Conization is a type of biopsy procedure in which a tissue sample is taken from the cervix. The process is called conization because cone-shaped tissue is removed. Generally, the cone shape captures tissue from both the upper and lower part of the cervix. After the intervention the tissue is usually analyzed under a microscope .

Cone biopsy takes a sample of tissue that forms deep in the cervical canal. Also, apart from the abnormal tissue, a part of the healthy tissue is also taken.

Conization helps us:

  • to diagnose and find the causes of the formation of abnormal tissue
  • to completely remove the abnormal tissue.

How is conization performed?

This is a very simple procedure, after which the patient is discharged home. This means that a longer stay at the clinic is not required. The procedure resembles a gynecological examination, but of course it is performed under anesthesia.

The doctor applies a speculum to access the opening of the cervix. Another instrument is used to perform a biopsy.

It can also be done under general anesthesia in consultation with the patient.

Recovery after conization

After the intervention, the patient stays in the recovery room for 1-4 hours. Upon discharge, he receives clear instructions on how to proceed during the recovery period at home. Most women return to normal activities in the first week after the intervention. Our doctors will order you a regular PAPA test and, if necessary, a control colposcopic examination.

The doctor’s suggestion is to take a break in sexual activities for three weeks.

Possible symptoms after intervention

Cone biopsy is a very safe procedure, but in rare cases post-operative symptoms may occur. It is completely normal if you have:

  • Weak vaginal bleeding during the first week
  • Spot bleeding is possible three weeks after the intervention.

If you have severe stomach pain and/or bleeding, be sure to contact your doctor.

Why is conization recommended?

This is a diagnostic method that can with high probability determine tissue abnormalities on the cervix. It is recommended in the following cases:

  • If the results of the PAPA test are not good, and colposcopy cannot determine the cause of the changes.
  • If colposcopy shows changes, but they are located in the depth of the cervical canal.
  • If cervical cancer is suspected.

In addition to tissue diagnostics, conization is also used for tissue removal. In the case of minor tissue changes, conization can completely remove all abnormalities.


For all information about the cone biopsy procedure and other gynecological conditions and questions, contact us on our phone numbers on weekdays from 8 a.m. to 8 p.m. or write us an email.