Have frequent bleeding, had trachelectomy for cervical cancer, biopsy done. Delivered, breast feeding. Cancer?
Patient: Hello.  I was diagnosed with cervical cancer in 2010 (stage 1B).  I had a radical trachelectomy, and all my biopsies since have been clear.  I was lucky enough to have no troubles conceiving after the surgery, and had my daughter in March 2012.  I am still breastfeeding.  My period returned at the start of February 2013, and I had another period at the start of March, but have been bleeding every week or two since then.  My next cancercare appt is not scheduled until July, but I am concerned that the frequent periods of bleeding I am having could be indicative of a return of the cancer?  Or is it normal for my period to be much more frequent after breastfeeding? Doctor: Hi, What was the report of the pelvic lymph nodes? Stage IB has got two subtypes IB1 and IB2 . Manage protocol differs in these two subtypes. More definite information is needed. Anyway, what are the follow up protocol your doctors have advised? Bleeding in a treated case of cervical cancer should always be carefully evaluated. Clinical examination is mandatory and PAP smear is necessary. You should also mention the HPV status. Consult your oncologist.