Although the cervix may be hardened or shortened after cold knife conization, it is possible to have children with the assistance of a cervical cerclage, for example. Cold conization is a treatment for pre-cancerous lesions of the cervix and cervical cancer in women by removing part of the cervix to remove the diseased tissue. Cold knife conization does not interfere with a woman’s fertility and she can still have children. It is important to note that the procedure may result in scarring of the cervix, which can cause the cervix to harden and become narrow, possibly interfering with vaginal delivery. In addition, conization may shorten the cervical canal, increasing the risk of preterm labor or miscarriage, which can be prevented by cervical cerclage, if necessary. Therefore, if you intend to get pregnant after undergoing cold knife conization, it is recommended that you consult a medical professional to assess the condition of your cervix, and at the same time, pay attention to detecting the condition of the fetus during pregnancy and undergo regular obstetric checkups. If any discomfort occurs, please consult a doctor promptly for standardized treatment.