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What are the risks for pregnant women who might have cervical dyplasia? We have done some research on cervical dysplasia and its categories and are waiting on results from the biopsy. I was told that mild conditions are not dealt with until after the pregnancy, is this true? Worst case scenario, if it is severe, what measures are then normally taken in this situation and what type of questions should we ask the physician to better understand what needs to be done. This young women is in her 2nd trimester and concerned to say the least.
John Comerci, MD (Febuary 6, 2006):
LEEP/Cone biopsies and cold knife cone biopsies should only be done in pregnancy if there is a suspicion of micro invasive or invasive carcinoma of the cervix either by a biopsy or by a Pap. The diagnosis of severe dysplasia is not in and of itself an indication for a LEEP/ or cold knife cone biopsy in pregnancy.
If a cone biopsy needs to be done in pregnancy, it should ideally be performed between 12-14 weeks gestation and consideration should be given to placing a cervical cerclage at that time. This helps control blood loss and may prevent pregnancy loss. The risk of pregnancy loss is quoted to be between 5-15%. The risk is higher the greater the gestational age beyond 14 weeks.
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What are the risks for pregnant women who might have cervical dyplasia?