What precautions should be taken after cervical conization?

After cervical conization, attention should be paid to wound care, infection prevention, bleeding observation, regular review and lifestyle adjustment. Cervical conization is mainly used to treat cervical intraepithelial neoplasia, and postoperative recovery directly affects the treatment effect.

1. Wound care

The cervical wound should be kept clean and dry after surgery, and avoid using vaginal douches or inserting tampons. Bathing, swimming and sexual intercourse are prohibited within 1 month after surgery to prevent wound tearing or secondary infection. Wash the vulva with warm water every day and choose pure cotton breathable underwear to reduce local friction and irritation.

2. Prevent infection

After surgery, antibiotics such as cefixime tablets and metronidazole tablets may be used as directed by the doctor to prevent infection. If fever, purulent discharge or lower abdominal pain occurs, seek medical attention promptly. Avoid prolonged sitting or strenuous exercise to prevent pelvic congestion from exacerbating the inflammatory response.

3. Observation of bleeding

A small amount of bloody secretion may appear within 1 week after surgery. If the amount of bleeding exceeds the menstrual volume or lasts for more than 10 days, you need to be alert to bleeding from blood vessels in the wound. In an emergency, Yunnan Baiyao Capsules can be used to assist in hemostasis, but you need to return to the hospital immediately to check whether electrocoagulation is needed to stop bleeding.

4. Regular review

The HPV test and cervical cytology test need to be reviewed in the first month after surgery, and then every 3-6 months until the results are normal for two consecutive times. If persistent high-risk HPV infection or pathological upgrade is found, supplementary laser treatment or re-conization may be required.

5. Life adjustment

Within 3 months after surgery, avoid lifting heavy objects exceeding 5 kilograms, and prohibit activities that put pressure on the perineum, such as riding a bicycle. Add high-quality protein such as fish and eggs to your diet to promote wound repair, and supplement with vitamin C tablets to enhance immunity. Maintain a regular schedule to alleviate the impact of anxiety on recovery.

Slight lower abdominal pain within 2 weeks after surgery is normal and can be relieved by hot compress. The first menstrual period after surgery may be early or delayed, and cycle disorders generally recover within 3 months. It is recommended to use contraception within six months after surgery to avoid wound bleeding caused by increased blood flow in the pregnant uterus. Cervical cancer screening needs to be strengthened in the long term, and HPV combined with TCT examinations should be performed every year. If you experience symptoms such as abnormal vaginal discharge or bleeding after intercourse, you need to seek medical attention promptly.