Is it necessary to biopsy the ascus?

Is it necessary to biopsy the ascus?

Cervical puncture biopsy is an examination of the living tissue of the cervix. After some disinfection measures, a small piece or several pieces of sample tissue are taken from the cervix, stored in a special liquid, and then sent to the laboratory for pathological analysis such as cutting and staining. Cervical puncture biopsy is generally used to confirm the diagnosis of cervical pathological behavior or abnormal tumor cells in cervical smears. It is the most reliable way to identify cervical cancer. So, is it necessary to perform a puncture biopsy on ascus?

During the TCT examination of the cervix, if ASCUS is found, it is not necessary to perform a cervical puncture biopsy. You can refer for a colposcopy and perform HPV screening. In general, if the HPV test is negative and no obvious abnormalities are found in the colposcopy, it can be recommended to screen with TCT again in 3-6 months. If the HPV test is positive, or there is obvious cervical abnormality during colposcopy, a further puncture biopsy under colposcopy can be performed. If HPV16 and 18 are positive, regardless of whether the CT result is ASCUS or not, a further puncture biopsy of the cervix and necessary endocervical curettage must be performed. Therefore, Ascus does not necessarily have to perform a puncture biopsy, but also requires a comprehensive analysis based on the results of colposcopy and HPV testing.

Common problems after cervical puncture biopsy,

Cervical puncture biopsy usually causes vaginal bleeding, so do not wear tight underwear. It is best to wear loose cotton underwear to avoid adverse irritation to the vagina and cause hematoma infection.

After cervical puncture biopsy, in order to avoid infection at the cervical puncture biopsy site, it is best not to flush the vagina or take a sitz bath within two weeks of the biopsy. It is necessary to keep the vulva clean and maintain good hygiene to prevent bacteria from invading the puncture biopsy site and causing infection.

After cervical puncture biopsy, you can have sexual intercourse at least one month later. A gynecological examination is required before intercourse to make sure that the cervix has been repaired before intercourse can be had, and condoms must be worn.

After cervical puncture biopsy, you should rest appropriately and pay attention to vaginal bleeding. If there is heavy bleeding, you should seek medical attention immediately and take effective blood and qi replenishing measures under the guidance of a doctor.

After cervical puncture biopsy, you should pay attention to observe the secretions. If abnormal secretions are found in the vagina, in order to avoid the occurrence of vaginitis, you should see a doctor in time and follow the doctor's advice for treatment.

After cervical puncture biopsy, pay attention to the diet to have a light taste, avoid eating spicy food or other irritating food, and also do not eat food or medicine with the effect of promoting blood circulation and removing blood stasis.

In short, cervical puncture biopsy is simply a pathological section examination of the living tissue of the cervix to diagnose diseases such as cervical cancer or cervical tuberculosis. Cervical puncture biopsy can cause slight damage to the cervix, so you should pay attention to rest, maintain good hygiene, and pay more attention to observing vaginal bleeding and secretions. If any abnormalities are found, you should seek medical attention and treatment in time to avoid infection after cervical puncture biopsy, which will cause adverse effects on the patient's physical and mental health.

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