When is the Wertheim procedure typically performed?

The Wertheim procedure, which is a radical hysterectomy that involves the removal of the uterus, cervix, surrounding tissues, and the upper part of the vagina, is typically performed after conception. This timing is important because the procedure is often indicated in cases of cervical cancer or other malignancies that may affect reproductive organs.

Performing the procedure after conception allows for a thorough evaluation and treatment of tumors when they are detected during the early stages of pregnancy or when a woman's reproductive intentions change. It is during this phase that the potential risks to both the mother and the fetus can be managed effectively, and surgical intervention can be planned with appropriate care by a multidisciplinary team.

Timing the procedure after conception provides a better understanding of the staging of any malignancy present, thereby helping surgeons to determine the most effective course of action for the health of the patient. The other options presented do not align with the clinical rationale for performing this specific surgical intervention.