A cone biopsy may be done after a Pap test shows
moderate to severe cell changes and:
- The abnormal tissue cannot be seen with colposcopy but was
found in cells collected from a biopsy of the cervical canal, or the
abnormal tissue seen with colposcopy extends high into the cervical
canal. A cone biopsy is done to remove and examine the abnormal tissue.
- The abnormal cells found on a Pap test cannot be seen with
colposcopy or found in cells collected from a cervical biopsy. The cone
biopsy may be used to diagnose the cause of the abnormal cell changes and
remove the abnormal tissue at the same time.
- Cervical cancer is suspected based on Pap test results, colposcopy,
and cervical biopsy. A cone biopsy can determine the extent, depth, and
severity of the cancerous tissue and can guide treatment decisions.
biopsy is an extensive form of a cervical biopsy. It is called
a cone biopsy because a cone-shaped wedge of tissue is removed from the cervix and
examined under a microscope. A cone biopsy removes abnormal tissue that is high
in the cervical canal. A small amount of normal tissue around the cone-shaped
wedge of abnormal tissue is also removed so that a margin free of abnormal
cells is left in the cervix.
The cervix should heal completely
within four to six weeks, but some women make a full recovery as early as three weeks. A vaginal discharge and / or
bleeding are usual for some weeks following treatment and are part of the healing process. This should stop or return to 'normal' as soon as the cervix is healed.
a cone biopsy
- Some vaginal bleeding is normal for up to 1 week.
- Some vaginal spotting or discharge (bloody or dark brown) may occur
for about 3 weeks.
- Pads should be used instead of tampons for about 3 weeks.
- Sexual intercourse should be avoided for about 3 weeks.
- Douching should not be done.
Endometrial ablation is a procedure that removes the inner lining of the
uterus (the endometrium). This procedure, which is usually done for women who
have heavy menstrual periods that are not able to be controlled with
medication, is a preferred option to the complete removal of the uterus.
Endometrial ablation carries several risks, including infertility and the
chance of damage to the uterus or bowel. Some gynaecologists report that
several common, mild side effects may be experienced after the procedure as
Abdominal cramping is common after endometrial ablation, which is
similar to menstrual cramps. During endometrial ablation, the cervix is dilated
and the inner lining of the uterus is disturbed, which can cause uterine muscle
spasms and cramps. Cramping is generally mild and can be controlled with
over-the-counter pain medications.
Severe abdominal pain or cramping, or pain that radiates into
the lower back after the procedure may indicate a more serious side effect,
however, and should be checked by a gynaecologist – often a second opinion may
Some women experience vaginal discharge after endometrial ablation.
Discharge may be thin, watery and may contain blood. Discharge can also be
heavy up to three days following the procedure and resemble a menstrual period.
However, excessive or heavy bleeding beyond two days, the passing of blood
clots, or foul-smelling vaginal discharge, are abnormal side effects and
warrant urgent medical attention.
Disruption of the uterus during endometrial ablation can irritate the
bladder and cause the urge to urinate more frequently. Some women may feel
bladder spasms or have the sensation of being unable to empty the bladder
completely. A woman should watch for signs of a urinary tract infection after
having endometrial ablation, which include painful urination, bloody urine and
lower back pain.
Some women continue to experience bleeding
after ablation because areas of the endometrium are treated unevenly, allowing
some of the endometrial tissue to grow. But because of the scarring, there is
no way of knowing if the bleeding is caused by the ablation or by endometrial
hyperplasia, particularly if hyperplasia was diagnosed prior to the ablation.
At this point women are likely to be told that the only remedy is a
I would suggest that you request a second opinion.
The signs and symptoms described by you is not normal after 2 months
from having had an endometrial ablation. (MCH).
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
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