What is it?

• The procedure starts with the insertion of a speculum (just as in a normal vaginal exam). The patient feels marked cramping (similar to intense menstrual cramps). After a thaw, treatment this is usually repeated to maximize its effectiveness.
• The cervix heals over the next few weeks as healthy, uninfected cells grow in from the base and sides of the treated area.

How do I prepare for it?

• You should get the treatment right after your period ends so that there is approximately a month's time for your cervix to heal before your next period.
• There will be a significant amount of watery discharge starting the day of or the day after-procedure. Buy pads prior to the procedure because you will need to use pads (tampons cannot be used) for 2-4 weeks after the procedure.
• NSAIDs (e.g. ibuprofen, aspirin, etc.) maybe taken an hour before your appointment to reduce cramping during the procedure.
• You can return to your usual activities after the procedure, though you will probably have slight cramping for a few hours.

What happens after the treatment?

• You can take NSAIDS, if you have not already done so, to treat any cramping.
• Expect a profuse watery discharge for 2-4 wks after the procedure (~3-10 pads/day)
• Refrain from putting anything in the vagina, which includes but is not limited to:
  o Tampons
  o Sexual penetration with body parts or objects.
  o Creams
  o Douches

Possible Complications:

• As in any medical procedure, there is a slight risk for infection. You should contact your health care provider if you have any of the following post-procedure symptoms:
  o Severe cramping
  o Heavy bleeding
  o Foul smelling vaginal discharge

When should I schedule my follow-up appointment?

• A follow-up Pap smear should be taken approximately a few months after your cryotherapy treatment. Your health care provider will recommend a follow-up interval.
• If the procedure was fully successful, the Pap smear will probably return to normal within a year.
• If a follow-up Pap smear is abnormal after 6 -12 months, a repeat colposcopy and biopsy may be performed . Depending on the results, cryotherapy can be repeated or one of the other treatments can be used to eliminate the abnormal cells.
• Available at UVa Student Health

Maintained by: studenthealth@virginia.edu Last Modified: Tuesday, 01-Nov-2005 11:15:05 EST © 2002 by the Rector and Visitors of the University of Virginia