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A biopsy of the cervix for erosion shows what it shows. Interpretation of cervical biopsy results. Laser biopsy: features of the technique

A cervical biopsy is a gynecological procedure that is prescribed to women if there is a suspicion of the development of a tumor process in the cervical canal.

During the procedure, a small piece of the cervical mucosa is taken, which will later be used for microscopic examination.

Indications and contraindications for the procedure

Typically, the need for a biopsy arises when the gynecologist has serious suspicions of any cervical pathology:

  • If the color of the cervical canal mucosa has changed;
  • When erosive lesions, papillomas and other formations appear on the neck;
  • If you suspect endocervicitis, papillomavirus, cervical cancer, cervical dysplasia or leukoplakia.

Although the procedure is safe and minimally invasive, it still has a number of contraindications that cannot be ignored.

So, cervical canal biopsy is contraindicated:

  1. In the presence of blood pathologies associated with poor blood clotting, since there is a risk of uterine bleeding. The uterine cervix has a fairly numerous vascular network, so any intervention can provoke quite heavy blood loss, especially in women with poor blood clotting;
  2. Infectious pathologies that are sexually transmitted, such as gonorrhea, syphilis, etc. Such a prohibition is due to the fact that pathogenic bacteria or fungi penetrate the mucosa damaged during biopsy and cause serious inflammation;
  3. Also, cervical biopsy is contraindicated during pregnancy and menstruation.

If the above factors are absent, then the woman has no obstacles to carrying out the diagnostic procedure.

Types of cervical biopsy

A cervical biopsy has a very important diagnostic value, because its timely implementation helps to show pathologies such as dysplasia, or.

The procedure is usually prescribed 5-6 days after menstruation. Such research can be carried out in several ways.

Sighting

This type of biopsy is also called punctal and colposcopic. The procedure is carried out using a colposcope, which is a special forceps, which is used to collect biomaterial from the uterine cervix.

The damaged surface heals approximately 5-6 days after the procedure. The biopsy is taken from a specific, pre-planned area of ​​the cervical canal. Typically, such a biopsy procedure is performed with a special biopsy needle.

Radio wave

A similar method of biopsy of cervical structures is indicated for women who do not have a history of childbirth. Usually, the Surgitron device is used to perform radio wave cervical biopsy.

This biopsy technique is characterized by the absence of traditional consequences such as bleeding. This test is also called radioknife and excisional cervical biopsy.

Knife

The knife procedure for obtaining a biopsy is not particularly common today, like, for example, a loop or radio wave procedure. This procedure is not suitable for nulliparous women.

When performing a knife biopsy, patients must be given anesthesia, and after the procedure the woman is under medical supervision for some time.

After a knife biopsy, a suture is placed that does not require removal. After the procedure, for several days, as with other procedures, patients feel some pain.

The essence of this procedure is that the woman is given traditional anesthesia, after which a piece of cervical tissue is captured by a special loop through which a current is passed. This technique is also called electrosurgical biopsy or electroexcision.

The biopsy sample is taken with an instrument - a loop that passes a low-power electrical discharge. This loop peels off the desired tissue element for laboratory testing.

Circular

When performing a circular biopsy, a large area of ​​cervical tissue is captured; to carry out this procedure, anesthesia is required, and it is somewhat stronger than with a regular biopsy.

The procedure is more painful, and bleeding after it also lasts a little longer (about a month).

Endocervical curettage

During the procedure, the superficial cervical layer is scraped using a curette. The resulting sample is sent for cytological diagnostics.

Laser

Laser biopsy of the uterine cervix involves taking a biopsy sample using a laser knife.

This procedure is performed in a hospital setting because it requires general anesthesia.

This procedure is considered low-traumatic and uncomplicated.

For some time after the analysis, slight spotting of a red-brown or pink color may occur. In general, the procedure has no complications, is painless and is considered financially affordable.

Conchotomnaya

The method of conchotome analysis of a biopsy sample is similar to the colposcopic technique, the only difference is that when performing the procedure, an instrument is used - a conchotome, which is similar to scissors with sharp edges.

Trephine biopsy

A biopsy examination in a similar way is carried out after a colposcopic examination reveals the presence of a large-scale epithelial lesion. The biopsy sample is taken from several areas.

How to prepare?

A woman must undergo a preliminary comprehensive examination, which is traditionally used in gynecological practice.

Preparation for the cervical biopsy procedure involves the following:

  • It is necessary to take a smear for pathogenic flora; a biopsy is performed only if the results of such a study are negative;
  • The best time to obtain a biopsy is in the first days after menstruation. It is necessary that the wound formed as a result of pinching off a piece of the cervical mucosa heals before the next menstruation. A couple of weeks are usually enough for this;
  • If it is planned to use anesthesia during the procedure, then the woman must not drink or eat anything or take medications for 12 hours;
  • Before taking a biopsy, it is necessary to observe sexual rest for a couple of days, avoid the use of tampons and douching.

In addition, the woman must be warned about the possible consequences of the biopsy and written consent is taken from her to carry out the manipulations. When all the preparatory details have been met, you can begin the procedure.

How is a cervical biopsy performed?

The biopsy is performed under local, intravenous anesthesia or without anesthesia. The patient is placed on a gynecological chair, then the mirrors provide access to the cervix and are fixed with special forceps.

The biopsy is taken from the site most suspicious to the doctor based on an extended colposcopic examination. If there are several such areas, then a biopsy is taken from each separately.

When taking a biopsy, take into account that its dimensions should be relatively large (approximately 5 mm). In addition, not only the squamous epithelial layer must be captured, but also the connective tissue cervical structures.

Radio wave excision or scalpel cutting is considered the most preferable rather than the loop and conchotomy method, because in the latter cases charring or disruption of the integrity of the tissue sample occurs.

After obtaining the sample, the wound is closed with sutures, and a tampon soaked in a coagulating solution (fibrin, aminocaproic acid, etc.) is inserted into the vagina. If the biopsy sample was taken from the cervix using a radio wave or diathermoloop method, then additional hemostatic measures do not need to be taken.

The biopsy is placed in a formaldehyde solution and sent for histology. Biopsied areas must be noted in the relevant documents.

To avoid possible complications, you must follow your doctor's instructions, which usually include the following restrictions:

  1. You can’t douche for the next six months;
  2. Refuse sexual activity;
  3. Of the water procedures, only a shower is allowed, a bath is strictly unacceptable;
  4. Objects weighing more than 3 kg should not be lifted;
  5. Tampons - no, pads - yes;
  6. Drugs that affect blood clotting are strictly prohibited;
  7. Sauna or bathhouse is absolutely not allowed.

If after a biopsy the patient experiences a pulling sensation in the lower abdomen, blood clots come out of the vagina, frequent changes of pads are necessary, and the discharge has an unpleasant odor, then you should immediately run to the gynecologist.

If symptoms are accompanied by high temperature, then you need to call an ambulance.

Consequences

After the biopsy, the patient remains able to work, although she has vaginal discharge, which lasts approximately 3-4 days if the biopsy was taken by radio wave.

If a sample of cervical tissue was taken using the loop method, bleeding may last several days (maximum a week).

Sometimes the consequences of the procedure manifest themselves in the form of increased temperature. Since a cervical biopsy is still a micro-operation associated with a violation of tissue integrity, there is a possibility of complications of infectious origin.

If hyperthermia is characterized by values ​​above 37.5°C, then you need to consult a doctor to determine the cause of the elevated temperature.

It is considered normal if after a cervical biopsy there is pain in the abdomen, its lower part, as well as pain in the deep part of the vagina. This is a completely normal phenomenon, such symptoms will go away on their own, so there is no need to panic.

Dangerous complications after a biopsy include the following:

  • Purulent processes;
  • Vascular damage causing intense bleeding;
  • A circular biopsy can cause extensive scarring or provoke the appearance of areas with abnormal, abnormal epithelium, which experts regard as a precancerous condition.

Decoding the results

Typically, test results are prepared within 2 weeks. They can confirm cervical dysplasia, benign tumor processes, polyposis, etc.

It is unlikely that you will be able to decipher the results of a cervical biopsy on your own, because only a qualified specialist can understand this complex matter.

Today, when deciphering, specialists use several interpretations, including three dysplastic degrees, carcinoma, classification of changes in, etc.

In our clinics, the classification of background disorders, precancerous conditions and cervical cancer is usually used. Based on this classification, the diagnosis is determined.

The diagnostic accuracy is about 99%. But even with poor results, you should not despair, because most cervical abnormalities today can be successfully cured.

Even cervical cancer can be treated if detected early. Therefore, when receiving the results, it is recommended to ask the doctor to interpret them accurately and in detail, as well as to give appropriate recommendations regarding treatment.

A cervical biopsy is a medical procedure prescribed for suspected malignant tumors of the organ or other diseases associated with the risk of developing cancer, and involves the removal of a small area of ​​the mucous membrane for subsequent laboratory testing. A biopsy is prescribed as part of a comprehensive diagnosis of various pathologies, as well as to confirm the diagnosis established by colposcopy and cytology. The procedure allows you to determine the presence of cancer at the very beginning of their development, when it is possible to prevent their dangerous consequences.

Indications for cervical biopsy

A biopsy is prescribed by a gynecologist if he discovers “suspicious” areas of the mucosa during an examination of the patient. Indications for the procedure are the following symptoms:

  • change in color of a certain area of ​​the mucous membrane of the cervix;
  • the presence of lesions, papillomas on it;
  • lightening of individual areas of the mucosa under the influence of a certain composition used in gynecology.

A biopsy is required to confirm diagnoses of leukoplakia, endocervicitis, in particular mucosal condyloma caused by oncogenic strains of the virus, and cervical cancer. Modern experts are of the opinion that such a common pathology among young women as erosion or ectopia of the cervix is ​​not an indication for a biopsy. Ectopia itself is a variant of the norm and does not pose any risk of transformation into a tumor.

Contraindications

There are few contraindications for biopsy, due to the presence of certain diseases of the body in general and the woman’s reproductive system in particular. Thus, the procedure is not recommended for patients with poor blood clotting. Even though a biopsy is a minor surgical procedure, it can cause heavy uterine bleeding. This is due to the fact that the cervix is ​​saturated with a large number of small blood vessels. If a woman does not have problems with blood clotting, she is usually not in danger. Otherwise, the biopsy may cause significant blood loss. Diseases associated with poor blood clotting are rare, but the same cannot be said about STIs, which are the main contraindication to the procedure. The list of STIs includes HPV and other less commonly diagnosed pathologies. Before undergoing a biopsy, a woman must be tested for STIs. Reliable results are obtained by PCR diagnostics (smear). If the study shows a negative result, a biopsy can be performed; if any of the listed infections are detected, then not. During a biopsy, pathogenic microorganisms - bacteria or fungi that provoke venereal disease - can penetrate the damaged mucosa and cause severe inflammation. Therefore, you first need to undergo a course of antibiotic treatment, then re-test for STIs, and only if the result is negative, go for the procedure.

Cervical biopsy methods

There are various ways to carry out this operation. The intervention is carried out under local anesthesia (rarely under general anesthesia, for particularly impressionable and nervous ladies). Some patients successfully tolerate the procedure without any pain relief at all; discomfort during the biopsy is caused primarily by contraction of the uterus. The most reliable result is obtained by a biopsy performed using a conventional scalpel. This type of intervention takes a few minutes. First, the cervix is ​​exposed using special instruments, then its mucous membrane is stained with a solution that allows one to accurately identify atypical foci of its development, after which one of these foci is carefully excised. To conduct further research, a very small area of ​​tissue (no more than 3 mm deep and 5 mm wide) is sufficient. After this, the intervention site is disinfected. The procedure is considered completed. The resulting biopsy is sent for histology to identify atypical or cancerous cells. Biopsy with laser or alternating current (electrocoagulation) is actively used by modern specialists. Such methods of intervention in a woman’s body are considered to be the least invasive. However, when exposed to laser or current, the material taken for research may be slightly damaged. This will complicate histology and may affect its result. The main advantage of this procedure is the absence of bleeding and subsequent formation of adhesions or sutures on the mucous membrane of the cervix. Therefore, this biopsy method is prescribed mainly for diagnosing women planning a pregnancy in the future. Depending on the medical institution and the method of performing the procedure, the price for a cervical biopsy varies (from RUB 2,500 and above). In general, the procedure is inexpensive; the cheapest option is a public clinic at your place of residence. It is common for private clinics to inflate the cost of their services. Histological examination of the biopsy material is paid separately.

Cervical biopsy results

It usually takes about 14 days from the time the biopsy is performed until the result is obtained. Subsequent treatment is prescribed taking into account the data obtained. A biopsy can show the presence of atypical mucosal cells characteristic of cervical dysplasia, which will give an accurate answer to the question of whether the disease exists and how far the process of its development has gone. Also, histological examination of the material taken during a biopsy allows you to detect cancer cells, confirm or exclude the presence of a malignant tumor. Often a biopsy is performed not only for diagnostic purposes, but also for the purpose of treating already detected pathology. For example, the same dysplasia. The atypical area of ​​the mucosa is removed during the operation and then sent for histology (just in case, to completely exclude the possibility of oncology).

Discharge after cervical biopsy

The main unpleasant symptom in the first few hours after a cervical biopsy is caused by damage to the mucosa. Along with the discharge, it may be felt. Most women experience such pain in the first two days of menstruation. Normally, such symptoms are acceptable if they do not cause the woman very much discomfort. Minor uterine bleeding may occur after the biopsy for several days, since the mucous membrane heals extremely slowly. The spotting stops when the wound is completely healed. To avoid increased bleeding, you should refrain from taking a hot bath, sexual intercourse, or lifting heavy objects. An unpleasant smell of discharge indicates the presence of an infection and is a reason to consult a gynecologist. The woman’s body fully recovers after the procedure within 5-7 days, after which she can return to her daily activities.

To clarify the nature of cervical pathologies, a biopsy may be prescribed. Not knowing the intricacies of the procedure, the patient begins to worry that it will be painful and assumes that her illness is severe, since she was prescribed such a complex examination. However, it is necessary to understand that this is only an important diagnostic method that makes it possible to choose the most effective treatment. Carrying out a biopsy of the cervix during erosion is necessary in order to recognize the earliest signs of possible diseases and prevent serious consequences.

Content:

Purpose of biopsy

The procedure involves taking a small piece of tissue from an area of ​​the cervix where damage was detected during colposcopy. After the biopsy, the sample is examined under a microscope and it is determined whether there are cells of an atypical structure (that is, a precancerous condition is observed) and whether the pathology is malignant.

In what cases is a biopsy prescribed? Contraindications

Such a procedure is indicated if, during an examination for inflammation of the cervix (cervicitis), ulceration, areas of necrosis and keratinization of tissue, and cracks are found on its surface. In this case, suspicions arise about the presence of leukoplakia, cervical dysplasia of varying degrees, the occurrence of polyps, and cancer.

A biopsy is prescribed based on the results of an extended colposcopy. At the same time, the reaction of tissues to treatment with special substances is checked. When the surface is lubricated with a 3% solution of acetic acid, the damaged areas look pale against the background of healthy epithelium. After applying Lugol's solution (iodine), they remain uncolored. Taking and examining a sample of the material is necessary to confirm or refute the presence of erosion and other pathologies.

Contraindications to a cervical biopsy are the presence in a woman, in addition to erosion, of acute or chronic inflammatory processes in the genital organs. If a vaginal smear shows that there is an infection in the body, the procedure is postponed.

A biopsy is also not performed if a woman has blood diseases (coagulation disorders), vascular pathologies or heart failure.

Features of the biopsy

The biopsy is performed the day after the end of menstruation (approximately on the 7th day of the cycle), so that by the beginning of the next menstruation the wound at the site of sampling has time to heal. In this case, the risk of infection during the next period is reduced. In addition, menstrual blood entering an unhealed wound on the cervix can lead to the development of genital endometriosis.

The duration of the procedure is usually several minutes. Depending on the technique used, the biopsy is performed on an outpatient basis (if local anesthesia is used) or in a hospital (when tissue sampling is performed under general anesthesia).

The procedure is controlled using a colposcope, a device that makes it possible to optically magnify and illuminate the surface of the vagina. The selected material is placed in a formaldehyde solution and sent to the laboratory for histological examination.

Is the biopsy procedure painful?

Since there are no nerve endings in the cervix, severe pain does not occur during the collection of material due to erosion. Depending on the biopsy method and the extent of the erosion site from which the sample is taken, the procedure is performed without anesthesia or with local anesthesia (lidocaine injection is given). Contractions of the uterus, which reflexively occur when the cervix is ​​affected, can cause slight discomfort in the lower abdomen.

Video: Why is a biopsy prescribed and how is it performed

Types of biopsy

The following methods of sampling from the surface of the cervix are used:

  • conization - cutting out a separate piece of tissue in the shape of a cone using a laser beam, scalpel or other device;
  • excisional biopsy (puncture) - pinching off a piece of tissue from an erosion site using medical forceps (conchotome);
  • endocervical biopsy, when a small amount of material is scraped from the surface of the cervix using a special device (curette), which is then examined histologically;
  • trepanobiopsy - sampling for erosion from several areas of the cervix.

Depending on what devices are used to perform conization during a cervical biopsy when diagnosing erosion, there are several types of such a procedure.

Simple biopsy. The material is collected using needles of various diameters. It is possible to extract it in the form of a column, which contains cells located at different depths.

Knife biopsy. Cutting out a small piece of tissue during erosion is done using a scalpel. The most effective, but painful procedure, which is performed under general anesthesia.

Radio wave biopsy. It is carried out using the Surgitron device, which allows for a bloodless cut of tissue with a radio knife (a special electrode emitting high-frequency radio waves). The disadvantage of this method is the cauterization of tissue, which somewhat reduces the quality of the sample taken and the accuracy of the results obtained.

Laser. The fabric is cut using a laser beam.

Loop. The cutting of material during erosion is carried out by an electrode in the form of a thin metal loop through which a weak current is passed.

Note: When choosing the method of performing the procedure, the degree of development of cervical erosion and the age of the patient are taken into account. For nulliparous women, knife, conchotomy and loop biopsies are not recommended, since a scar remains on the cervix. This reduces the elasticity of the wall, which can subsequently complicate childbirth.

Preparing for a biopsy

Before prescribing the procedure, studies are carried out to determine blood clotting, as well as tests of blood, urine and mucus from the vagina and cervix to detect infections and inflammatory processes. In this case, the following is carried out:

  • general blood and urine analysis;
  • biochemical blood test for sugar, urea, liver enzymes;
  • coagulogram (blood test for clotting);
  • smear for microscopic examination of the composition of the vaginal microflora;
  • blood tests for syphilis and other sexually transmitted infections, as well as for HIV and hepatitis viruses.

If there are no contraindications to the biopsy, a day for the procedure is scheduled. In this case, a week before its implementation, it is necessary to stop taking blood thinning medications (aspirin, warfarin, ibuprofen). The day before the procedure, you must stop using tampons, douching, and the use of vaginal tablets and suppositories for erosion.

Before starting manipulations, a woman must warn the doctor about the presence of any drug or food allergies, hypertension, heart disease, diabetes, or vascular pathologies. You should also report on previous operations to remove the appendix, gallbladder, and, in particular, any complications that have arisen.

In some cases, at the request of the patient or if the area of ​​the cervix is ​​too large, a biopsy is performed under general anesthesia in a hospital. In this case, you must stop taking food, liquids and any medications 12 hours before it starts.

Biopsy and possible complications

Before the procedure, the cervix is ​​irrigated with lidocaine spray or an injection of lidocaine is given into its muscle. A dilator is installed in the vagina, through which instruments for manipulation are inserted. If erosion is suspected, the surface to be examined is treated with acetic acid or iodine and a sample is taken. After this, a suture is applied or the vessels are coagulated using various methods.

Complications after the procedure

As a rule, complications do not arise after the manipulations. For several days, a woman may experience small amounts of blood in her discharge, then the condition returns to normal. In rare cases, prolonged bleeding and pain in the lower abdomen are observed, indicating poor healing.

There may be a change in the color of the discharge and the appearance of an unpleasant odor (which indicates infection of the wound and the occurrence of an inflammatory process). After the procedure, a slight increase in body temperature is possible.

The occurrence of complications can be triggered by a decrease in immunity as a result of previous illnesses, poor nutrition, and stress. A woman must inform her doctor about all such ailments.

The use of vaginal suppositories with antibacterial drugs (terzhinan, metronidazole), antiviral agents (betadine) may be prescribed. To improve immune defense and speed up the tissue healing process, Genferon rectal suppositories are prescribed.

Research results

The results are ready in about 2 weeks. They may reflect:

  1. The presence of erosion with confirmation of the degree of changes that have occurred in the tissues. Depending on them, the patient will be prescribed conservative or surgical treatment.
  2. The formation of chronic cervicitis, which requires therapy with anti-inflammatory drugs, there is no need for surgery.
  3. Atypical changes in cervical tissue. Treatment depends on the degree of dysplasia. For grade 2 and 3 disease, surgical intervention is required, since this condition is precancerous.

In order for healing to take place as quickly as possible and to avoid complications, doctors recommend that a woman follow certain rules after a cervical biopsy. Over the next 4 weeks, it is necessary to avoid nervous and physical fatigue, staying in the sauna, or under the rays of the sun. You can only swim under a warm shower.

Pads should be used as hygiene products; tampons should not be used. Do not douche or use any ointments or suppositories not prescribed by a doctor. During the recovery period, sexual intercourse should be avoided.


A cervical biopsy is performed after abnormalities have been detected during a gynecological examination or test results. The cervix is ​​the narrow and lower part of the uterus, connecting the vagina and uterus, located between the rectum and bladder, from which a tissue sample is taken for further analysis and to confirm or refute suspicions of abnormalities, precancerous conditions or cancer.

Features of the procedure

A biopsy is performed on days 5-7 of the cycle, after menstrual bleeding has stopped. It is possible to collect material for research only in the absence of infection, therefore, before the biopsy, the vaginal flora must be examined. If an infection is detected, the woman is first prescribed treatment and only after good test results are obtained, a biopsy is performed.

Cervical biopsy is a painless, short procedure, performed without anesthesia: there are no painful endings on the cervix, and during the procedure the woman feels only light stretching - this is the uterus contracting in response to the touch of the instruments. In order to reduce contractions, just relax.

To collect material, a scalpel, a radio knife, biopsy forceps, and an electric loop are used.

A biopsy is performed under the control of a colposcope - a device similar to a microscope, and Lugol's solution is used as a dye to mark the altered area of ​​the epithelium.

Cervical erosion is redness that a gynecologist can detect during a standard visual examination. Redness indicates that there is inflammation in the cervix, which means there is an increased risk of developing an infection. Antibiotic therapy is often ineffective, and it is necessary to work directly with the source of inflammation. Therefore, in addition to colposcopy, a woman is prescribed to undergo a cervical biopsy for erosion - to determine the condition of the epithelium and choose a treatment approach: medication or surgery.

In case of erosion, a cervical biopsy helps to identify chronic cervicitis - antiviral or anti-inflammatory treatment is prescribed; squamous metaplasia - an erosion healing process that does not require treatment; leukoplakia - the disease is treated surgically; flat condyloma - antiviral therapy is prescribed and, possibly, after a repeat biopsy, surgery; dysplasia - anti-inflammatory, antiviral or surgical treatment is prescribed; cervical cancer - a woman should be under the supervision of an oncologist and undergo appropriate treatment.

Types of cervical biopsy

Depending on the results of the colposcopy and the condition of the cervix, a biopsy may take either a small tissue sample or remove the area where the abnormality is found. Therefore, the following types of biopsy are distinguished:

  • conization. Using a scalpel or laser, a cone-shaped piece of tissue is removed from the cervix;
  • trepanobiopsy. Material for research - small pieces of epithelium are taken from several areas of the cervix;
  • endocervical biopsy. Using a special instrument - curettes - scrape out the mucus from the cervical canal;

What happens after a biopsy

After the procedure, a woman may still feel moderate cramping pain for several days, to relieve which you can take a painkiller.

The recovery period after a biopsy can last several days or weeks. At this time, discharge after a cervical biopsy may be observed - both slight, brown in color, and moderate vaginal bleeding.

After a cervical biopsy, you should abstain from exercise and sexual activity for at least two weeks.

Discharge after a cervical biopsy may be greenish or brown in color and last for several days if an extended colposcopy was performed before the procedure and the cervix was treated with special solutions.

Yellow discharge after a cervical biopsy or discharge with an unpleasant, strong odor may indicate the development of an infection, so the woman should consult a doctor.

Medical help should also be sought if the following symptoms appear during the recovery period:

  • heavy vaginal bleeding, similar in intensity to or greater than menstrual bleeding;
  • severe pain in the lower abdomen;
  • the temperature has risen.

After a biopsy and analysis of the results, the woman may be prescribed either a repeat colposcopic examination or adequate treatment of the identified abnormalities.

A cervical biopsy is a medical procedure that removes tissue from the cervix for analysis, which allows an accurate diagnosis to be made and treatment to begin.

Cervical biopsy analysis is carried out using several methods:

  • Targeted biopsy
  • Radio wave
  • Wedge-shaped
  • Laser
  • Circular
  • Electroexcision (loop)

A cervical biopsy is prescribed in the following cases:

  • Cytology smear showed abnormalities
  • Changes in cervical tissue
  • Erosion
  • Polyps and condylomas
  • Cervical hyperkeratosis

The analysis cannot be carried out if there are inflammatory processes in the body and poor blood clotting.

With the help of analysis, oncological diseases and previous diseases that cause a pathological condition of cervical tissue are identified. A timely visit to a specialist and an examination can save your life.

Preparing for a cervical biopsy

The doctor ordered a biopsy of the cervix - you need to prepare. Preparing for a cervical biopsy means following several mandatory rules: do not use vaginal hygiene products, medications, and do not have sex two days before taking a cervical biopsy. Before taking a cervical biopsy, take a shower and perform all hygiene procedures. You should not eat from the evening before until the cervical biopsy is taken.

Before a biopsy, you must undergo blood tests for hepatitis, HIV, RW, and smears for infections. To ensure that the cervix is ​​not damaged by the beginning of the next menstruation, the analysis is carried out immediately after menstruation.

Proper preparation for a cervical biopsy is the key to an effective procedure.

How to do a cervical biopsy

A cervical biopsy is done in your gynecologist's office unless anesthesia is required. If the biopsy is performed under general anesthesia, you will need to be hospitalized for 2 days. Your attending physician will familiarize you with the biopsy method in your case and give recommendations on preparation and recovery after the procedure. A week after the biopsy, you should visit your doctor again for an examination.

How is a targeted cervical biopsy performed?

The targeted biopsy method is carried out using a device and a thin needle. During colposcopy, the doctor uses a thin needle to collect cells that are suspicious. All actions are controlled by the device. It is considered the best method for determining cervical cancer and dysplasia.

If you are scheduled for a cervical biopsy test, you can find out the cost on the clinic’s website, or directly at the clinic itself.

How to do a radio wave biopsy of the cervix

This biopsy method is performed using a radioknife and rarely causes complications. Anesthesia is not required for this procedure, there are practically no complications after it, and the discharge is scanty. Healing is very fast.

If you are scheduled for a cervical biopsy, you can find out the cost of this method on the clinic’s website. Cervical biopsy - the price of the procedures is indicated in the clinic’s price lists, where you can familiarize yourself with the cost of services.

How to perform a cervical biopsy using a laser

A laser biopsy requires short-term anesthesia. The procedure is carried out in a hospital. A section of the cervix is ​​removed using a laser. Low-traumatic surgery, healing is fast. After the laser biopsy, there will be a discharge ranging from light pink to red-brown for several days.

How is a cervical biopsy done using the loop method?

A loop biopsy is performed using a loop that is placed over an area of ​​the cervix and then current is passed through it, causing cell death. Used for biopsy and treatment. May cause scarring on the cervix.

How to do a wedge cervical biopsy

The wedge biopsy method is the excision of a wedge-shaped area of ​​cervical tissue with a scalpel, healthy and diseased areas of tissue are removed. After the biopsy, stitches are placed. Requires anesthesia, the operation is performed in a hospital. Healing is prolonged, pain and discharge are present.

How to do a circular biopsy

With a circular biopsy, not only a section of cervical tissue is taken, but also a section of the cervical canal. The analysis is considered an extended biopsy and is performed using a radioknife or scalpel. Performed under general anesthesia. After the procedure, there may be pain and discharge that will last for several days.

After the biopsy, you should not have sex, take a bath, bath, douche, or use vaginal tampons for two weeks. You can't lift weights. After the analysis, complications may occur - infection of the wound surface and bleeding from damaged vessels. Infection will manifest itself with fever and discharge in the form of dark clots and pus, and pain in the groin will appear.

Cervical biopsy - price

The prices for different methods of cervical biopsy also vary. It all depends on the complexity of the procedure. By visiting the website of the clinic you are interested in, type in the search engine: cervical biopsy price or cervical biopsy cost. You will receive complete information on cervical biopsy, the cost of the procedure in different clinics. Clinics often offer promotions, including for cervical biopsy, the cost of the service will be lower.