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Experts Corner

Perinatal Pathology

Pregnancy After Cone Biopsy
By Carolyn M. Salafia, MD

Carolyn Salafia, MDQ. Last September I had a cone biopsy . I am only 9 weeks pregnant, with the usual fears about first trimester miscarriage. But it seems like as soon I as I can start feeling better, I will have to start worrying about incompetent cervix. Can you tell me how common this is in women who have had cones?

A. All these surgeries are different because columns can be deep or shallow. You really need to have your current caregiver discuss with your cervical surgeon exactly what they did, possibly even review the descriptions of the specimen that was sent to the pathology laboratory for evaluation, to make absolutely certain that your doctor understands what type of manipulation was done to your cervix.

That said, I do know that it is possible to do transvaginal ultrasounds to measure the cervix and to check on its structure. This is certainly the type of procedure that is comparatively non-invasive (transvaginal ultrasounds aren't fun, but there's a lot worse things that could happen to you), and really would be a very direct way of assessing cervical function as it's happening in your current pregnancy. Try to enjoy your pregnancy. Getting your doctors as much information about your cervical manipulation will help them take better care of you, and ask them what they think about keeping an eye on your cervix with a transvaginal ultrasound.

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