N88.2 Stricture and stenosis of cervix uteri

ICD10CM code

#### Name of the Condition
- **Stricture and Stenosis of Cervix Uteri**: Also referred to as cervical stenosis or cervical stricture.

#### Summary
Stricture and stenosis of the cervix uteri is a condition where the cervical canal becomes narrowed or completely blocked, affecting the normal passage of fluids and impacting reproductive health.

#### Causes
- Scar tissue from surgeries (e.g., LEEP, cone biopsy).
- Trauma during childbirth.
- Infections such as human papillomavirus (HPV).
- Radiation therapy.
- Congenital disorders affecting cervical development.

#### Risk Factors
- Previous surgeries on the cervix.
- History of cervical infections.
- Older age, particularly post-menopause.
- Prior radiation therapy in the pelvic area.

#### Symptoms
- Irregular menstrual cycles or absence of menstruation.
- Pelvic pain.
- Infertility or difficulty conceiving.
- Abnormal vaginal discharge.
- Pain during sex.

#### Diagnosis
- Pelvic examination to check for abnormalities.
- Ultrasound imaging to visualize the cervix.
- Hysteroscopy to view the inside of the cervical canal.
- MRI or CT scan for detailed imaging if required.

#### Treatment Options
- **Dilation and Curettage (D&C)**: To widen the cervical canal.
- **Surgical Treatments**: Such as laser surgery to remove scar tissue.
- **Hormonal Therapy**: To address symptoms related to menopause-related stenosis.
- **Antibiotics**: If an infection is present and contributing to stenosis.

#### Prognosis and Follow-Up
- Prognosis is generally good with appropriate treatment.
- Regular follow-ups are essential to monitor the condition and prevent recurrence, especially after surgical interventions.

#### Complications
- Can lead to chronic pelvic pain.
- Increased risk of infections due to trapped menstrual fluid.
- Fertility issues, affecting family planning decisions.

#### Lifestyle & Prevention
- Routine gynecological examinations to detect early changes.
- Safe practices to prevent cervical infections.
- Discuss alternatives to frequent cervical surgeries with healthcare providers.

#### When to Seek Professional Help
- Persistent or worsening pelvic pain.
- Changes in menstrual cycle patterns.
- Difficulty getting pregnant after trying for a year.
- Signs of infection, such as fever and unusual discharge.

#### Additional Resources
- [American College of Obstetricians and Gynecologists (ACOG)](https://www.acog.org)
- [The National Cervical Cancer Coalition (NCCC)](https://www.nccc-online.org)

#### Tips for Medical Coders
- Ensure the correct differentiation between similar conditions by verifying the description and associated procedures.
- Pay attention to any co-existing conditions or treatments mentioned to accurately code related diagnoses.
- Be mindful of the site and specificity of stenosis when documenting and coding.

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