization?

Conizations are classified according to the physical factor by which the area of tissue is removed:

Knife.
Laser.
Cryoconization.
Electroconization.

By volume they are distinguished:

Economical conization (cone-shaped biopsy) - the size of the removed area is no more than 1-1.5 cm.
High conization – with removal of 2/3 or more of the length of the cervical canal.

Knife conization of the cervix

The area of the cervix is cut out with a regular scalpel. Until the 80s of the last century, knife conization was the main method of obtaining diagnostic material for detecting atypia in smears.

Currently performed very rarely due to the high incidence of complications(bleeding, perforation, formation of rough scars after surgery). Complications after knife conization are observed in 10% of cases (with other more modern methods - in 1-2%).

However, it is knife conization that makes it possible to obtain a drug for research of better quality than with laser or electric wave removal. Therefore, this type of conization is still used in a number of clinics.

Laser conization of the cervix

The desired area is removed using a high-intensity laser beam. The operation is low-traumatic, almost bloodless and painless.

Benefits of laser conization:

Flaws:

There is a risk of burns to surrounding healthy tissue.
In most cases, general anesthesia is required for maximum immobilization (the patient should not move).
The method is quite expensive.

Radio wave conization of the cervix

Other terms: electroconization, electric wave conization, diathermoelectroconization.

For these purposes, the Surgitron radio wave surgery apparatus is used. It consists of an electric generator and a set of various electrodes.

Tissue destruction is achieved by exposure to high-frequency alternating current.

An even more advanced method of radio wave conization is radiosurgical loop excision.

radio wave conization of the cervix

The desired area is cut out using a loop electrode specially designed for this purpose.

The doctor selects an electrode with a loop of the required size (the area to be removed should be 3-4 mm larger than the size of the pathological lesion). A high-frequency current is applied to the electrode. By rotating the loop electrode in a circle, a section of the neck is cut out to a depth of 5-8 mm.

Advantages of the method:

Can be performed under local anesthesia.
Damaged blood vessels are immediately coagulated - the risk of bleeding is minimal.
The temperature in the destruction zone does not exceed 45-55 degrees. There is no risk of burning surrounding healthy tissue.
Allows you to take an area of tissue for examination that is less damaged than with the laser method.
Very small percentage of complications.

Today this method of conization is the most common.

Video: radio wave conization of the cervix

Cryoconization

The pathological focus is destroyed by the freezing effect of nitric oxide. The method is painless and quite inexpensive. In our country it is currently practically not used. It is believed that it is not always possible to accurately calculate the power of the freezing factor, and also the main purpose of conization is not fulfilled - there is no tissue area left that can be examined.

How is conization surgery performed?

This operation does not require long-term hospital treatment. It can be carried out in a day hospital or a one-day hospital.

The entire operation takes no more than 20 minutes.

After surgery

After conization, the patient remains in the ward for about 2 hours, then she can go home.

As a rule, aching pain in the lower abdomen (similar to menstruation) is noted for several days. Everyone will experience vaginal discharge after this procedure. But their number and timing may vary. There should be no heavy bleeding. Usually this is a clear serous discharge mixed with blood, or light brown, or spotting. The discharge may have an unpleasant odor.

For some, the cessation of discharge is noted after a week, for some it continues until the next menstruation. The first period after surgery may be heavier than usual.

Basic restrictions

The cervix after conization is an open wound. Therefore, as for healing any wound, it is necessary to minimize the impact on it. Namely:

Do not have vaginal intercourse for a month.
Do not use vaginal tampons.
Do not take a bath (wash in the shower).
Do not lift weights exceeding 3 kg.
Bathhouses and saunas are excluded.
Don't swim.
Avoid overheating.
Do not take drugs that prevent blood clotting (aspirin).

How does the cervix heal?

With an uncomplicated postoperative course, healing of the cervix occurs quite quickly. Approximately on the 7-10th day, the scab covering the wound comes off after coagulation of the vessels, and epithelization of the wound begins. Complete healing occurs by 3-4 months.

Usually at this time a re-examination by the gynecologist is carried out. If a woman doubts that something is wrong, she should consult a doctor earlier. Usually these points are always discussed, and the patient knows about suspicious symptoms X:

Heavy bleeding, similar to menstruation
Increased body temperature.
Continued discharge for more than 4 weeks or no decrease in discharge volume by the 3rd week.
Burning and itching in the vagina.
The appearance of pain in the lower abdomen some time after the operation (pain for several days immediately after conization is normal).
The appearance of discharge after a “dry” period.

As a rule, no additional effects on the cervix are required during this period. But in some cases, douching or suppositories may be prescribed.

A smear for cytology should be taken 3-4 months after the operation and subsequently every six months for 3 years. If atypical cells are not detected, after 3 years you can undergo a regular medical examination once a year.

Possible complications

Complications with modern types of conization are observed quite rarely (1-2%).

Bleeding.
Attachment of infection with the development of inflammation.
Cicatricial deformity of the cervix.
Miscarriage (spontaneous abortion and premature birth).
Endometriosis.
Menstrual irregularities.

Pregnancy after conization

For various pathological processes in the cervix in nulliparous women, or in women who are planning a second pregnancy, the most gentle methods should be chosen, if possible without disturbing the structure of the cervix (coagulation of erosion, polypectomy).

But if stage 2-3 dysplasia is histologically confirmed, conization is still inevitable in this case. In this case, modern methods are selected (laser and radio wave conization), the risk of complications in which is minimal.

It is advisable to plan a pregnancy after conization no earlier than a year after the operation.

As a rule, conization does not affect the ability to conceive. But sometimes, in cases of too extensive tissue resection, repeated conizations, or a complicated course, a narrowing of the cervical canal is possible due to the development of adhesions. Then the fertilization process will be difficult.

But the consequences of conization can have a negative impact on normal pregnancy and natural childbirth much more often than on conception. This is explained by the fact that the operation somewhat changes the structure of the cervix, it may shorten, and its elasticity may decrease. Therefore, women who have undergone conization may experience miscarriage to full term: the cervix simply cannot withstand the load and may dilate prematurely.

Natural delivery is possible in women who have undergone conization. But doctors must be completely sure that the cervix is elastic enough. In practice, delivery in such women is almost always carried out by cesarean section. Obstetricians are afraid of inadequate dilatation of the cervix during childbirth.

Review - Anna

2017-06-03 13:45:13

I have a very pleasant impression from the clinic itself and from the clinic staff. Many thanks to the manager. Anistratenko Sergei Ivanovich, who performed the operation on me to remove fibroids, for his professional advice and the successfully performed operation. This man has “golden hands”, I would like to wish him good health, happiness and all the best. In general, we can only say good things about this clinic: the service, quality and conditions are at the highest level, despite the fact that the clinic is young. The staff is polite, the food is very tasty, the clinic itself is clean and tidy. Many thanks to all employees! I only wish further professional growth and development for the employees and the clinic to remain at the same level!

Review - Elena

2017-07-24 13:40:15

When entering the Clinic, I felt only fear. Having met the doctors and nurses, I calmed down and realized that everyone wanted to do the best for me. In a word. It was like being at a resort, the attitude was excellent; if God forbid that... I will only contact the “Good Prognosis” clinic. I’m happy with everything. I don’t know how to speak, I write as I feel. Health to everyone!!!

Review - Elena

2017-07-27 13:36:12

I am very grateful for the attention of the nurses and nursing staff to the patients, the food was very tasty and high quality, the whole team was very friendly, I am immensely grateful to everyone. Thank you! I wish you good health, good health and prosperity to you all.

Review - Tamara

2017-06-02 13:23:07

I am Tamara Yosifovna, a resident of Zaporozhye, who underwent surgery to correct urinary incontinence at the Good Forecast clinic. And I express my deep gratitude to the entire team that works in this clinic - for extensive consultation, for excellent moral support, for a comprehensive and in-depth examination of all doctors, and especially the ultrasound doctor Vladimir Ivanovich Ryzhov... For the trouble-free, competent and impeccable provision of medical care... All employees , the “Good Forecast” clinics are very attentive, scrupulous, friendly, and also responsible towards all patients who come to them with their problems... I would especially like to note the high professionalism and competent approach to my work of my leading surgeon Sergei Ivanovich Anistratenko; as well as Volkov Vladislav Vladimirovich - an irreplaceable anesthesiologist and psychologist - in the second person and intensive care nurse Victoria Maletskaya. Thank you very much for your golden hands, bright head, kind angelic heart and integral professional work. I bow to you for being in the world and immaculately helping others. All conditions at the clinic are excellent. The food is excellent - there is no comparison with any wide-profile restaurant, the food at the clinic is homemade - very tasty, refined and varied... And the comfort and cleanliness are like in EDEM... Thanks to all the nurses - for your kindness, attention, scrupulousness and responsibility - a deep bow to you... And so Many thanks to the technical staff - for the ideal cleanliness, home comfort, order, maternal attention and warmth of the soul. I would also like to thank all the girls working at the reception, the administrator Roskina Alena and Berezanets Marinka - for the quick, deeply detailed consultation, for the respect and kindness towards visitors. I would also like to note and thank the guards: Alexandra Evstafiev and Alexandra Slobodyanyk - for their vigilance, hard work, respect for everyone and professionalism. Thank you to the management, administration and all the organizers who created this bright corner of paradise called: the “Good Forecast” clinic. My wish is that your professionalism meets no obstacles, that your love for your very necessary profession and great patience for the sick never fades away. And we, who turned to you, always left healthy, happy and with warmth in our souls. I wish you further prosperity, all-round love and respect. Peace and goodness to everyone and unlimited professional development.

Review - Anna

2017-08-23 13:19:19

The clinic has the highest level of care, which meets European standards. Create a series of clinics throughout Ukraine.

Review - Tatiana

2017-07-24 13:15:23

High level clinic: Amazing staff. Wonderful doctors! Delicious food. Cleanliness of rooms and bed linen.

Review - Inna

2017-08-16 12:56:49

Thank you very much for the attentive, sensitive attitude of the medical staff. I had no idea that there were still clinics with such an attitude. The atmosphere is welcoming and open. Of course, I will recommend your clinic to all my friends and relatives. Special thanks to the excellent doctor, a professional in her field, Anna Alexandrovna Averina. Health to you, A.A., good luck and success! Prosperity to your clinic.

Review - Galina

2017-09-13 12:49:15

The enemies themselves are kind, they are the most positive. Irina Volodymyrivna is a doctor like God, please encourage me first, explain correctly. I'm glad that I took my problem to this clinic myself. Health to everyone who works in this clinic. As of now, you are already the brightest! Don't ruin what you deserve!

Review - Oksana

2017-10-08 12:39:13

Our deepest hearts go out to the doctor and to all the staff at the clinic. All services were given at the highest level. I wish everyone good health and well. Be patient, don’t give up no matter the difficulties.

Review - Inna

2017-10-03 12:36:42

With all my heart I want to express my deep gratitude to all the staff of the Good Forecast clinic. I especially want to say thanks to my attending physician Valery Aleksandrovich Zabolotin, who performed a very complex operation, while saving my uterus, family, and future. I would like to thank the anesthesiologist Yulia Grigorievna, I felt great after general anesthesia, thanks to the nurses who monitored my condition (thanks to nurse Vika, who found an individual approach to each patient. Professionalism, trust in the doctor, understanding, positivity, quality treatment are very important to me I received all this at the “Good Forecast” clinic. I would like to give birth with you in the future.

Conization is prescribed to remove the affected cone-shaped area of the cervix. The removed tissues must be examined for the presence of cancer cells. After the procedure, the woman is regularly observed by the attending physician for 2 weeks. Radio wave conization of the cervix is performed using surgitron, a radio wave surgical generator.

When is the procedure scheduled?

Radio wave conization is the effect of electrodes with high-frequency electrical discharges. It differs from conventional electrocoagulation in that it has higher frequencies of current supply, prevents burns of nearby tissues, and reduces the time of exposure to the organ.

This procedure is indicated for patients who are suspected of developing grade 2 or 3 hyperplasia, the growth of cancer cells both inside and outside the cervix. For timely detection of pathological processes, it is recommended to visit a gynecologist annually for a standard examination.

Indications for radio wave conization:

Leukoplakia – keratinization of the mucous membrane.
Formation of polyps in the cervical area.
Erosive changes.
The presence of atypical cells in the smear.
Ectropion is an eversion of the mucous membrane into the vaginal area.
The presence of scars that appeared after various medical interventions, childbirth with ruptures, deformities.
After a morphological examination, dysplasia of 2 and 3 degrees was detected.
The presence of deeply altered areas of the epithelium, usually detected by colposcopy.
Relapse of dysplasia that occurred after laser vaporization or electrocoagulation.

The most common reason for this is the development of dysplasia. This disease is accompanied by damage to the mucous membrane and deeper layers of the cervix. The procedure is indicated for grade 2 dysplasia.

Contraindications

Contraindications include infectious diseases of the genitourinary system. Before conization, it is necessary to carry out a range of tests that will confirm or exclude an infectious component. In case of a positive result, antibacterial treatment is first carried out, then a repeat colposcopy. The possibility of safe conization is confirmed.

The procedure is widely used to eliminate pathological processes. The main indication for conization of the cervix is the presence of erosion and pseudo-erosion. Surgical intervention is often resorted to in the presence of cysts, cervical hypertrophy, polyps and oncology. Conization is used if the histological examination is positive.

A cytological smear allows you to conduct an examination and identify the presence of oncology in a woman. If the presence of cancerous and precancerous degeneration is confirmed, surgical intervention is mandatory. It can be carried out in one or several stages, depending on the complexity of the situation.

This type of operation is also used for dysplasia. This condition is precancerous. Usually, it occurs without severe symptoms and does not bother the woman in any way. Dysplasia can provoke the development of cancer. Conization is a completely safe method of removing many pathological processes and neoplasms.

Preparing for conization

Before starting surgery, the doctor needs to have all the data regarding the woman’s condition. Therefore, a general blood test is mandatory. It allows you to evaluate the quantitative content of the main components in it and identify their levels. An increase in leukocytes indicates the presence of an inflammatory process. In addition to a general blood test, a biochemical test is taken, including for syphilis, hepatitis B and C. It is also necessary to take urine. Preparation for conization requires fulfillment of all conditions, including checking the smear for flora. Before surgery, PCR diagnostics, biopsy and colposcopy are performed.

The operation is performed for the first time days after menstruation. Its duration is 15-30 minutes. It is carried out under colposcopy control. The electrode loop is installed 5 mm above the transformation zone of the cervix. A high frequency current is supplied here, due to which the affected area is cut out. At the end of the procedure, the woman needs to spend some time under the supervision of doctors. To prevent complications, antibacterial therapy is carried out. If severe pain persists after surgery, painkillers are used.

Technique

The first step is colposcopy, and the boundaries of the lesion are established. Then a loop is selected according to the size and shape of the affected area. The passive electrode is installed on the thigh or under the buttocks. The device is set to a power of 55 W. When choosing the optimal number, you need to monitor the loop, it should not spark. If there is insufficient power, it may become “tied” in the tissue. This is the initial technique for carrying out the procedure.

When everything is correctly installed, surgical removal begins. It is advisable to eliminate the pathological area in one round of the loop. In some cases, you can do this in several stages. If this is a cone-shaped excision, the electrode should be rotated clockwise 360°. In this case, the cervix is fixed with bullet forceps. After the affected area is removed, the bleeding vessels are coagulated with a spherical electrode whose power is 60 W. If a high degree of damage is observed, the procedure ends with curettage of the endocervix.

How is the operation performed?

The duration of the operation and its implementation directly depend on the complexity of the situation. So, it can be carried out in one or several stages. These stages are well developed and known, so there should be no problems. The operation takes place quickly, this applies to both severe and simple cases. The maximum duration of surgery is 30 minutes. Previously, such operations were performed using a scalpel; these were complex and difficult procedures.

In modern clinics, everything is done using modern equipment. Loop electroconization of the cervix is most often used. There is also a completely painless method of surgery - laser conization. However, it is expensive. Laser removal requires the use of expensive equipment and the help of specially trained personnel. Not all clinics can boast of the ability to perform operations of this level.

High conization of the cervix

This type of operation is aimed at removing a cone-shaped fragment of the cervix. This method is widely used for dysplasia, especially if outpatient treatment options are not available. High conization of the cervix is a fairly serious intervention; the operation takes less than an hour. The patient is discharged from the hospital the next day. This type of intervention is characterized by a risk of complications. They resort to his help in cases where cryodestruction or loop electroexcision of the cervix is impossible.

The size of the part to be removed depends on the size of the lesion. It is necessary to take into account the fact that conization can lead to stenosis of the cervical canal, which makes it impossible to conceive a child. This operation is not used for women wishing to have children. After removing the affected area, it is sent for examination in order to make a final diagnosis.

Knife conization of the cervix

This type of surgical intervention is used quite often today. Its main indication is the presence of dysplasia. It is also used to remove polyps, cysts and other formations, including oncology. Knife conization of the cervix is used when other methods of removal are not available. This intervention is quite complex. There must be serious reasons for it to be carried out.

The procedure does not take more than 30 minutes. It is enough to select a loop in size to the affected area and begin removing it. The resulting area is submitted for histological examination. This will allow you to make an accurate diagnosis. Using the conization method is not recommended for women who want to have children in the future. One of the consequences of the procedure is stenosis of the cervical canal. Which literally will not allow a woman to get pregnant.

Radio wave conization of the cervix

Before resorting to this study, it is necessary to undergo several mandatory procedures. All of them are aimed at studying the condition of women. The first step is to take a smear for pathogenic microflora. Today, radio wave conization will allow you to remove any pathological processes or formations in the cervix. The duration of the surgical intervention is no more than 15 minutes. From this side, the operation is considered quick, but in fact it is very complex. The whole seriousness of the procedure lies in the selection of equipment. Surgery is performed on certain days of the menstrual cycle.

Radio wave conization involves exposing the affected area to current. Under its yoke, atypical cells begin to die. The healing process takes 2-3 weeks. During the healing period, it is forbidden to take a bath, engage in physical activity and avoid sexual intercourse.

Surgical conization of the cervix

This technique is relatively harmless and the fastest. It is stupid to be afraid of surgical conization of the cervix. If necessary, it should be carried out. This method will remove the affected area and lead to a speedy recovery. Due to lack of knowledge of the latest surgical techniques, conization can be radical. This will remove a large amount of tissue, causing damage to the uterus. Therefore, the operation must be performed exclusively in qualified clinics.

This technique should never be used when planning a pregnancy. After the operation, the woman can go home a day later. In some hospitals, patients are observed for several days. This is a one-day surgical procedure that is not characterized by increased complexity. Therefore, there is no need for excessive guardianship over the patient. Sometimes the operation is even performed under local anesthesia.

Radiosurgical conization of the cervix

This method is based on removing the affected area using high frequency waves. Radiosurgical conization of the cervix

It is performed without physical manual pressure; crushing tissue is also not worth it. A very thin wire, called a surgical electrode, is inserted into the affected area. Under this influence, the tissues begin to generate heat, causing cells to diverge in different directions. Thus, an incision is made.

Radio wave intervention allows you to remove the affected area without destroying the tissue. After the operation, no injuries or traces remain, so the recovery process is not burdened by pain and scars. The main advantage of this operation is the sterilizing effect of radio wave surgery.

Special equipment completely eliminates the possibility of burns. After the operation there are no unpleasant symptoms left. Swelling, pain and inflammation are a thing of the past. Modern techniques for removing affected areas make it possible to do without these “pleasant” symptoms.

Loop conization of the cervix

This procedure is called LEEP. It is widely used to identify and remove diseases of the cervix or vagina. Loop conization of the cervix is also used in the presence of abnormal cells that were identified through a Pap test. This procedure is widely used for diagnostic purposes.

Abnormal cells that are not cancerous may be identified as precancerous. Their appearance is the first signal that a malignant tumor may develop in the body.

The LEEP procedure removes polyps, cysts and dysplasia. Conization is often used for diagnostic purposes, to examine women who have previously used the synthetic estrogen diethylstilbestrol. These representatives of the fair sex are at risk for the development of malignant neoplasms of the reproductive system.

This procedure may entail some complications. So, if infectious diseases develop in the form of bacteria entering the cervix. The possibility of bleeding and scarring cannot be ruled out. Finally, there may be problems with further conception and pregnancy.

Deep conization of the cervix

This technique is used both to clarify the diagnosis and treatment. During deep conization of the cervix, the doctor receives a cone-shaped piece of tissue. It must be carefully examined for malignancy. This will allow you to clarify the condition of the cervix. Histological examination is aimed at identifying the true cause of the lesion. A cone outline indicates the presence of dysplasia or invasive cancer.

The procedure is carried out exclusively for the first days after menstruation, usually 5-11 days. This time is the most convenient, since there is a high probability that the patient is not pregnant. Finally, there are enough days left before the next menstruation begins. This period is quite enough for complete healing and recovery. The procedure is carried out exclusively according to the indications of the attending physician.

Conization of the cervix with surgitron

Today, most surgical interventions are performed using the Surgitron device. Its action is aimed at emitting waves in a high range. They are located at the tip of the surgical electrode. Under the influence of high-frequency waves, tissues begin to produce heat, which leads to their divergence. Conization of the cervix with surgitron is not accompanied by incisions and burns. This procedure is completely safe and does not require a long rehabilitation period. It leaves no scars, inflammation, swelling or pain.

Surgitron can eliminate dysplasia, erosion, deformation of the cervix, papillomas, adenomas and other problems. The radio wave method has replaced traditional methods of surgical intervention. Today it is used quite often.

The operation is also performed for the first time days after menstruation, its duration does not exceed 30 minutes. After the manipulations, the woman may well go home. She is discharged on the same day. Despite the fact that the device does not leave any negative symptoms, there is still a recovery period. It lasts 2-3 weeks. At this time, you should give up physical activity and sexual intercourse.

Results of cervical conization

After the operation, the woman feels great. If conization was carried out by radio wave exposure, discharge occurs on the same day. Basically, the woman can go home the next day. The results after conization of the cervix are simply amazing. Firstly, this technique is painless and practically does not lead to the development of complications. If it was radio wave conization, then there cannot be any side effects. This method avoids the possibility of developing scars, inflammation and swelling. Moreover, it leaves no cuts. The recovery period is short. If conization was performed surgically or with a loop, there is a risk of complications. There may be bleeding, infection, or problems with pregnancy.

Complications are extremely rare. The results after the procedure are in most cases positive. The final verdict after surgery is based on histological examination. The results will be ready after 1-2 weeks.

Consequences

Any surgical intervention can lead to serious complications. Consequences develop against the background of incorrect execution of the procedure or poor quality work. Sometimes during the operation there may be an infection that begins to actively develop in the uterine cavity. This will entail a pronounced inflammatory process and the risk of another surgical intervention.

There are cases when bleeding begins after the procedure. The percentage of their prevalence is small, but this also happens. This is due to damage to the cervix or vessel. Usually, bleeding goes away on its own within 2-3 days. If it continues and is characterized by profuseness, you must go to the hospital.

Sometimes, after the procedure, swelling, inflammation and pain develop. This is a consequence of surgery. Negative symptoms will go away on their own during the recovery period.

Complications after conization of the cervix

Any operation entails risks. The most severe and serious complication after cervical conization is postoperative bleeding. It develops in almost 5% of all cases. Those options that require medical assistance in the form of local hemostatic procedures are also taken into account. Minor bleeding may occur for 2-3 weeks. This is the norm; this process accompanies reparation.

Another serious complication is stenosis of the cervical canal. This occurs in 1-5% of all cases. This phenomenon leads to the impossibility of pregnancy. Despite the fact that the risk of developing such a complication is small, women planning to have a child are not recommended to resort to conization. In extremely rare cases, inflammatory processes of the uterine appendages are possible.

Discharge after conization of the cervix

After the procedure, discharge may appear. This is due to a certain effect on the walls of the cervix. Light damage is accompanied by minor bleeding. This is a completely normal process. If the discharge after conization of the cervix is profuse, there is a reason to go to the hospital. During the operation, a vessel could be damaged or a significant cut may be caused.

Healing time is 2-3 weeks. Literally after 7 days, the discharge may become abundant. This indicates that the scab has begun to come out. It is formed during the operation itself and after a while goes away on its own. This is a completely normal process, and not a single surgical intervention of this type can be done without it. There should be no other allocations. If they are present and are accompanied by an unpleasant odor, it is likely that an infection has occurred. In this case, you must immediately visit a gynecologist.

Cervix bleeds after conization

Many women complain of bleeding. No matter how scary it may sound, the cervix may bleed for 4 months after conization. During this period, the recovery process occurs, and it cannot be accelerated, since it occurs naturally.

This is not a dangerous process. The only thing is that the woman will have to wear sanitary pads throughout this entire period. After 7-10 days, the discharge may become more pronounced. This indicates that the scab is coming out. Once it completely leaves the cervix, the amount of discharge will decrease, but it will not disappear. There is no cause for concern in this case. You should worry if the cervix bleeds heavily and outwardly it looks like menstruation. This may indicate serious damage, in particular due to non-compliance with rest during the rehabilitation period.

Pain after conization of the cervix

Often, after the intervention, a woman is plagued by pain in the lower abdomen. This may be due to both the consequences of the operation and non-compliance with the recommendations of the rehabilitation period. In most cases, pain after conization of the cervix is a completely normal process. This is due to previous surgery. For the first months after conization, a woman is plagued by pain, discharge and heavy menstruation. It is impossible to get rid of this, because these processes are natural.

Sometimes, to alleviate a woman’s condition, antibacterial and analgesic therapy is prescribed. If the pain syndrome is pronounced and cannot be removed in any way, you should go to the hospital. It is likely that during the operation the walls of the cervix were damaged or a new process developed there. In any case, this condition of the woman requires immediate examination.

Bleeding after conization of the cervix

The operation involves removing a section of affected tissue using special devices. Surgical intervention can be either surgical or radio wave. The last method is the safest and less traumatic. If conization of the cervix was performed surgically, bleeding may develop after the operation.

One wrong move can result in more tissue being removed or damage to the walls of the cervix or vagina. In this case, bleeding occurs. The doctor must stop it immediately. If heavy bleeding occurs a few days after the operation, it may be a scab coming out. Everything will go away on its own as soon as it leaves the vagina. If the bleeding does not go away, you need to go to the hospital. There is a possibility of complications developing.

Itching after conization of the cervix

For the first few days after surgery, a woman may be bothered by unpleasant symptoms. An increase in body temperature and the appearance of minor discharge cannot be ruled out. After conization of the cervix, itching and pain may occur. Normally, these symptoms may persist throughout the first days. If over time they do not disappear, but only intensify, then there is a possibility of developing complications.

Most often, itching is associated with an infection that has entered the vagina. You should not try to eliminate this symptom on your own. You must go to the hospital and follow the instructions of your doctor. During the recovery period, you cannot engage in physical activity or be sexually active. This may cause additional symptoms. Unprotected sexual intercourse is one of the factors contributing to the development of itching. To avoid complications and negative symptoms, it is necessary to follow all the rules of the recovery period.

Temperature after conization of the cervix

Conization is often accompanied by the appearance of negative symptoms. Fever, pain in the lower abdomen, discharge and discomfort are all completely normal signs. They disappear on their own within a few days after surgery. If the temperature does not go away after conization of the cervix, it is likely that a serious infection has been introduced into the body. Typically, this process is accompanied by discomfort and “smelling” discharge.

Temperature may appear due to the intervention performed. This is a completely normal reaction of the body. If the temperature is very high, this is a cause for concern. If it persists for several days and does not subside, measures need to be taken. In this case, this process is not normal. The woman must come to the hospital for a comprehensive examination.

Menstruation after conization of the cervix

After the operation, menstruation may become more abundant. This has been observed for the first time in months and is considered a completely normal process. They may be accompanied by pain and general malaise. After conization of the cervix, menstruation occurs on time, without delay. But only if the surgical intervention was carried out correctly and on time.

Once menstruation begins, a woman will need to wear a sanitary pad. The use of tampons during the first months is prohibited. This will avoid damaging the recently operated uterus.

In most cases, after the operation, menstruation occurs with a slight delay. This is due to the fact that during surgery the body was in a state of stress. As soon as all functions return to normal, menstruation will begin immediately.

Healing process after conization of the cervix

After the operation there is a recovery period. The healing process after conization of the cervix depends on the technique used. Basically, a woman returns to normal after 2-3 weeks. Modern methods of removing affected areas are carried out without incisions or damage to the uterus. The only thing that can be observed after the procedure is inflammation, swelling and pain. During this period, antibacterial and analgesic therapy may be offered. It will help alleviate the woman’s condition.

The healing process also depends on the fair sex itself. If she follows all the recommendations, everything will return to normal within the given time frame. To do this, you should give up physical activity and sexual intercourse. If the procedure was performed without surgery, healing may occur much faster.

Eschar after conization of the cervix

Radio wave exposure to tissue leads to the formation of a scab. It is formed during the period of surgical intervention. There is nothing dangerous or scary about this; this is a completely normal order of things. The scab after conization of the cervix comes out about a week after surgery. During this period, you can notice heavy discharge, with a pronounced admixture of blood. There should be no reason to worry. A scab almost always forms; it is impossible to avoid this process.

If in doubt, you should consult a doctor. Basically, heavy discharge stops on its own. If they are observed throughout the entire healing period, this is not normal. Most likely, bleeding developed due to damage to the walls of the cervix. This requires immediate consultation with a doctor with recommendations on further actions.

Pregnancy after cervical conization

Conization surgery can lead to reproductive dysfunction. This combination of circumstances does not occur very often, only in 5% of cases. Despite this, women planning to have a child should refuse this surgical intervention. Pregnancy after cervical conization is possible, but some difficulties may arise with this process. There is a risk of developing complications regarding bearing a child.

Conization is a safe and necessary method in the prevention and control of serious female diseases. Sometimes, during surgery, too much of the affected tissue is excised. Subsequently, this leads to weakness of the muscle layer of the cervix. As a result, there is a risk of premature birth. To avoid this complication, during the operation the doctor places a circular suture on the pregnant woman’s cervix. This does not in any way affect the birth process, but at the same time ensures normal bearing of the child.

Rehabilitation period

After the operation, the woman must follow special rules. They will reduce unpleasant symptoms and speed up the recovery process. The rehabilitation period can reach several months, but ideally it is 2-3 weeks. During this period, a woman may be plagued by nagging pain in the lower abdomen, discharge and general discomfort. Menstruation will be a little heavier with clots. This is a completely normal reaction of the body and does not require any intervention.

During the rehabilitation period, certain rules must be followed. So, sanitary pads should be used for 6 weeks. Tampons should not be used under any circumstances; they will injure the uterus and delay the recovery process. Do not carry heavy objects or perform excessive physical activity. You can only swim in the shower; you cannot take a bath. It is worth temporarily refusing to visit the bathhouse, sauna and swimming pool. This will prevent infection from entering. Intimacy is allowed no earlier than a month and a half later. Two weeks after the operation, you must come for an examination.

Treatment of the cervix after conization

The procedure performed does not imply the use of any processing solutions. The most surgical intervention is carried out with sterile instruments; the cervix is not pre-treated with anything. During the recovery period, the use of douches and suppositories is strictly prohibited. After conization of the cervix there is no need for treatment. On the contrary, under no circumstances should this be done. The area undergoing surgery should be completely calm. Any impact, even through douching, can lead to the development of complications.

Treatment is possible if minor mistakes were made during the operation and bleeding began. The damaged area is treated with a special solution and the bruising is stopped. In other cases, processing is not necessary and is not recommended.

What is not allowed after cervical conization?

After the procedure, you cannot visit the bathhouse, sauna or swimming pool for a whole month. This will avoid the negative effects of high temperatures and infection. Not many girls know that after conization of the cervix, they cannot play sports. In this case, we mean any physical activity, even minor ones.

Lifting weights, using tampons and taking aspirin are prohibited. After the operation, the woman leads her usual lifestyle, but with some restrictions. It is necessary to constantly monitor your own health. If you notice severe bleeding and severe pain in the lower abdomen, you should consult a doctor.

Most importantly, it is necessary to abstain from sexual intercourse. They are banned for 6 weeks. This will prevent injury to the cervix and will contribute to its complete recovery.

Sick leave after cervical conization

The operation performed is not a serious surgical intervention. After conization of the cervix, sick leave is not provided. The procedure itself is not complicated and lasts no more than 30 minutes. After this time, the patient is transferred to a ward, where she is under the supervision of doctors throughout the day. She is then discharged and sent home. A woman can continue her usual lifestyle, making some amendments to it.

Sometimes, surgery is performed under local anesthesia. The woman goes home the same day. She does not need to create special conditions for life, everything remains the same. Only sexual intercourse and physical activity are excluded. However, this is a temporary measure; after 6 weeks, the patient may well return to her usual lifestyle. The only thing is, 14 days after the operation, you need to come to the hospital for a re-examination.

Life after cervical conization

Life after surgery is no different from the period before it. Some amendments and adjustments need to be made, but this is a temporary measure. So, you will have to give up going to the pool, bathhouse and sauna. This is done to eliminate possible complications. After conization of the cervix, a woman’s life flows in its usual course. However, if before this the fair sex was actively involved in sports, now she will have to wait a while. Physical activity is prohibited for 6 weeks.

After the procedure, the woman leads a normal life, but she must carefully monitor her condition. If you experience heavy discharge, accompanied by fever and pain in the lower abdomen, you should go to the hospital. This may be a sign of developing complications.

Conization is not a complicated operation; after it, a woman does not need sick leave. She will be able to return to her normal life the next day after the procedure.

Sports after cervical conization

Any surgical intervention requires a recovery period. At this time, it is necessary to more carefully monitor your own health and avoid overloading the body. Sports after conization of the cervix are completely excluded, but only for a certain period. You should avoid physical activity for 6 weeks. After the specified period has expired and the examination has been repeated, you can play sports again.

After any surgical intervention, the body must recover. All human actions should be aimed at maintaining this process. Therefore, playing sports, going to the pool and other joys of life will have to be postponed for a while. As soon as the cervix is restored, the woman can return to her favorite activities.

If, despite the prohibitions, sports have not been eliminated from life, there is a risk of developing serious complications. The possibility of severe bleeding cannot be ruled out. It is advisable to follow the recommendations and not expose your body to unnecessary stress.