When do cryodestruction of the cervix. Vaginal discharge after cryodestruction. Painfulness of the procedure and possible consequences

Dear Ekaterina!

Cryodestruction of the cervix is a simple operation that is performed annually on millions of women. Under the influence of low temperatures, in particular, liquid nitrogen destruction of tissues occurs during erosion, cervical dysplasia of I-II degree, leukoplakia, polyps, retention cysts of the cervix, diseases of the vulva, vagina, perineum. Damaged tissues are removed, and healthy epithelium grows in their place. V individual cases with deep lesions of the cervical canal, repeated intervention is required.

Compared with traditional methods surgical treatment cryodestruction is more preferable, because. the application of this method is possible in a wide range of cases and mostly without anesthesia and anesthesia. After freezing tissues with liquid nitrogen, scars do not form, and at the same time they retain elasticity.

How is cryodestruction carried out?

Cryodestruction of the cervix is performed in the first phase of the menstrual cycle, no later than the 10th day, but after the end of menstrual flow. Before the operation, it is necessary to undergo an examination by a gynecologist, take a smear for the vaginal flora, atypical cells and genital infections, general analysis blood, undergo a colposcopy. Sometimes, if necessary, the doctor prescribes a biopsy and histological analysis.

Treatment of the cervix with liquid nitrogen is performed on an outpatient basis and lasts a few minutes. The procedure is almost completely painless, as the cold blocks the nerve endings. Due to vasoconstriction, the operation is completely bloodless.

rehabilitation period

Immediately after the procedure, manifestations of various autonomic reactions: dizziness, fainting, bradycardia, etc. During the first two days, severe pulling pains in the lower abdomen may be felt. Normally, within one month there is abundant watery discharge from the vagina - hydrorrhea. Bleeding after cryosurgery is rare, but minor bloody issues may be.

If the operation was performed against the background of inflammation of the uterus and vagina, then an acute inflammatory disease of the appendages may occur. Side effects may also occur if the destruction was carried out incorrectly, for example, if the walls of the vagina were damaged. Prolonged hydrorrhea (more than 1 month), severe and / or prolonged pain, bleeding from the vagina are a reason for immediate medical attention. Yellow mucous discharge from the vagina bad smell can talk about suppuration of wounds and also require specialist advice.

Normally, tissues heal completely in 4 to 6 weeks, and watery discharge disappears in 3 to 4 weeks. Sexual contact is prohibited for two months after the operation. Before resuming sexual activity, it is advisable to visit a gynecologist and make sure that the cervix has fully recovered and there are no signs of possible inflammation. Also, during the recovery period, it is not recommended to visit the bath and sauna. Heavy lifting and strenuous exercise should be avoided.

Sincerely, Xenia.

The apparatus for treating tissues with liquid nitrogen is equipped with a manipulator with a tip through which highly chilled gas is supplied, as a result of exposure, the altered uterine tissues are cooled to an extremely low temperature - from -180 to -195 degrees Celsius. For the procedure, gases with a low boiling point are used - liquid nitrogen, nitrous oxide, carbon dioxide. In the container of the cryodestructor, the substance is contained in a liquefied form, when it enters the manipulator, it passes into a gaseous state and through the tip goes directly to the pathologically altered tissues.

Cryosurgery of the cervix is a minimally invasive surgery to eliminate pathologically altered tissues of the cervix by exposure to low temperatures.

As a result of exposure to extremely low temperatures, a certain area of the cervix freezes, while healthy tissues are in a state of hypothermia (chilled, but not frozen). Extreme hypothermia leads to the process of tissue cryonecrosis formation. At the same time, healthy tissues are only cooled, but not adversely affected.

In the zone of cryonecrosis, vascular thrombosis occurs, which leads to impaired blood circulation in the affected area. As a result of the cessation of oxygen access, the process of dying of altered tissues begins. duration of cryonecrosis and complete destruction neoplasms last about 2-3 months, after this period, dead tissue is completely removed.

Indications for cryodestruction of the uterus

Cryosurgery is performed with various pathologies uterus and cervix. Indications for the appointment of cryodestruction of the uterus will be such pathologies of the female reproductive system:

erosion of the cervix;
The initial stage of cervical dysplasia;
Condylomas and papillomas in the vagina and vulva;
Retention (true) cysts of the cervix;
Chronic protracted cervicitis of the vaginal segment of the cervix;
Ectopia and ectropion of the cervix.

Cryodestruction is most often used for cervical erosion, since this pathology belongs to the category of common female diseases. According to the data medical statistics, about 70% of women face the manifestation of erosion. The cause of cervical erosion can be various factors - stress during pregnancy, damage during childbirth, endocrine disorders, excess weight.

Preparation for the cryodestruction procedure

Cryodestruction of the cervix is a minimally invasive procedure and does not require special preparatory measures. Before the appointment of the procedure, a woman must undergo a number of general laboratory research and analysis of a smear of the mucous membrane of the cervix for microflora and infections. The purpose of such an examination is to exclude the presence of pathological and inflammatory processes in the body at the time of the manipulation.

After a gynecological examination, history taking and standard tests, depending on the results of the examination and the diagnosis, the attending physician may prescribe some additional studies. These include a biopsy (taking scrapings or pieces of altered tissue of the cervix) for histological analysis. Such a study is carried out in case of suspicion of oncological disease. In some cases, a woman is advised to do a test or ultrasound of the uterus to rule out pregnancy.

For several days before the procedure, the woman is recommended complete sexual rest. Directly on the day of the operation, 2 hours before it begins, the patient must take an anti-inflammatory drug, which is selected by the attending physician according to the indications.

The method of cryodestruction

Cryodestruction is performed on an outpatient basis, possibly in a treatment room antenatal clinic equipped with a gynecological chair. The patient is assigned a date for the procedure, focusing on menstrual cycle. As a rule, it is performed on the 7-10th day of the cycle after the complete end of menstrual flow.

The affected area is treated with an antiseptic and a solution that stains erosion. This is done so that the surgeon can clearly see the edges of pathologically altered tissues. As a rule, anesthesia is not used during the operation due to the fact that the area affected by the cryodestructor is not highly sensitive. During the operation, a woman may feel a slight burning or tingling sensation.

The manipulator (cryoprobe) is inserted into the woman's vagina to a depth sufficient to directly affect the erosion. After the insertion of the manipulator, cooled nitrogen (refrigerant) is supplied to the tip, the impact on the tissue lasts about 3-5 minutes. At the end of the exposure, the specialist turns off the coolant supply, after which the probe is removed. The whole procedure takes about 15-20 minutes.

Postoperative period of cryodestruction

The patient is warned in advance that for some time (from 2 to 4 weeks) after manipulation, abundant watery discharge will be observed from the vagina. Until complete healing, that is, within 2-3 months, a woman must stop using tampons. During the first two days after the operation, some side effects are possible - weakness, dizziness, pain in the lower abdomen.

Although there is no need for inpatient monitoring of the patient, bed rest and the exclusion of physical activity during the rehabilitation period are recommended. Sexual contact is strictly prohibited until full recovery cervical tissue (up to 2 months).

Benefits of uterine cryosurgery

Cryodestruction has a number of undoubted advantages:

This is a painless manipulation with minimal tissue damage;
Does not require complex and lengthy preparation;
Affordable;
It is carried out on an outpatient basis;
Doesn't have side effects and complications.

Cauterization with liquid nitrogen of erosion, unlike other methods, can be prescribed even to nulliparous women. This is due to the fact that after the procedure and complete restoration of the tissues of the cervix, no scarring is formed. The cervix does not lose its elasticity, therefore, in the process labor activity there is no risk of cracks and breaks at the impact site.

Contraindications for cryodestruction

This type of erosion treatment is not used if the patient has inflammatory diseases reproductive system in any form, since the impact is extremely low temperatures may exacerbate pathological process. Infections are also contraindications genitourinary system, significant deformation of the cervix, multiple cystic formations with altered glands in close proximity to the treatment area.

Increasingly today, gynecologists have begun to use female diseases not invasive methods treatment, and cryodestruction of the cervix without surgery is one of them.

Cryodestruction of the cervix is an accurate, bloodless and gentle method, it is preferable for women planning to have children in the future. Before the appointment of the procedure, the vaginal cavity is carefully examined.

Cryodestruction is not performed when:

infection of the genital organs;
severe inflammation of the vagina;
uterine fibroids requiring removal by other surgical means;
advanced endometriosis.

Affected uterine tissues are exposed to cold, low temperatures. When carrying out cryodestruction of the uterus, a special device is used - a cryodestructor with liquefied gas, carbon dioxide liquid nitrogen or nitrous oxide inside the cooled tissue to almost 200 gr. Under the influence of low temperatures, the affected cells freeze, and the neoplasms are destroyed. The depth of freezing of the uterine zone depends on the gas used. The introduction of liquid nitrogen for just a couple of minutes leads to freezing of the zone up to 5 mm deep, but still, nitrogen cannot remove large erosive zones.

Often, cryodestruction requires a second examination of the uterine cavity based on analyzes, as well as bleeding from the cervix, after the procedure for the first time. The method is good because it does not lead to the destruction of nearby healthy tissues, and blood clots form in the affected areas of the vessels, blood does not flow, the tissues simply begin to die, necrotic, and after a few months they are completely released from the uterus.

What is the cryodestruction method good for?

Previously, erosive areas were cauterized and many women know about the consequences. The remaining areas of the lesion after a while began to progress again. Freezing the erosive zone:

does not lead to bleeding due to a violation of blood microcirculation under the influence of cold;
Patients do not experience discomfort during the procedure. Low temperatures affect the nerve endings, freezing them like ice-caine, but are fully restored as the wounds heal;
infection of the affected areas with erosion is excluded. The immune system at low temperatures enhances its functions;
reproductive function remains intact;
the tissues of the uterus, even after freezing, remain elastic, their scarring does not occur;
easily tolerated by patients;
does not lead to the development of possibly remaining metastases;
the procedure is not traumatic, painless;
tissues are completely restored;
relapses are excluded in the future;
there is no need to prepare for this operation;
no suturing, painful and uncomfortable for women;
after rejection of neoplasms, the tissue is quickly replaced by a healthy one;
further complications are excluded.

The cryodestruction procedure has no drawbacks, if you do not take into account the time for wound healing, up to 3 weeks, although the method is not advisable in the presence of neoplasms, extensive large sizes located in hard-to-reach places.

Freezing the affected area of the uterus with liquid nitrogen has become popular, since cauterization with current, which was used to treat erosion back in Soviet times, has many disadvantages. The cauterization procedure is painful, unpleasant. Wounds heal and regenerate for a long time, constantly bleed, and the most unpleasant thing is that scars remain, tissues become less elastic, infection and bacterial agents can be introduced into the wounds.

Indications for the use of the method

Cryodestruction is applicable for women suffering from:

chronic cervicitis;
and erosion of the cervix;
dysplasia of 1 and 2 degrees;
warts in the vulva, perineum, or vagina;
leukoplakia of the vulva;
capable of recurring after their removal by surgery;
ectopic epithelium.

Freezing the affected areas leads to their destruction and death. Also, this method removes papillomas, condylomas from the cervix.

For whom is the procedure contraindicated?

The procedure is unacceptable if women are identified as a result of examinations:

tumors in the ovary;
3rd degree;
cancer or an intermediate diagnosis;
inflammatory processes taking place in the genitals;
, severe deformation of the uterus;
somatic diseases;
acute infectious diseases.

Questions about possible application the method of cryodestruction is decided by the gynecologist based on the results and examinations.

How is the cryodestruction method performed?

take a blood test;
a smear for the study of the uterine flora and the absence of sexual infections;
a smear on atypical cells to exclude the presence of malignant recurrent formations;
biopsy;
histological analysis;
examination by a gynecologist with a mirror of the cervix.

Only on the basis of the results obtained, the doctor will decide whether it is possible and advisable to carry out this procedure, or whether it is worth choosing a different treatment for erosion.

The swab is wetted with saline. The solution is injected into the cervix for cleansing.
The neck is treated with acetic acid (weak solution) to determine focal areas. There may be a short-term pain, a feeling of discomfort. The uterine cavity is once again treated with saline.
The tip of the crizond is inserted towards the affected area, without touching the walls of the vagina, only at the site of the focus. The device is turned on by the doctor, a timer is set, the surface of the cervix is covered with ice in a matter of seconds.

Freezing for the greatest effect is carried out twice. The cavity is frozen for 3 minutes, then left to thaw for 4–5 minutes, then frozen again. The cryoprobe is separated from the uterus at the time of its thawing. In order to avoid tearing off parts of the cervical tissue, the chrysond is separated while the cavity is partially frozen. To separate the crisond from the wall of the uterus, the doctor will slightly turn it. Frozen white, but already dead tissue will remain at the erosive site. The doctor will examine the cervix and, making sure that there is no bleeding, will lubricate it with Monsel's paste.

Again, a woman should come to the doctor in 2-3 weeks to assess healing and six months later - for a cytological examination of the uterine cavity. It is possible to take a smear, conduct diagnostics-colposcopy.

Consequences of cryodestruction

The method is carried out quickly, up to 3 minutes and there is no need for hospitalization of women. Damaged areas are frozen with liquid nitrogen, and this does not cause trouble for patients. Some women, after the procedure, throws into a fever, but this is normal, the body restores thermal balance. If you get up suddenly, you may feel dizzy, but this feeling also quickly passes.

Tolerability of the method, according to patients, is generally not bad. Pain in the abdomen is possible within 2-3 days due to the release of dead tissues to the outside. Also, the stain on the frozen place will remain dark until complete regeneration. Full recovery can be said no earlier than 3 months after cryodestruction. Scarring of tissues does not occur, but still a woman should be observed by a doctor for some time until the affected areas are completely healed and restored.

Women in the rehabilitation period of up to 2 months need to take care, exclude douching, physical exercise, visits to saunas, baths, intimacy. However, when a doctor prescribes this procedure, you should not refuse it. In most cases, similar symptoms, as with erosion, do not bother a woman in the future. The well-being noticeably improves, soon the patients simply forget about their torment and continue to live on with a full, in particular, intimate life.

In what cases should you immediately consult a doctor after cryodestruction?

The method is distinguished by the fact that it does not lead to complications in most cases, but if for some reason or negligence of the doctor, the procedure is carried out in non-sterile conditions in the patient:

The temperature has risen above 38 degrees, shivering.
Severe pain in the lower abdomen.
Purulent fetid discharge is separated from the vagina.
Bleeding does not go away for more than 2 days and is separated by clots, you need to see a doctor as soon as possible.

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Cryodestruction of cervical erosion, which can also be called freezing, is a popular method of treating this disease by cauterization.

The essence and features of the procedure

With cryodestruction of cervical erosion affected tissues are treated with liquid nitrogen cryoprobe.

The procedure usually looks like this: a speculum is placed in the vagina to obtain good review, then a cryoprobe is inserted there - a device that is connected to a cylinder filled with nitrogen.

The specialist acts with cold locally on the affected areas of the epithelium, and they are frozen. The temperature of liquid nitrogen is up to -90 degrees.

The cryoprobe is a high-precision device, and the specialist carefully controls the procedure, therefore, if performed correctly, healthy tissues are practically not affected.

Freezing usually does not provoke discomfort which is an advantage of this technique over many others.

Often the patient feels only a slight burning sensation and tingling. But sometimes the reactions are more complex, so you first need to carry out a complex one.

After cauterization, swelling occurs on the treated tissues, which soon subsides. Approximately within 3-6 months after the procedure, the affected cells completely die off, they are replaced by healthy ones.

The elasticity of the cervix does not decrease, so the treatment technique is recommended.

Indications and contraindications for freezing

The main indication for the procedure- it . It can be recommended for leukoplakia, ectopia, ectropion, warts, papillomas on the vulva and vagina, with the first and second degree of dysplasia, cervicitis and retention cyst.

Please note that cauterization with liquid nitrogen has a number of contraindications:

- it is impossible to carry out the procedure in any case, since it is highly likely to provoke a miscarriage;
menstruation;
the presence of bleeding or;
injuries of the cervix, scar tissue on it;
any processes of inflammation in the body, especially those related to the reproductive system;
diseases of an infectious nature;
tumors of the uterus and ovaries;
third degree of dysplasia;
extensive localization of affected tissues - in this case it is better to choose another method.

If there are no contraindications, then cryodestruction can be used for if the patient herself does not mind.

Preparation rules

Before the procedure, you need to visit a gynecologist. The specialist must:

listen to the woman's complaints, bring them to medical card(collect anamnesis);
examine the patient in a chair using mirrors;
take ;
perform a colposcope examination.

To the patient who agreed to the procedure, the doctor gives all the information about the method and features of its implementation, about possible sensations, and the recovery period.

Freezing technique

The patient for manipulation is placed on a gynecological chair. The methodology involves several stages.

The area to be treated must be cleaned first.. For this purpose, a tampon soaked in saline solution is inserted into the vagina. A weak solution is applied to the cervix acetic acid– this will help to accurately determine the affected areas.

At this point, you may feel a slight burning sensation or discomfort. At the end of the manipulations, the uterine area is once again treated with saline.

The next step is the use of a cryodestructor. Its tip is inserted into the vaginal area, the end part is directed to the affected area. It is important that the doctor act carefully, avoiding healthy tissues.

When the probe reaches right place, the timer is set, and the device to freeze cervical erosion is turned on.

Due to the low temperatures of the gas used, the affected area is covered with a white coating, which indicates that the affected areas are frozen.

If the areas to be treated are large or there is a possibility of the lesion spreading deep into the tissue, freezing is done in two passes.

Processing is carried out within three minutes, after which the affected area thaws for 4-5 minutes and is re-frozen.

Finally, the cervix is examined.. If there is no bleeding, the required area is treated with Monsel's paste.

Cryodestruction lasts no more than half an hour. Exposure to cold nitrogen continues for several minutes.

To control the effectiveness of treatment, a specialist appoints an appointment 14-21 days after the procedure.

Six months after cryodestruction, a cytological examination of the uterine cavity is performed. If necessary, the doctor takes a smear, performs a colposcopy.

Features of the rehabilitation period

If the procedure was performed correctly, then 100% tissue healing will take approximately 28-42 days. By the end of the fourth week, watery should pass.

Please note that sexual intercourse is prohibited for approximately two months after the procedure.

When this time is up, you need to visit a gynecologist who will conduct an examination, give an opinion on the healing process and the possibility of resuming sexual intercourse.

Within two months you should avoid visiting the pool, bath and sauna. It is important to exclude heavy lifting, strong physical exertion.

This will avoid infection and bleeding, shorten the rehabilitation period.

Possible consequences and complications

Immediately after cryosurgery the following reactions may occur: dizziness, headache, a feeling of general weakness and malaise, fainting.

On the first day, pulling pains in the lower abdomen are possible. different intensity. Within a month after the procedure, abundant watery discharge is considered the norm.

Minor discharge possible with blood impurities is a harmless symptom.

If cryodestruction is used for inflammation in the vagina or uterus, there is a risk that the inflammation will spread to the appendages. With a disturbed execution technique, the risk of developing negative reactions much higher.

A characteristic sign that the doctor worked incorrectly is damage to the walls of the vagina. Then the watery discharge may continue for more than a month, perhaps constant feeling severe pain, opening bleeding.

To prevent unpleasant consequences you need to take into account all contraindications and trust the procedure to the doctor whose competence you are sure of.

Noticing yellow vaginal discharge with a clearly unpleasant odor, visit a specialist as soon as possible. This symptom indicates the presence of an infection that requires the use of medications.

It is important to see a doctor if the following symptoms are observed after the intervention:

body temperature from 38 degrees;
feeling chills or fever;
strong pain lower abdomen;
impurities of pus in vaginal discharge;
bleeding that lasts more than two days.

If all the rules are followed, then the risks of complications are minimized.

Myths and facts about cauterization with liquid nitrogen

Core myth regarding cryodestruction, this is the most effective method erosion treatment that suits everyone.

There is some truth in this - the technique has an efficiency of 85-90%, which is noticeably more than with conventional cauterization.

Of the minuses, it is worth highlighting big number contraindications, the need to adhere to the ban on sexual intercourse, swimming in the sea and pool for several months.

In many ways, the procedure loses, but the doctor must decide which option is suitable in a particular case.

The procedure is contraindicated during menstruation. Although it is relatively painless, exposure still leads to the appearance of wound surfaces on the cervix.

They heal within a certain time, therefore, if you perform cryodestruction during or immediately before menstruation, the risks of inflammation will increase significantly. It is optimal to carry out manipulations on the 7-10th day of the cycle.

Cryodestruction of the cervix is an effective, safe procedure that allows you to get rid of the disease in a short time.

Small list of contraindications and reduced risk of side effects make it possible to use it when other methods are contraindicated, for example, if the girl has not yet given birth.

Pathological conditions of the cervical mucosa are often diagnosed in girls and women. Diseases are atypical ulcerations that damage the epithelial layer of the organ. If they are not identified and treated in a timely manner, there is a high probability of developing fertility disorders, up to infertility. Thanks to modern technical developments, a non-invasive (without surgical incisions) method of therapy, cryodestruction, has appeared in the arsenal of gynecologists.

Cryodestruction with liquid nitrogen

Cryodestruction of the cervix is a medical treatment procedure that involves exposure to low temperatures (liquid nitrogen) on the affected soft tissues. As a result of processing, freezing and destruction of unhealthy areas occurs.

A non-invasive method for the destruction of pathogenic formations is used in various branches of medicine: cosmetology, surgery, gynecology, dermatology. Instead of surgery, doctors recommend freezing to remove papillomas, warts and other tumor formations. The procedure is effective in the treatment of some vascular pathologies and erosion.

Features of the technique

To perform the procedure, a medical device is used - a cryodestructor. On the one hand, there is a special tip through which gas of extremely low temperature is supplied (in the range from -180 to -196 ° C).

Nitrous oxide or carbon dioxide is also used to treat painful areas.

Depending on the size and depth of the spread of the pathological process, the type of the influencing substance is determined. For example, if the patient has a mass larger than 5 millimeters in diameter, the use of liquid nitrogen will not work. This is due to the fact that the gas can penetrate to a depth of no more than half a centimeter.

Some time after the completion of the procedure, dying areas appear in the treatment area. This process provokes the formation of blood clots and disruption of blood microcirculation. Necrosis lasts about three months, during which all dead tissue comes out. Due to the fact that healthy areas are not subjected to freezing, they are not destroyed.

Advantages and disadvantages of cryodestruction

Any intervention in the human body, even minimally invasive, affects general condition. Before deciding to perform the procedure, patients carefully study the advantages and disadvantages of the technique.

Advantages

Experienced gynecologists note the following positive aspects:

absence of painful symptoms. From the first second of exposure to the cryodestructor on the affected area, the sensitivity of nerve endings is disturbed, since they are also frozen;
absence of scars and deformities. Due to the fact that the doctor does not make an incision in the soft tissues, after the procedure, the natural elasticity of the treated area is preserved and a new layer of the epithelium (mucous membrane) grows;
minimal risk of complications. The presented method of treatment is practically not associated with the development gynecological diseases, and the patient's condition remains normal after exposure to the cryodestructor. The procedure is performed on an outpatient basis and does not require a hospital stay;
damage to affected tissues. Healthy areas of the mucosa do not participate in the cooling process;
complete tissue repair. After exposure, the protective function is activated in the body;
bloodlessness of the procedure. When cooled, vasospasm occurs and a blood clot forms, as a result, blood microcirculation is disturbed.

Disadvantages of cryotherapy

Doctors draw the attention of patients to some negative aspects of the process:

if the technique of working with the device is not observed, there is a possibility of injury to the walls of the vagina;
if you choose the wrong gas, the pathological area is not completely removed;
there is a risk of discharge with an admixture of blood.

Indications and contraindications for cryodestruction

The main indications for the appointment are:

erosion - a defect in the mucous membrane of the cervix;
leukoplakia - focal keratinization of the stratified epithelium of the mucous membrane;
ectopia - the location of the cylindrical epithelium on the vaginal surface (pre-erosion state);
condyloma and papilloma ( benign tumors localized on the vagina and vulva);
ectropion - eversion of the mucous cervical canal into the vaginal cavity;
dysplasia (only the first and second degree);
retention cyst - a true formation located in the gland due to a violation of the outflow of secretions;
cervicitis - inflammation of the cervix.

What women need to know about cervical erosion - video

Contraindications to treatment

Given that cryodestruction is associated with intervention in the body, it can not be performed for all patients. It is forbidden to treat pathological areas of the cervix with low temperatures for girls who have been diagnosed with dysplasia (improper development of tissues) of the third degree. If the doctor suspects that developing malignant tumor, the procedure is not carried out.

As with most surgical interventions, contraindications are various inflammatory processes that progress during internal organs reproductive system, exacerbation chronic diseases, sexually transmitted infections.

Gynecologists do not perform cryodestruction if the patient has fibroids, endometriosis, ovarian tumors, or cervical canal scarring occurs.

Most doctors insist that any intervention in the body of a pregnant woman adversely affects the development of the fetus. Therefore, it is not recommended to perform cryodestruction of the cervix during this period.

Cryosurgery and the menstrual cycle

The procedure for freezing pathological tissue areas is not associated with painful sensations, however, exposure provokes the appearance of wound surfaces on the cervix. They take some time to heal, so doctors do not recommend performing cryodestruction before the onset of menstrual bleeding. Otherwise, there is a possibility of developing inflammatory process mucosa due to the high content of pathogenic bacteria in the vaginal secretion.

The most suitable time for the procedure is 7-10 days of the menstrual cycle.

Preparing for the cauterization procedure

Before the intervention, the patient must visit a gynecologist. During the appointment, the doctor will perform a number of such manipulations:

listen to all the woman's complaints, enter information into the medical record (anamnesis);
perform a gynecological examination in a chair using mirrors (the condition of the cervix is determined and the external genital organs are examined);
take a smear of vaginal secretion for microflora;
will take a smear from the cervix;
perform an examination using a colposcope.

Colposcopy is a gynecological procedure during which the doctor examines the entrance and walls of the vagina, as well as the vaginal part of the cervix.

The next step in preparatory stage is the establishment of the final diagnosis on the basis of the conducted studies and the results of the analyzes. If a woman agrees to cryodestruction, the doctor will definitely tell her about the technique, how the procedure will take place, mention possible sensations and describe the recovery period.

How does cryosurgery of the cervix occur?

On the appointed day, the patient must come to the doctor for the procedure. Cryodestruction is performed on a gynecological chair, and the entire treatment process takes place in several stages.

To control the effectiveness of the treatment, the doctor prescribes a second appointment after 14–21 days.

After six months from the date of cryodestruction, the woman undergoes a cytological examination of the uterine cavity. If necessary, the doctor will take a smear and perform a colposcopy.

Recovery period and duration of recovery, possible consequences

Immediately after performing cryodestruction, the following manifestations are possible:

feeling of general weakness or fatigue;
dizziness, headache attacks;
loss of consciousness.

The first day in the lower abdomen, the patient feels pain of a pulling nature of varying intensity. Throughout the month, it is considered normal to have abundant watery discharge from the vagina. Sometimes there are minor discharge mixed with blood (not a dangerous symptom).

In women who underwent cryodestruction with an existing inflammatory lesion of the uterus or vagina, there is a possibility of the process spreading to the appendages. If the technique of performing the procedure is violated, the likelihood of developing adverse reactions increases several times. A prime example incorrect work of the doctor is damage to the walls of the vagina. In such a situation, the patient has a watery discharge that lasts longer than one month, an intense feeling of pain is constantly present, and bleeding opens.

Note! If a secret began to stand out from the vagina yellow color having bad smell, you should immediately consult a doctor. Such a symptom indicates the addition of an infection and requires the appointment of drug therapy.

For complete tissue healing with properly performed cryodestruction, it will take from 28 to 42 days. Watery discharge should stop by the end of the fourth week. After the procedure, it is forbidden to have sexual intercourse with a partner for about two months. After this time, it is necessary to visit a gynecologist who will examine the affected area and give an opinion on the healing process and the possibility of resuming sexual relations.

For two months, you should refrain from visiting baths, saunas, pools. You can not lift weights and do hard physical work. This will avoid infection and bleeding, and shorten the recovery period.

Warning signals that require medical attention

It is worth paying close attention to the state of health after the intervention, and if such symptoms occur, immediately consult a doctor:

body temperature is in the range of 38 or higher;
there is a feeling of chills or fever;
pain in the lower abdomen is very strong;
vaginal discharge has an admixture of pus;
bleeding does not go away for more than two days.

In most cases, complications after cryodestruction of the cervix do not develop.