Does minimally invasive surgery for cervical erosion affect fertility?
Jan 31, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Minimally invasive surgery for cervical erosion generally does not affect fertility. As long as the minimally invasive procedure is performed correctly, and there is no sexual intercourse or local infection within three months after surgery, normal fertility is usually unaffected. Patients are advised to maintain external genital hygiene after surgery, abstain from sexual intercourse for one month, and return for a follow-up examination one month later to assess wound healing of the cervical erosion. Pregnancy can be considered 3 to 6 months after the surgery.
Cervical erosion minimally invasive surgery generally does not affect fertility. As long as the procedure is performed correctly and the patient abstains from sexual intercourse for three months post-surgery without developing local infection, normal fertility is usually unaffected.
Surgery for cervical erosion typically refers to localized physical treatments of the cervix, including microwave therapy and loop electrosurgical excision procedure (LEEP). LEEP is commonly used and involves removing a thin layer of tissue affected by inflammatory changes. This procedure is unlikely to affect vaginal delivery even if pregnancy occurs. In most cases, patients fully recover within one to two months after minimally invasive cervical surgery. Sexual intercourse should be avoided for two months following the procedure. During recovery, patients may experience increased vaginal discharge and bleeding caused by the shedding of scabs at the surgical site.
In most cases, cervical erosion does not require surgical treatment. Physiological cervical erosion without clinical symptoms, along with normal cervical cancer screening and normal vaginal discharge tests, generally does not need treatment—regular follow-up is sufficient. If surgical treatment is required, patients should maintain good external genital hygiene after surgery, avoid sexual intercourse for one month, and return for a follow-up examination one month later to assess wound healing. Pregnancy can be considered 3 to 6 months after the surgery.
