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What are the fertility options for a young woman with early cervical cancer?
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PedroRamirezMD (Physician (Verified) ) - 05 / 04 / 2012
If a patient is diagnosed with stage IA1 cervical cancer, the patient has the option of treatment by a simple cone biopsy. If the patient has stage IA2 or IB1, then the patient is a candidate for a radical trachelectomy. This procedure removes the cervix, uterus, the parametria (tissue immediately adjacent to the cervix) and the pelvic lymph nodes. It is now commonly performed by the laparoscopic or the robotic approach. The pregnancy rates after the procedure are approximately 50-60%. In addition, the first and second trimester pregnancy loss are the same as the general population. Also, when a patient does get pregnant, she will have a 75% chance of reaching the third trimester. Patients undergoing radical trachelectomy have an excellent survival rate (95%). All patients undergoing this procedure do require a cerclage (suture around the lower segment of the uterus) to maintain the pregnancy and all patients must be delivered by a Cesarean section.
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