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Q&A with Australian Health Practitioners
Is it safe for me to conceive after undergoing cervical cancer treatment?
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Prof Jonathan Carter
Gynaecological Oncologist
Pregnancy is only possible in early cervical cancer treatment, if fertility sparing surgery has been undertaken, that is a cone biopsy or a radical trachelectomy. After a perio of surveillance, certainly pregnancy is achievable. A cone biopsy is undertaken when the cancer invades very superficially into the muscle of the cervix, usually less than 3mm; whereas a trachelectomy is a little bit more than that. You know from our experience that the risk of spread to lymph nodes is low and the risk of recurrence is very low and that's why we'll offer fertility sparing surgery in those situations. Any cervical cancers larger than that, really need to be treated by definitive surgery, and that is the radical hysterectomy and carrying an interuterine pregnancy is obviously not possible.
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