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What is Cervical Conization due to HPV?

The cervical conization for HPV is a procedure in which abnormal tissue is removed from the lower part of the cervix, where there is presence of the human papillomavirus.

It doesn’t mean that you can get rid of HPV, as the virus will still be in your system.

How is the procedure performed and when can a doctor recommend it?

Woman looking at the camera.

In the procedure, the doctor takes a cone-shaped tissue sample from the cervix (the opening of the uterus). This tissue sample is examined under a microscope to see if there are precancerous changes that could lead to cervical cancer.

The procedure is done under local or general anesthesia for the removal of the affected part and can be used as part of a test to detect HPV infection.

It’s not intended for people with normal results in vaginal cytology (Pap smear), or for those whose tests show signs of high-grade precancerous changes or cancer.

In these cases, the procedure would be considered too risky because it could cause other problems, or premature birth if performed during pregnancy.


The most common complications associated with cervical conization are bleeding and infections. Bleeding can occur on its own or along with other complications, such as issues related to anesthesia and post-operative pain.

The infection is usually caused by a scalpel or poorly disinfected instruments. Also, other types of problems can arise, such as…

  • Damage to the vaginal wall.
  • Injury to nearby blood vessels or nerves.
  • Bleeding from the cervix to surrounding tissues.
  • Adverse reaction to the medications used or to the anesthesia.
  • Fever
  • Narrowing of the cervical canal.
  • Weakening of the cervix, which can cause premature births or spontaneous miscarriages.

Recommendations before and after the procedure

Doctor and patient
Credit: Photo by depositphotos.com


  • Bring the results of the tests that the doctor indicates. Normally this is a basic preoperative study.
  • Inform the doctor of the presence of any symptoms that may indicate an infection in the vaginal area.
  • Don’t go to the procedure alone.
  • Go fasting.
  • Wear comfortable clothing to the office.


  • Rest for 3 days.
  • Avoid strenuous exercise or lifting weights.
  • Do not have vaginal douches or tampons until after a month after the procedure.
  • Avoid sexual intercourse for 4 weeks.
  • Consult your doctor in case of persistent abdominal pain, fever, or abnormal bleeding.

What to do to reduce the risks of developing new lesions or reinfection?

If you have been diagnosed with HPV and received treatment, that doesn’t mean that you cannot contract the virus again. For this reason, the following is recommended to prevent new lesions or complications associated with the virus:

  • Use condoms for sexual intercourse, even oral, to reduce new infections. However, bear in mind that the condom does not provide 100% protection.
  • Take contraceptives, as a lower risk of HPV persistence has been shown in women who use pills.
  • Stop smoking, because cigarettes weaken the immune system, which can cause your body not to fight with all its strength against the virus and you become infected again.
  • Get the vaccine. At least 3 doses to minimize the risk of new lesions.

These were some tips to help you know how to deal with HPV. However, there is much more you need to do if you really want to get rid of HPV and warts forever.

What you need to do is GET RID OF THE ROOT of the problem.

For that reason, I recommend you to look into Dr. Kirkland's story and how he was able to cure HPV and get rid of warts for good.

Click here to see what he did

I wish you great success in your recovery!

Frequently asked questions

Man thinking

What is the difference between a biopsy and a conization?

A biopsy is a procedure where your doctor takes a sample of the cells from the cervix to study them, and it’s usually performed during a Pap smear. On the other hand, a cervical conization is a procedure where your doctor removes abnormal cells from the cervix in the shape of a cone.

How painful is conization of cervix?

A cervical conization is performed under local, regional, or general anesthesia, so you won’t feel any pain.

Does HPV go away after conization?

No, a cervical conization can’t get rid of the virus, it only removes abnormal cells. To get rid of the virus, I recommend you follow a diet full of vitamins and antioxidants to boost your immune system.

Can precancerous cells come back after cone biopsy?

Yes, precancerous cells can return, as this method doesn’t get rid of the HPV virus.


Dr. Amy Wilson

Medically reviewed by Dr. Amy Wilson. Dr. Amy Wilson, born in the United States, obtained her medical degree from Lincoln University School of Medicine. Specializing in obstetrics and gynecology, she’s dedicated 15 years to women’s health, becoming a distinguished gynecologist and serving in various U.S. medical institutions.


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