Can cervical cone biopsy cause difficulty in tampon insertion?

Question

Hello doctor,

I had a cervical cone biopsy nearly five weeks ago. Since the procedure, I have not taken any baths, had sex, or used tampons. I started my period again a couple of days ago and was in the clear to use my menstrual cup again, but I cannot seem to get it inserted. It feels like something is blocking it, and it does not open up right. I have tried numerous times but failed each time. I tried tampons, but it hurts when I put them in, and I need to lie on my back just to get them in properly because they also do not go in correctly. Why is this happening? I love using my menstrual cup and have been using it for years, so I know how to use it. I am 29 years old.

Kindly suggest.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

It sounds like you are experiencing some changes in your cervix or vaginal canal after your cervical cone biopsy, which could be causing difficulty with inserting your menstrual cup or tampons. Here are some possible reasons why:

Cervical changes and swelling: A cone biopsy removes a portion of the cervix, and during healing, scar tissue (cervical stenosis) can form, which may slightly narrow the cervical opening. The cervix may also still be swollen or healing, which can change the shape or flexibility of the vaginal canal.
Changes in vaginal elasticity and sensation: Since you have not inserted anything vaginally for five weeks, your vaginal muscles may feel tighter or more sensitive. The healing process might have caused slight inflammation, making insertion uncomfortable.
The position of the cervix may have changed: After cervical procedures, the cervix can temporarily sit lower or feel firmer, which can affect how your menstrual cup or tampon fits. Some women experience short-term misalignment of the cervix after a cone biopsy.

I suggest you do the following:

Try a water-based lubricant. If dryness or sensitivity is an issue, using a water-based lubricant can help ease insertion.
Experiment with different insertion angles, like squatting or propping one leg up to see if a different angle helps.
A softer menstrual cup might be easier to insert if your cervix is more sensitive.
Give it more healing time. Your body may still be adjusting, and some women find that things return to normal after a couple more menstrual cycles.

See your doctor if you continue to struggle with insertion, feel pain, or experience unusual discharge, it is a good idea to check with your doctor. They can check for scar tissue (cervical stenosis) or any healing issues that might be affecting your vaginal canal.

I hope this helps you.

Thank you.