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Healing experiences after cervical cryosurgery.

D M Harper¹, E J Mayeaux, T P Daaleman

¹Department of Community and Family Medicine, Norris Cotton Cancer Center, Dartmouth Medical School, Lebanon, NH 03756, USA. Diane.M.Harper@Dartmouth.edu

The Journal of Family Practice

|August 18, 2000

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Cryosurgery for cervical intraepithelial neoplasia causes discomfort, particularly hydrorrhea and odor. Obese, older, and multigravid women experience a less tolerable healing process, requiring more pad use and activity restriction.

Area of Science:

Gynecology
Oncology
Women's Health

Background:

Cervical intraepithelial neoplasia (CIN) treatment via cryosurgery can cause significant discomfort.
The post-procedure healing phase is often associated with patient-reported unpleasantness.

Purpose of the Study:

To describe women's subjective experiences following cryosurgery for CIN.
To investigate the influence of obesity, age, and gravidity on the cryosurgical healing process.

Main Methods:

A survey was developed based on focus group findings.
The survey assessed unpleasantness of hydrorrhea, pad protection needs, and odor.
Cryosurgery experiences were compared to normal menstruation.

Main Results:

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78.3% of women found cryosurgery unpleasant due to pain, cramping, hydrorrhea, odor, and pad use.
Activity restriction (38.6%) and medication use (67.1%) were significantly higher post-cryosurgery than during normal menses.
Obese, multigravid, and older women reported greater bother from prolonged pad use.

Conclusions:

The cryosurgical healing process is generally unpleasant.
Obesity, high gravidity, and advanced age are associated with reduced tolerance to cryosurgery side effects.
Up to 50% of women may find hydrorrhea, odor, and pad use worse than typical menses.