Can the Cervix Be Removed Without a Hysterectomy?
Yes, the cervix can be removed without a hysterectomy through procedures like trachelectomy or conisation. Learn when it's needed, how it's done, and its impact on fertility and recovery.
Written by Dr.Sonia Bhatt
Last updated on 7th Jul, 2025
Introduction
If you’ve been told you need cervical surgery, you may wonder whether your cervix can be removed without a full hysterectomy, removal of the uterus. The good news is—yes, it can! This procedure is called a trachelectomy or cervical conisation, depending on the extent of removal.
In this article, we’ll explain why someone might need their cervix removed, how the procedure works, recovery, and what it means for your long-term health.
Why Would Someone Need Their Cervix Removed?
The cervix is the lower part of the uterus that connects to the vagina. Sometimes, it needs to be removed due to:
Cervical cancer or pre-cancerous cells, also known as CIN – Cervical Intraepithelial Neoplasia
Chronic infections or inflammation that don’t respond to treatment
Abnormal cell growth (dysplasia) that could turn cancerous
Pelvic pain or bleeding linked to cervical issues
If the problem is localised to the cervix and the uterus is healthy, doctors may recommend removing only the cervix instead of a full hysterectomy.
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Types of Cervix Removal Procedures
There are two main procedures used to remove the cervix without a hysterectomy, each suited to different medical needs.
1. Trachelectomy (Radical or Simple)
Trachelectomy is a surgical procedure that involves removing the cervix and, in some cases, adjacent tissues. It can be performed in two forms:
Radical trachelectomy is typically done for early-stage cervical cancer. It involves removing the cervix, part of the upper vagina, and surrounding lymph nodes.
Simple trachelectomy is less extensive and may be used in non-cancerous cases where only the cervix is removed.
Importantly, since the uterus is left intact, many women retain the ability to conceive after this procedure.
2. Cervical Conisation (LEEP or Cold Knife Cone Biopsy)
This is a more conservative procedure often recommended for pre-cancerous changes in cervical cells. It involves removing a cone-shaped portion of the cervix using one of the following methods:
LEEP (Loop Electrosurgical Excision Procedure) uses an electrically charged wire loop.
Cold knife conisation is done with a surgical scalpel under anaesthesia.
Conisation is less invasive and has minimal impact on fertility.
How Is the Procedure Done?
The method used depends on your diagnosis and the extent of tissue removal needed.
Minimally Invasive Surgery: Often performed laparoscopically (through small incisions) or robotically.
Vaginal Approach: Some trachelectomies are done through the vagina without external cuts.
General anaesthesia is typically administered to ensure you remain comfortable and pain-free during the surgery.
Recovery After Cervix Removal
Recovery will vary depending on the type of procedure performed.
Hospital Stay: 1-2 days for a trachelectomy; outpatient for conisation.
Pain & Discomfort: Mild to moderate, managed with prescribed painkillers.
Bleeding: Light spotting for a few weeks.
Activity Restrictions: Avoid heavy lifting, sex, and tampons for 4-6 weeks.
Will Removing the Cervix Affect My Health?
Many women wonder what changes to expect after cervix removal. Here’s what you should know:
1. Fertility & Pregnancy
If the uterus is preserved, conception is still possible. However, a pregnancy may be considered high-risk. A cervical stitch (cerclage) may be needed to help carry the baby to term.
2. Menstrual Cycle
Since the uterus remains, your menstrual periods will usually continue as normal.
3. Sexual Function
Most women report no significant change in sexual satisfaction after cervix removal. However, some may notice slight changes in sensation.
When to Consult a Doctor
While complications are rare, it’s important to contact your healthcare provider if you experience:
Heavy bleeding
Severe pain or fever
Foul-smelling discharge
Difficulty urinating
Can You Prevent Cervical Problems?
Yes. Prevention plays a key role in cervical health. Regular screening and healthy lifestyle habits can help detect and reduce the risk of cervical disease.
Routine Pap smears and HPV tests can identify early cellular changes.
HPV vaccination significantly lowers the risk of cervical cancer.
Safe sex practices and avoiding smoking also contribute to a lower risk.
When to Consider Surgery
If your doctor suggests cervix removal, it’s important to have an open discussion about:
The specific reason for the recommendation like cancer, dysplasia or chronic infections.
Whether non-surgical treatments like laser therapy or medications have been considered.
The potential impact on fertility and quality of life.
If you have concerns about cervical health or surgery options, consult a gynaecologist. You can book an appointment easily through Apollo 24|7 for personalised care.
Final Thoughts
Removing the cervix without a hysterectomy is possible and can be a safe option for many women, especially those who wish to preserve fertility. Early detection and treatment are key—so never skip your regular check-ups!
Would you like to speak to a specialist? Schedule a consultation today and get the right guidance for your health.
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Dr. Mona Yadav
Obstetrician and Gynaecologist
19 Years • MBBS, MD (Obstetrics & Gynaecology)
Dombivli
Nulife multispeciality, Dombivli
Dr. Asha Rani Singh
Obstetrician and Gynaecologist
24 Years • MBBS DGO
Delhi
Dr Asha Rani Singh Clinic, Delhi
Dr. Parul Sharma
Obstetrician and Gynaecologist
8 Years • MBBS, MS (Obstetrics & Gynaecology)
New Delhi
THE DOCTORS NESST, New Delhi
Dr. J Aswini Sowndarya
Obstetrician and Gynaecologist
4 Years • MBBS, MS Obstetrics & Gynaecology, FMAS, FART
Rajamahendravaram
Tholat Memorial Multi Speciality Hospital, Rajamahendravaram
Dr. K Anusha
Obstetrician and Gynaecologist
4 Years • MBBS, DGO
Yemmiganur
SRINIVASAA HOSPITAL, Yemmiganur
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