Post-Cervical Cone Biopsy: Bleeding and Pain During Intercourse

Q: Post-Cervical Cone Biopsy: Bleeding and Pain During Intercourse

Hello： After a cervical conization, the wound may scab over and is prone to bleeding again if the scab falls off due to friction. <br>It is recommended to avoid sexual intercourse for 4 to 8 weeks post-surgery. <br>If there is bleeding after sexual activity, a follow-up examinati

Post-coital bleeding after cervical conization?

Doctor, I was diagnosed with CIN3 after a deep smear test and underwent a cone biopsy on May 23.
My recovery period will be complete on July 4, which is six weeks.
However, I had unprotected intercourse with my husband on July 1, and after cleaning up, I noticed bleeding.
During the intercourse, I felt sudden vaginal dryness and pain.
I have also experienced diarrhea for the past two days.
It has been three days since the intercourse, and I still see fresh blood when I wipe after using the restroom.

1.
Is there a risk of infection from having unprotected intercourse when the wound has not yet healed?
2.
How long should the recovery period be after the surgery? I found information suggesting one month and four months.

3.
What should I do about the recurring pain during intercourse?

ulica, 40~49 year old female. Ask Date: 2022/07/04

Dr. Lin Xinwang reply Obstetrics and Gynecology

Hello: After a cervical conization, the wound may scab over and is prone to bleeding again if the scab falls off due to friction.
It is recommended to avoid sexual intercourse for 4 to 8 weeks post-surgery.
If there is bleeding after sexual activity, a follow-up examination is advised.
There are many reasons for pain during intercourse, and it is essential for couples to communicate and pay attention to foreplay.
If necessary, a medical consultation for further evaluation should be sought.

Reply Date: 2022/07/04

More Info

After undergoing a cervical cone biopsy, it is not uncommon for patients to experience some bleeding and discomfort, especially during intercourse. This procedure, which is often performed to treat high-grade cervical lesions such as CIN3 (cervical intraepithelial neoplasia grade 3), involves the removal of a cone-shaped section of the cervix. While it is a relatively safe procedure, there are several factors to consider regarding post-operative care and the symptoms you are experiencing.

Understanding Bleeding and Pain After a Cone Biopsy
1. Bleeding After Intercourse: It is not unusual to experience some bleeding after engaging in sexual intercourse following a cone biopsy. The cervix is still healing, and any friction or pressure during intercourse can disrupt the healing tissue, leading to bleeding. The presence of fresh blood after intercourse, especially if it occurs a few days post-procedure, may indicate that the area is still sensitive and not fully healed.
2. Pain During Intercourse: The sensation of dryness and pain during intercourse can be attributed to several factors. After a cone biopsy, hormonal changes or the physical trauma to the cervix can lead to temporary vaginal dryness. Additionally, anxiety or tension during intercourse can also contribute to discomfort. It is essential to communicate openly with your partner and consider using a water-based lubricant to alleviate dryness.

3. Infection Risks: Engaging in sexual intercourse without protection (such as condoms) shortly after a surgical procedure can increase the risk of infection. The cervix is a sensitive area, and introducing bacteria can lead to complications. If you notice any unusual discharge, fever, or worsening pain, it is crucial to seek medical attention promptly.

4. Recovery Time: The recovery period after a cone biopsy can vary from person to person. Generally, it is advised to avoid sexual intercourse for at least 4 to 6 weeks post-surgery to allow adequate healing. Some sources may suggest waiting up to 3 to 4 months, especially if there are complications or if the healing process is slower than expected. It is best to follow your healthcare provider's specific recommendations regarding your recovery timeline.

5. Persistent Pain: If you continue to experience pain during intercourse, it is essential to consult with your healthcare provider. Persistent pain can be a sign of underlying issues, such as scarring or infection, and should be evaluated. Your provider may recommend pelvic floor therapy, lubrication options, or other treatments to help manage discomfort.

Recommendations
- Follow-Up Appointments: Ensure that you attend all follow-up appointments with your healthcare provider. They will monitor your recovery and can address any concerns you may have regarding bleeding, pain, or the healing process.

- Avoid Sexual Activity: Until you receive clearance from your healthcare provider, it is advisable to refrain from sexual intercourse to prevent complications and allow your body to heal properly.

- Monitor Symptoms: Keep track of any symptoms you experience, such as the amount and color of bleeding, pain levels, or any signs of infection (e.g., fever, unusual discharge). This information will be helpful for your healthcare provider in assessing your recovery.

In conclusion, while some bleeding and discomfort after a cervical cone biopsy can be expected, it is essential to monitor your symptoms closely and maintain open communication with your healthcare provider. They can provide personalized advice and treatment options to ensure a smooth recovery and address any concerns you may have regarding your sexual health post-surgery.

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