Irregular Menstrual Cycles After Cervical Conization

Menstrual cycles have become prolonged, and the flow is lighter?

In 2015, I underwent a cervical conization procedure, and the doctor mentioned that my recovery was good.
However, about a year later, my menstrual cycle started to become irregular.
The intervals between periods are normal, but the duration has become prolonged.
From days 1 to 7, the flow is very light, requiring only one panty liner per day (sometimes I don't even notice any blood when wiping).
Days 8 and 9 have a fairly normal flow, but from days 10 to 15, it returns to being very light again.
Now, I have about one week each month without any menstrual bleeding.
Additionally, after intercourse, I notice a small amount of light pink blood, which also requires one panty liner for the day (similar to the first few days of my period).
I have uterine fibroids and consulted the surgeon, who indicated that this could be a sign of menopause.
However, why am I experiencing bleeding after intercourse? Should I undergo any further examinations?

lisa, 40~49 year old female. Ask Date: 2016/01/27

Dr. Lin Wenbin reply Obstetrics and Gynecology

A follow-up outpatient examination is still necessary to determine whether further testing is needed.

Reply Date: 2016/01/27

More Info

Irregular menstrual cycles can be a concerning issue for many women, especially after undergoing procedures like cervical conization. Cervical conization, or cone biopsy, is a surgical procedure that removes a cone-shaped section of the cervix to treat or diagnose cervical dysplasia or cancer. While many women recover well from this procedure, it can lead to changes in menstrual patterns and other symptoms.

In your case, it seems that you are experiencing irregularities in your menstrual cycle, characterized by prolonged bleeding, reduced flow during the first week, and occasional spotting after intercourse. These symptoms can be attributed to several factors, including hormonal changes, the presence of uterine fibroids, and the effects of the conization procedure itself.

Firstly, hormonal fluctuations are common after cervical conization. The cervix plays a role in regulating menstrual cycles through its interaction with hormones. If the cervical tissue has been altered, it may affect the hormonal signals that regulate your menstrual cycle, leading to irregularities. This can manifest as changes in the timing, duration, and flow of your periods.

Additionally, you mentioned having uterine fibroids. Fibroids are non-cancerous growths in the uterus that can also affect menstrual cycles. They can cause heavier bleeding, prolonged periods, and spotting between cycles. The presence of fibroids may exacerbate the irregularities you are experiencing, particularly if they are located in a position that affects the uterine lining or the cervix.

The spotting you experience after intercourse is another symptom that warrants attention. This could be due to several reasons, including cervical irritation, hormonal changes, or even the presence of fibroids. It is not uncommon for women to experience light bleeding after sexual activity, especially if there is any friction or if the cervix is sensitive due to previous procedures.

Given your symptoms and medical history, it is advisable to consult with your healthcare provider for further evaluation. They may recommend a pelvic ultrasound to assess the size and location of any fibroids and to check the overall health of your uterus and ovaries. Additionally, a hormonal evaluation may be beneficial to determine if there are any imbalances that could be contributing to your irregular cycles.

In some cases, further diagnostic procedures, such as a hysteroscopy, may be necessary to visualize the inside of the uterus and assess for any abnormalities that could be causing your symptoms. It is essential to communicate all your concerns with your healthcare provider, including the changes in your menstrual cycle, the spotting after intercourse, and any other symptoms you may be experiencing.

In summary, irregular menstrual cycles after cervical conization can be influenced by hormonal changes, the presence of uterine fibroids, and the effects of the surgical procedure itself. It is crucial to seek medical advice to determine the underlying causes of your symptoms and to explore appropriate treatment options. Regular follow-ups and open communication with your healthcare provider will help ensure that any potential issues are addressed promptly and effectively.

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