Is it normal to bleed after cervical conization?

As the level of awareness about cervical cancer screening grows and the national screening for both cancers (cervical cancer and breast cancer), more and more people are being screened for cervical cancer. As a result, the incidence of cervical cancer has decreased and many people can be treated at the pre-cancerous stage of the cervix, so there are now very many patients who undergo cervical conization. Although cervical conization is a minor surgery, there are many problems that need attention after the procedure. The most common one is postoperative vaginal bleeding. Let me tell you. There are two types of cervical conization. One is cold knife conization, in which the doctor uses absorbable sutures to close the wound with pressure to stop bleeding after the cervical lesion is removed; the other is LEEP electrodesis, in which the lesion is removed and the wound is cauterized with an electric knife to stop bleeding. Regardless of the type of hemostasis, although hemostasis is achieved during the surgery, many factors can affect the wound after the surgery and cause it to bleed again. For example: if a finger is accidentally cut by a knife and bandaged to stop bleeding, if the wound is touched off just after it has scabbed over, it will definitely still bleed again. This is also true for bleeding from a cervical wound. Moreover, the cervix is at the top of the vagina, in a moist environment with a high number of bacteria, and it will take longer to heal and bleed again. Therefore, bleeding after cervical conization is very common. However, it is not normal if there is a lot of bleeding, bleeding like a menstrual period. It may be that a large scab on the trauma surface has fallen off causing bleeding from larger blood vessels and requires urgent medical attention. There are only a few ways that the doctor can treat the bleeding: using hemostatic medication, vaginal gauze compression, re-surgical suturing or electrocoagulation to stop the bleeding. So, what are the factors that can affect the healing of the cervical wound and cause vaginal bleeding? 1, mechanical stimulation: strenuous exercise, deep squatting, constipation, forceful urination and defecation, coughing, etc. One patient was even discharged from the hospital for a week and drove with a sudden brake, resulting in bleeding from cervical debridement. 2, infection: If there is vaginitis, it will affect the healing of the incision. 3. Underlying diseases such as diabetes and anemia can also affect the healing of the incision. In addition, the cervix is rich in blood flow and bleeds easily, but the advantage of rich blood flow is that it heals easily, so as long as the bleeding is not too much and the inflammation is not too heavy, the cervix will heal slowly. What is needed is just time.