Cervical biopsy 19 days ago and still bleeding

Cervical biopsy is a relatively common examination method. If you suspect you have a cervical disease, you can use a cervical biopsy to confirm your condition. Many women experience bleeding after a cervical biopsy. Under normal circumstances, bleeding after cervical biopsy will not exceed seven days. If bleeding continues after 19 days, you need to go to the hospital for a follow-up visit in time. Next, I will introduce you to some relevant knowledge about cervical biopsy!

1. How many days is normal for cervical biopsy bleeding

Generally speaking, it is more likely that bleeding after a cervical examination will stop within a week.

2. Introduction of cervical biopsy

A cervical biopsy is a biopsy of the cervix, which means taking a small piece or several pieces of tissue from the cervix for pathological examination to confirm the diagnosis. It is mostly used when the cervix is ​​suspected of cancer or there are suspicious cells in the cervical scraping. A cervical biopsy can confirm the diagnosis and determine treatment. Cervical biopsy is the most reliable basis for diagnosing cervical cancer. Whether it is early or late stage cervical cancer, this examination must be performed to determine the pathological type and degree of cell differentiation of the cancer.

The cervical biopsy procedure is simple. After disinfecting the vulva, vagina, and cervix, use a special biopsy forceps to take several small pieces of tissue according to the location of the lesion and requirements, fix them in 10% formalin solution, send them to the pathology department for sectioning, stain them, observe and analyze them under a microscope, and then make a pathological diagnosis.

The following points should be noted when doing cervical biopsy: 1. It is best not to do it one week before menstruation or during menstruation to prevent bleeding. 2. Before the operation, the leucorrhea should be checked in advance to confirm that there is no vaginitis before a biopsy can be performed. 3. The biopsy site may bleed, so do not have sexual intercourse, vaginal douching or sitz baths within 1 to 2 weeks after the examination. If vaginal bleeding is heavy, you should go to the hospital for examination and treatment. 4. If you have a colposcopy, you can take a biopsy under the colposcopy to improve the accuracy of diagnosis.

3. Treatment of cervical cancer

Treatment is based on comprehensive considerations such as clinical staging, patient age, fertility requirements, general condition, medical technology level, and equipment conditions to develop an appropriate individualized treatment plan. A comprehensive treatment plan is adopted with surgery and radiotherapy as the main treatment and chemotherapy as the auxiliary treatment.

1. Surgical treatment Surgery is mainly used for patients with early cervical cancer. Commonly used surgical procedures include: total hysterectomy; subradical hysterectomy and pelvic lymph node dissection; radical hysterectomy and pelvic lymph node dissection; para-aortic lymph node resection or sampling. Young patients with normal ovaries can be preserved. For young patients who wish to preserve their fertility, cervical conization or radical tracheectomy is an especially feasible option in the early stages. Different surgical procedures are selected according to the different stages of the patient.

2. Radiotherapy is suitable for: ① patients in the middle and late stages; ② early patients whose general condition is not suitable for surgery; ③ preoperative radiotherapy for large cervical lesions; ④ adjuvant treatment for patients with high-risk factors found in pathological examination after surgical treatment.

3. Chemotherapy is mainly used for patients with advanced or recurrent metastasis. In recent years, surgery combined with preoperative neoadjuvant chemotherapy (intravenous or arterial infusion chemotherapy) has also been used to shrink tumor lesions and control subclinical metastasis. It is also used to enhance radiotherapy sensitivity. Commonly used chemotherapy drugs include cisplatin, carboplatin, paclitaxel, bleomycin, ifosfamide, fluorouracil, etc.