How can cervical cancer patients preserve their fertility?

  According to FIGO clinical staging, patients with stage Ia to IIa1, tumor diameter not more than 4cm, tumor type of squamous cell carcinoma or adenocarcinoma, and no lymph node and vascular choroidal metastasis can be preserved for reproductive function.  What are the conditions between insurable and high risk?  Patients with tumor diameter up to 4cm such as staging Ib2, no lymph nodes but vascular-vascular metastasis fall into this category and are more tangled.  How is the uterus preserved?  A new procedure called extensive hysterectomy + pelvic lymph node dissection can be done minimally invasively. Trans-laparoscopic minimally invasive surgery is ranked among the world leaders in China.  After treatment, how to follow up and check?  Regular follow up after treatment: once in 3-6 months after the operation, such as TCT, HPV, ultrasound, and of course, the most important thing is the doctor’s manual examination.  When can I get pregnant?  You can get pregnant six months after surgery when your body recovers.  Do I need assisted reproduction?  A natural pregnancy is possible. There is a possibility that assisted reproduction may be needed, for example, if the cervical opening is narrow, fertilization can be done, or in vitro fertilization can be done if you have difficulty conceiving on your own.  Is there an increased risk of miscarriage and preterm delivery after pregnancy? What can be done to prevent them?  The risk of spontaneous abortion and preterm delivery after pregnancy is higher because there is no protection of the normal cervix. The percentage of full-term live births is about 15%. Pregnancy needs to be closely monitored by a doctor.  What kind of situation occurs to consider stopping the pregnancy?  Once a pregnancy has occurred, unless the child is developing abnormally, or there is premature rupture of the membranes or infection, you should generally not consider going for artificial termination of pregnancy.  What are the considerations in terms of diet and care after pregnancy?  After pregnancy, pay attention to a reasonable diet, exercise less, and return to the hospital promptly if you have a condition.  What are the high-risk recurrence factors after fertility preservation?  Tumor diameter over 4cm, or tumor with vascular infiltration in the veins, and the cut edge is less than 5mm from the outer edge of the tumor are high risk recurrence factors. If the cytology continues to be abnormal after surgery and the high-risk HPV continues to be positive, it is also important to be highly alert for recurrence, and of course, serum SCC is also a monitoring indicator.