Persistent Bleeding After Cervical Carcinoma In Situ Treatment

Cervical carcinoma in situ

I underwent a cone biopsy for cervical carcinoma in situ over two years ago.
Since then, I have experienced light bleeding for more than half of the time, occurring every month outside of my menstrual period, and lasting for an entire month.
This has caused significant distress in my daily life and my relationship with my partner.
A doctor once explained that this could be due to cervical ectropion.
I would like to know how long this situation is likely to continue and if there is a possibility of recovery.
Thank you.

coco, 30~39 year old female. Ask Date: 2002/05/12

Dr. Xu Junzheng reply Obstetrics and Gynecology

Two years after a cone biopsy, the cervix should be nearly healed.
Light bleeding outside of menstruation, aside from cervical ectropion, can have many possible causes and cannot be determined solely by symptoms.
Fortunately, most cases can be treated, and it is advisable to consult an experienced gynecologist.
Thank you!

Reply Date: 2002/05/12

More Info

Persistent bleeding after treatment for cervical carcinoma in situ, such as a cone biopsy, can be a distressing experience for many patients. It is understandable that you are concerned about the duration of this bleeding and whether it will eventually resolve.
After a cone biopsy, which is a surgical procedure to remove a cone-shaped section of the cervix, it is common for patients to experience some changes in their menstrual cycle and cervical health. The cervix can take time to heal, and during this healing process, some women may experience irregular bleeding, spotting, or discharge that is not related to their menstrual cycle. This can be particularly true if there are underlying conditions such as cervical ectropion (also known as cervical erosion), where the cells from the inside of the cervical canal grow on the outside of the cervix, leading to increased sensitivity and bleeding.

In your case, experiencing bleeding for a significant portion of the month, particularly outside of your menstrual cycle, can be concerning. While it is possible that cervical ectropion is contributing to your symptoms, other factors could also be at play, including hormonal imbalances, infections, or even residual effects from the previous treatment.
The duration of these symptoms can vary widely among individuals. Some women may find that their symptoms improve significantly within a few months post-surgery, while others may experience ongoing issues for a longer period. It is essential to have regular follow-ups with a gynecologist who can monitor your condition and provide appropriate interventions if necessary.
In terms of healing, many women do find that their symptoms resolve over time, especially with proper medical management. Treatments may include hormonal therapies to regulate menstrual cycles, cauterization of the cervix to address ectropion, or other interventions depending on the underlying cause of the bleeding.
It is also crucial to remain vigilant about your cervical health, especially after a diagnosis of cervical carcinoma in situ. Regular Pap smears and HPV testing are essential to monitor for any changes that could indicate the development of cervical cancer. If you notice any significant changes in your bleeding patterns, such as heavier bleeding, the passage of large clots, or bleeding after intercourse, it is vital to seek medical attention promptly.

In summary, while persistent bleeding after a cone biopsy can be distressing, it is often manageable with the right medical care. Regular follow-ups with your healthcare provider are essential to ensure that any underlying issues are addressed and to monitor your recovery. With time and appropriate treatment, many women do find relief from these symptoms and can return to a normal quality of life.

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