Trachelectomy

For more invasive cancer, you may be able to have a trachelectomy, as long as the cancer is not really deep. This is removal of the cervix, essentially.

Some women have this after a LEEP or a cone biopsy diagnoses that the cancer is bigger than 2 cm.

Now, since the cervix is really a connection from the vagina to the uterus, how is this possible? The surgeon removes the cervical tissue down to the wall and about 2 cm of the upper vagina, and then reattaches the uterus to the vagina. Then, because it's just open from the vagina directly into the uterus, the surgeon puts in a special cerclage called a Shirodkar cerclage to close the opening to the uterus. That's essential to carry a baby.

Not many surgeons know how to do this procedure, so if you have to go that route, you will probably have to travel somewhere to have it done. Check out the list of doctors on this site. And you will have to spend a couple days in the hospital. They also recommend that you wait a year before trying to conceive.

When you do get pregnant, you'll have to have a c-section because the Shirodkar cerclage is permanent. But at least you can still have a baby. And the pregnancy rates are really good post-trachelectomy. See what Dr. Pedro Ramirez from MD Anderson Cancer Center had to say about the procedure.

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Go to Dr. Pedro Ramirez interview