Cervical conization is the conical removal of a portion of the cervical tissue and the preserved cervix is shaped by suturing. Cervical canal adhesions may occur after cervical conization due to severe infection and one’s age. Patients who are older than 45 years old and who have had inflammation or infection prior to the procedure have a higher chance of developing cervical canal adhesions after the procedure.
Once cervical adhesions have developed, pre-menopausal women are unable to pass their periods properly and may experience cyclical abdominal pain. Post-menopausal women, on the other hand, tend to have abdominal pain as the secretions from the cervical os and endometrium do not drain smoothly and the uterine cavity tends to accumulate thickly.
The doctor will make a preliminary diagnosis taking into account the history of cervical conization surgery, typical clinical symptoms, physical examination and ultrasound examination.