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Can I get pregnant after a cervical biopsy?: Everything You need to know

February 14, 2022

The cervix is the lower, narrow part of the uterus which forms a canal that opens into the vagina. A cervical biopsy is a procedure to remove tissue from the cervix to test for abnormal or precancerous conditions. It is done to detect cervical cancer for a woman.

Cervical biopsies can be performed in several ways. In the procedure, a small sample of tissue can be removed for testing. Complete removal of abnormal tissue can be also carried out. The abnormal cells can also be treated.

Book an Appointment with Dr. Rashmi Chaudhary for all the concerns related to Gynecology.

Types of cervical biopsies include:

1. Punch biopsy:

This procedure uses a circular blade which is like a paper hole puncher and the tissue is removed.  One or more punch biopsies may be done on different areas of the cervix.

2. Cone biopsy:

In this procedure, a laser or scalpel is used to remove a large cone-shaped piece of tissue from the cervix.

3. Endocervical curettage (ECC):

A narrow instrument called a curette is taken to scrape the lining of the endocervical canal. This is an area that can’t be seen from the outside of the cervix.

4. Complications of cervical biopsy:

Some possible complications may include:

 -Infection – you might get an infection after the procedure. In that case, consult your doctor.

 -Bleeding – you might have vaginal bleeding and you are required to use sanitary napkins. If you have heavy bleeding you will need to see your doctor. Cone biopsies may increase the risk of infertility and miscarriage. This is because of the changes and scarring in the cervix that may happen from the procedure.

Must Read: Cervical Biopsy: Treatment for abnormal cells


Pregnancy after a cone biopsy

A cone biopsy is a procedure in which a cone-shaped wedge of tissue from your cervix is removed. It can cause particular problems with future pregnancy which are not so common. This is due to the narrowing of the cervix.

After a cone biopsy, there is a very small chance that the cervix can narrow. This narrowing of the cervix is called cervical stenosis. The cervix might become so tightly closed that sperm can't get inside thus preventing you from getting pregnant.

If you're having periods after a cone biopsy then you have not got complete cervical stenosis and in that case, sperms can get in and you can be pregnant.

Some women may need surgery to dilate the cervical opening regarding which the best person to consult is the specialist.

Must Read: Colposcopy! Is it painful?

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