Does laser treatment for cervicitis leave scars?

Patient's question:

In 1997, when I gave birth to my child, due to the baby being too large, I didn't go to the hospital, and the midwife caused an episiotomy without debridement, which later led to cervical inflammation. Based on the laser technology at the time, I had a laser surgery at the Maternal and Child Health Hospital. The following year, I had an IUD inserted. In recent years, I have been experiencing gynecological issues. After removing the IUD in 2008, I didn't have any gynecological problems, but I had undergone some induced abortions. Here is the treatment history and effectiveness: In 2007, I had moderate cervical inflammation after childbirth and underwent a laser surgery based on the laser technology at the time. In 2003, I had had adnexitis and cystitis. In 2008, I had mild cervical inflammation, after which I didn't have any gynecological problems. Before giving birth to my first child, I had had two induced abortions. After 2008, I had two medication-induced abortions and two induced abortions. What kind of help I am seeking: Now I am in the late stages of pregnancy. I would like to consult with you, dear experts. If the fetus is in good condition, can I have a natural birth in my situation? Will the laser surgery from years ago affect it?

Doctor's answer:

Hello, according to your description, because the cervix has been treated with laser, it may affect the elasticity of the cervix, which may result in the inability to have a vaginal birth.
Suggestions: According to the possibility, you may need a cesarean section. After laser treatment, it's not that there may be scars on the cervix, but rather that poor cervical elasticity can affect a vaginal birth. To verify this, during the late stage of pregnancy, the doctor will allow you to undergo a series of detailed examinations. It is hoped that this can help you.
For patients with cervical inflammation, the daily treatment mainly focuses on symptomatic treatment. Patients can take some oral medications, supplemented with vitamins, and pay attention to regular rest and sleep, as well as avoiding smoking and alcohol. It is hoped that patients with cervical inflammation can recover as soon as possible!

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