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Doctor insights on: Cold Knife Conization Of The Cervix

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Dr. Paul Nowicki
12 doctors shared insights

Cone Biopsy Of Cervix (Definition)

While the patient is under anesthesia (asleep) the doctor cuts out a small (outside) cone shaped portion of the cervix that has abnormal/ pre cancerous or cancerous skin and deeper tissue . It can treat cervical dysplasia ( pre cancer of the cervix) or diagnose cervical cancer. It is rarely enough ...Read more


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Will cervix be shorter after conization?

Will cervix be shorter after conization?

Yes always: But may or may not be significant hopefully you are just getting a leep and not a cold knife cone which is worse. ...Read more

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Good morning. I made a Conization in the cervix in 2008, because I had a carcinoma in situ. I wonder if it is safe to use tampons or menstrual cup?

Good morning. I made a Conization in the cervix in 2008, because I had a carcinoma in situ. I wonder if it is safe to use tampons or menstrual cup?

Safe, and get PAP: You should continue getting PAP smears, as recommended by your doctor. Tampons or cup is safe.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

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Having hpv 16&58 had cold knife conization 2 weeks ago due to HGSIL. Waiting for pathology results. Your advice for boosting immunity. I don't smoke.

Having hpv 16&58 had cold knife conization 2 weeks ago due to HGSIL. Waiting for pathology results. Your advice for boosting immunity. I don't smoke.

Too late for vaccine: At age 45 + the presence of HGSIL already, it is too late to be immunized with the HPV vaccine which is recommended for ages 11 and up for both boys and girls. After the coniization, you will need regular follow up care with your GYN to avoid recurrences and Rx if you do have them. By the way, be very careful about future sex partners by screening them carefully pre event. ...Read more

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I'm having cold knife conization and need to know post-op restrictions. I nanny for 2yo twins who need carried a lot. Will I need to plan for time off?

Conization of cervix: After the procedure, you may have some cramping or discomfort for a week or so. For about 4 – 6 weeks avoid the following -douching (you should never do this in any case), sexual intercourse, using tampons. For 2 – 3 weeks after the procedure, you may have discharge that is bloody, heavy, yellow-colored
if heavy bleeding or foul odor notify your doctor. I will avoid heavy lifting also for 1wk. ...Read more

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What is a cervical conization?

What is a cervical conization?

Remove precancerous: Cervical conization is a surgery to remove a section of the cervix when there are pre-cancerous cells. This can usually be done in the office, and recovery is not too uncomfortable. Extra repeat pap smears should still be done to make sure all pre-cancerous cells are gone and don't return. Can still have kids after, but cervix can be weak or scarred, so will need special attention when pregnant. ...Read more

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Can I still conceive after conization?

Can I still conceive after conization?

Yes: Yes. It may be more difficult if there is extensive scarring at the cervical site. ...Read more

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What can I expect from cervical conization?

What can I expect from cervical conization?

Easy procedure: A cold cone biopsy of the cervix is a quick procedure & usually done in the or in case heavy bleeding is encountered. Either a general anesthetic, IV sedation, or a local injection can be used. I prefer a combination of the later two and my patients do very well. They rarely feel any pain & appreciate the short nap. ...Read more

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Cervical conization- what can I expect to happen?

Cervical conization- what can I expect to happen?

Easy procedure: A cold cone biopsy of the cervix is a quick procedure & usually done in the or in case heavy bleeding is encountered. Either a general anesthetic, IV sedation, or a local injection can be used. I prefer a combination of the later two and my patients do very well. They rarely feel any pain & appreciate the short nap. ...Read more

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Cervical conization- what can I expect? Will I be out?

Discuss with doctor : Cold knife conization is a procedure in which a cone shaped biopsy of the cervix is removed to treat cervical dysplasia. No overnight stay is required unless complications arise. You will be put under general anesthesia and the surgery lasts approximately 30 minutes. Your total recovery time varies from 1-2 weeks. The cervix, however, usually takes 4-6 weeks to heal completely. ...Read more

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Cervical conization risks while pregnant?

Cervical conization risks while pregnant?

Pregnancy: Miscarriage could occur if early in pregnancy. Preterm labor/delivery or cervical weakening could occur if later. Would advise discussing with a gyn oncologist and hi risk ob--if cancer risk is high that may outweigh pregnancy risks. ...Read more

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Scheduled for a leep conization tomrrow morning, what to expect?

Scheduled for a leep conization tomrrow morning, what to expect?

Not to worry: Crampy pain during procedure if you're not under anesthesia, some bleeding after, like a period.
Your doctor should also provide instructions and information in the post procedure paperwork. ...Read more

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What is a leep conization and who in nyc would be best to get a second opinion?

What is a leep conization and who in nyc would be best to get a second opinion?

Cervix biopsy: Loop electrosurgical excision procedure (leep) is a low risk way of removing dysplastic (precancerous) cells/tissue from the cervix. It's an office procedure with local anesthesia to treat high grade (cin ii or iii, cis, or hgsil) lesions seen on colposcopy. A second opinion from any gyn or gyn onc would be appropriate if needed. Your doc should be able to give you all the information you need. ...Read more

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Anyone who has cervical conization done have a fullterm baby?

Pregnancy: Many women who have had cervical cones have had healthy term infants. You should have close evaluation of the length of the cervix early in 2nd trimester to determine if cervical insufficiency (weakening/shortening) has occurred. If so there are treatments available to extend your pregnancy if intervention is early. ...Read more

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I had a Pap smear and it came back with Pap 4a conization. (German results) I also have HPV. How scared should I be?

I had a Pap smear and it came back with Pap 4a conization. (German results) I also have HPV. How scared should I be?

Pap and HPV: HPV associated with an abnormal pap smear is obviously a greater concern then one without HPV due to certain HPV strains (16 & 18) going forward to cervical cancer. However, until colposcopically directed biopsies are done confirming the need for some form of treatment, it would be wise to leave scared for Halloween last week. ...Read more

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Cervical conization while pregnant — do doctors do that, or is it dangerous?

Cervical conization while pregnant — do doctors do that, or is it dangerous?

Rarely: One would need to have advanced cervical dysplasia with the worry of possible invasive cervical cancer to warrant a conization during pregnancy. Complications would include excessive bleeding, infection, and loss of enough cervical tissue to risk preterm labor. In 30 years I have done two of these and none in the past 15 years. ...Read more

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What tool is used to perform a cervical biopsy, conization, and endocervical curettage?

Cx/bx,cone,endocuret: A cervical biopsy is done with punch forceps, conization with hot cautery or a # 11 scalpel, an endocervial curettage with a small curette scraping device. All are associated with cervical cell abnormalities or endocervical disease which may be pre-malignant. Results of these will suggest if further treatment is necessary. ...Read more

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I was diagnosed with HPV over twenty years ago & had a leep conization preformed do I still have the virus & can I give it to someone?

I was diagnosed with HPV over twenty years ago & had a leep conization preformed do I still have the virus & can I give it to someone?

2 schools of thought: There are two schools of thought in regard to hpv. One school believes that your immune system "contains" the virus and as such you may have no symptoms. But, if things change, the virus can "temporarily escape" and you become infectious. Another school of thought is the belief that the virus can be completely iradicated from the body. I believe the first school personally. ...Read more

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I was diagnosed with HPV over twenty years ago & had a leep conization preformed do I still have the virus & can I give it to someone, can I pass it?

I was diagnosed with HPV over twenty years ago & had a leep conization preformed do I still have the virus & can I give it to someone, can I pass it?

Depends on…: Whether conization eliminated all virus. Was follow-up done to check for presence of more virus? If no virus present, u can't pass what doesn't exist. If any virus still present, then it can be passed. Virus can also exist in mouth, throat, anus—areas that also need to be checked. ...Read more

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I'm trying to have a baby. My Pap smear came back pap 4a conization. That's cervical cancer, can I still have a baby?

I'm trying to have a baby. My Pap smear came back pap 4a conization. That's cervical cancer, can I still have a baby?

Biopsy diagnosis?: Until the cervix is biopsied via Colposcopy or other means, the Pap smear diagnosis is irrelevant. We use the biopsied tissue to determine and document the diagnosis. Future pregnancy is possible if it is not invasive cervical cancer and even then eggs can be harvested from your ovaries prior to definitive surgery. ...Read more

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How is a cold cone biopsy of cervix done?

How is a cold cone biopsy of cervix done?

Scalpel: The doctor uses a scalpel and/or scissors to remove a cone shaped portion of the cervix. He/she may place stitches to prevent bleeding. ...Read more

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Hi I recently had cold treatment to my cervix after having abnormal cells removed cin 2, it's been 3 weeks &I after sex I've bled? Is that normal?

Hi I recently had cold treatment to my cervix after having abnormal cells removed cin 2, it's been 3 weeks &I after sex I've bled? Is that normal?

CIN2: If it is just slight blood spot it is okay, do not worry too much. Follow up regularly with your doctor for CIN2 condition. ...Read more

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26 weeks pregnant. On progesterone for cervix which is stable. I get hot flushes and its autumn where I live. Is this normal? Hot and cold spells?

26 weeks pregnant. On progesterone for cervix which is stable. I get hot flushes and its autumn where I live. Is this normal? Hot and cold spells?

Follow up with doc: During pregnancy hot flashes will not be caused by hormone deficiency since your Estrogen and Progesterone levels are very high. Pregnant women often complain of temperature intolerance. If your doctor is concerned they may want to check your thyroid and blood sugar. ...Read more

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Can they fix a curved cervix?

Can they fix a curved cervix?

Not needed: The cervix is part of the uterus. Most women have some natural and normal curvature to the uterus, of varying degrees — and there is no indication for, or need for, any treatment for that curvature. ...Read more

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What does a curved cervix mean?

Normal: A curved cervix probably indicates your cervix has a bend in it, either pointing to the front or the back. All of that is normal, and should not be causing any health problems. ...Read more

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Sex position for title cervix?

Unchanged: I'm quessing that you mean tilted cervix and are trying to conceive. You can still conceive in any position and do not need to use any particular position. Sperm are very good at swimming and finding their way in if they are in the neighborhood! Hope this helps and you have a beautiful little one soon. ...Read more

Cervix (Definition)

The uterine cervix is the opening of the ...Read more