How long is normal bleeding after cervical conization?

When a woman undergoes a cervical puncture biopsy and is found to have mild to moderate cervical epithelial neoplasia or cervical carcinoma in situ, because 20% of mild to moderate cervical epithelial neoplasia will turn into cervical carcinoma in situ, and about 5% of cervical carcinoma in situ will develop into invasive cervical cancer, cervical leep knife or cold knife cone biopsy is usually required at this time. After cone biopsy, there will be a small amount of bleeding in the cervix. After cone biopsy for cervical erosion, since scabbing and bleeding will occur in the later stage, it is normal for cervical cone biopsy bleeding to occur within about 20 days. There is no scab shedding and bleeding process after cold knife cone biopsy. Generally, the bleeding time is about 7 to 14 days, which is normal.

After a woman has undergone cervical conization surgery, the wound usually undergoes scabbing for about 1-2 weeks after the surgery. Vaginal bleeding may occur at this time, which is generally less than the menstrual flow and lasts about 1-2 weeks. If there is a lot of bleeding during the scab shedding period, it may be caused by small blood vessels under the scab being exposed after the scab shedding.

In addition, after the scab falls off, the wound may become infected, which may cause increased bleeding and may be accompanied by abnormal secretions and a strong odor. This kind of situation often occurs because the patient had Trichomonas vaginitis before the operation and did not fully recover, or the condition improved after treatment, so cervical conization was performed. When this happens, you should go to the hospital for a follow-up check as soon as possible to find out whether there are small blood vessels exposed on the cervix that cause increased bleeding. Sometimes it is necessary to perform electrocoagulation or ligation surgery again to promote blood circulation.

If bleeding still occurs 20 days after cervical conization, it is clinically considered an abnormal condition. In most cases, vaginal bleeding will stop within 10 to 10 days after cervical conization. It is recommended that this type of situation be combined with clinical medical records to rule out the possibility of infection. First, it is necessary to understand whether the pink vaginal discharge has a strong odor, whether there is lower abdominal pain, and whether the body temperature is normal. If the above three symptoms are present, the bleeding is likely to be caused by infection. It is recommended to give blood circulation treatment in addition to anti-infection. In addition, if vaginal bleeding occurs 20 days after cervical conization, it may be that the patient did not rest well after the operation, which caused local bleeding in the wound. It is recommended to go to the hospital for appropriate treatment. Regular follow-up visits are necessary after cervical conization. It is recommended that the first follow-up visit be three months after the conization.