The Fertility of Women After Cervical Laser Surgery
Abstract
Objective To retrospectively survey our population of women who had undergone cervical laser surgery to determine if it adversely affected their ability to conceive or to carry a pregnancy to term. Methods Women who had undergone laser surgery during the period 1979-1989 were contacted and surveyed regarding each of their pregnancies. Information obtained included their age at the time of each pregnancy, pregnancy outcome, how long they were trying to conceive, and their use of contraception. The post-laser experience of the study group was matched individually for age and parity with a control population taken from the pre-laser interval of the same patients. Results We contacted 1069 women; 512 responded to the survey and 433 were matched with controls. The mean study interval was 3.8 years. The study group had significantly more total pregnancies (277 versus 177 for controls, P Conclusion Cervical laser surgery does not appear to impair a woman's ability to conceive or carry a pregnancy to term. There is no difference in the effect on fertility between laser vaporization and laser excisional cone biopsies.
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A study in the United States assessed the effect of laser vaporisation on pregnancy outcomes and found no significant effect on the rate of spontaneous abortions compared to a control group of untreated women.
“Another study conducted in the United States assessed the effect of laser vaporisation on pregnancy outcomes and found no significant effect on the rate of spontaneous abortions compared to a control group of untreated women [23].”
From Fertility and Miscarriage Incidence After Cervical Intraepithelial Neoplasia Treatment by Thermal Ablation: A Cohort Study (2025) · cites this paper as [23]
A meta-analysis published in 2014 assessing fertility and early pregnancy outcomes after treatment of patients with suspected cervical precancerous disease identified only three studies assessing ablative methods, none of which included patients treated by thermal ablation.
“A meta‐analysis published in 2014 [12] assessing fertility and early pregnancy outcomes after treatment of patients with suspected cervical precancerous disease identified only three studies assessing ablative methods [13, 14, 23], none of which included patients treated by TA.”
From Fertility and Miscarriage Incidence After Cervical Intraepithelial Neoplasia Treatment by Thermal Ablation: A Cohort Study (2025) · cites this paper as [23]
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Kyrgiou, M., Athanasiou, A., Paraskevaidi, M., Mitra, A., Kalliala, I., Martin-Hirsch, P., Arbyn, M., Bennett, P., & Paraskevaidis, E. (2016) · BMJ · doi:10.1136/bmj.i3633 · Cited by 495 · see citing works
Pregnancy after Treatment for Cervical Cancer Precursor Lesions in a Retrospective Matched Cohort
Naleway, A. L., Weinmann, S., Krishnarajah, G., Arondekar, B., Fernandez, J., Swamy, G., & Myers, E. (2015) · PLOS ONE · doi:10.1371/journal.pone.0117525 · Cited by 14 · see citing works
Wisniak, A., Yakam, V., Bolo, S. E., Moukam, A., Sormani, J., Vassilakos, P., Kenfack, B., & Petignat, P. (2025) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.17954 · Cited by 4 · see citing works
- Authors
- SPITZER, M.
- Affiliations
- Albert Einstein College of Medicine (US)
- Corresponding author
- SPITZER, M
- Venue
- Obstetrics & Gynecology
- Published
- 1995-10
- Volume
- 86
- Issue
- 4
- Pages
- 504-508
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2023595885
- Cited by
- 33
- References
- 0
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 3
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- fertility, pregnancy outcomes, conception, term pregnancy, miscarriage, ectopic pregnancy, preterm birth, laser vaporization, cervical cancer treatment
- MeSH terms
- Adult, Cervix Uteri, Female, Fertility, Humans, Pregnancy, Pregnancy Outcome, Retrospective Studies, Laser Therapy
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