Cervical dysplasia and pregnancy

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Cervical dysplasia (also called cervical intraepithelial neoplasia) is the appearance of cells of abnormal morphology in the cervix or cervix. The cause of dysplasia may be related to contact with Papilloma virus (HPV), this virus is very variable and only some strains are likely to cause cancer, close monitoring is required but no need to be alarmed.

Next you have an index with all the points that we are going to treat in this article.

Index

Cervical dysplasia and pregnancy

Its diagnosis is carried out by means of a vaginal cytology, with the subsequent analysis of the structure of the cells under a microscope. If these anomalies are detected, the diagnosis will be deepened by more specialized techniques, such as colposcopy (a telescope with a wide-ranging objective that allows a detailed observation of the different zones with abnormal cells of the neck).

Degree of dysplasia

According to the appearance of the abnormal cells in the biopsy of the cervix, they are classified in:

  • NIC I: mild dysplasia
  • NIC II: moderate to severe dysplasia
  • NIC III: severe carcinoma dysplasia

Treatment of dysplasia

Mild dysplasias may disappear without having to intervene, although supervision of three to six months is required to control that the affected area is not expanding.

Moderate to severe dysplasias are treated by removing tissue with abnormal cells:

  • Cryosurgery: Disposal of cells altered by cold
  • Laser: Suppression of abnormal cells by heat
  • Electrocautery: removal of cells damaged by electricity
  • Surgery to remove abnormal tissue
  • Rarely, hysterectomy, or removal of the uterus

Dysplasia requires periodic monitoring, usually every three to six months, for the consideration of the specialist physician.

Dysplasia

Dysplasia and Reproduction

Can I get pregnant if I have detected dysplasia?

In fact, the specialists do not find problems to conceive having this affection.

How will my pregnancy be?

The gynecologist will monitor the course of pregnancy to see if there is a change in dysplasia, the colposcopy technique does not present contraindications for pregnancy, but although the type of dysplasia varies, it is most likely that the treatment was not performed until the end of the pregnancy. On the one hand, treatment to eliminate dysplasia may lead to a risk of preterm delivery, and on the other hand, because it has been reported that dysplasia may be worsened by hormonal changes in pregnancy, which may be postpartum.

Dysplasia and pregnancy

What can happen to my baby?

It has not been demonstrated that the presence of cervical dysplasia of the mother has a negative effect on the formation of the fetus or on the achievement of a normal pregnancy, except in cases in which the mother has previously been treated for dysplasia and the gynecologist it will have to be taken into account by the alteration that supposes to have eliminated a part of the cervix.

The Centers for Disease Control and Prevention of the United States, indicate that the probability of transmitting the virus to the child during childbirth is extremely rare (1.1 out of 100,000 cases).

Therefore, it is very important that routine gynecological checks are performed to detect any minor change in the reproductive tract, and thus to fix it as soon as possible.


colposcopies in Alicante(Spain)

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