Can You Have Children With Cervical Cancer?
Cervical cancer usually is derived from human papillomavirus and develops when cancerous tissues begin to form in the cervix. Cervical cancer usually develops quite slowly and with no symptoms but can be detected with a Pap test. During a Pap test, tissue cells are removed and tested for abnormalities. If cells are determined to be precancerous or cancerous, proper treatment can be given to either remove the precancerous cells or begin other treatment if cancer is found.
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Early Pregnancy and Cervical Cancer
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It is still possible for you to have a baby if you are diagnosed with cervical cancer, depending on the stage of pregnancy and cancer. If you are in an early stage of cancer, such as when only a small amount of cancer has developed, then most doctors will determine you will be able to continue the pregnancy to term. It also will be advised that a hysterectomy be performed shortly after the delivery of the baby.
Pregnancy with Advanced Cervical Cancer
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In a woman with advanced cervical cancer, the decision to continue or terminate the pregnancy becomes greater and more serious. Pregnancy can be a difficult time for healthy women but can be much worse for women with advanced cancer. Treatment of the cancer must start as soon as possible, as doctors are aware of the dangers of leaving an invasive cancer untreated, however, if you are too far along in the pregnancy to start treatment, the doctor will recommend to start treatment as soon as the baby is born. Starting treatment will normally end the pregnancy, as the baby will not be able to survive it.
Pregnancy after Cervical Cancer Treatment
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After most treatments for cervical cancer, it is doubtful for a woman to become pregnant. This is because most cervical cancer treatments include either a complete removal of the womb or radiotherapy, which causes the ovaries to stop functioning.
Cone Biopsy
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In the very early stages of cervical cancer, a cone biopsy can be performed to preserve the chances of becoming pregnant in the future. A cone biopsy can only be performed, however, if the cancer cells are only in the cervix, less than 5 mm deep into the cervix, no larger than 10 mm wide and there is no sign of any cancer in a blood vessel, lymphatic vessel or gland.
A cone biopsy involves removing a cone-shaped or cylindrical piece of tissue from the cervix and cervical canal. This is to remove the width and depth of the portion of the cervix that is cancerous. This procedure can be performed with a scalpel, which tends to cause more bleeding afterward, but also can be done with a laser.
Radical Trachelectomy
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Another option for treating cervical cancer and still having a chance of getting pregnant is radical trachelectomy, which leaves enough of the cervix to support a pregnancy after the cancerous portion of the cervix is removed. The upper opening of the cervix is stitched after the cancerous portion is removed so that a successful pregnancy is possible. There still is a significant chance of miscarriage and premature birth, and a Cesarean section will be the only method for the baby to be delivered.
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