Patient's question:
Patient 22, female. April 14, 2012 colposcopy: cervical third-degree erosion. Liquid-based thin-layer cytology confirmed [LPT]: specimen site is the cervical canal. Standard satisfaction: cell count > 5000. Cervical canal: metaplastic squamous cells, cervical columnar cells. No intraepithelial inflammation/malignant cells [NILM]: red check mark benign reactive changes: inflammatory pathogens: bacterial infection. Diagnosis: Leukorrhea degree III > 75%, what should be done?Doctor's answer:
The treatment of cervical erosion first requires a cervical smear to rule out precancerous lesions. Then, a pathological examination of cervical secretions should be performed to identify the causative pathogen. If necessary, pathogen culture + drug sensitivity tests can be conducted to determine the most effective medications for treatment. Drug treatment includes local and systemic administration. However, for moderate to severe cervical erosion, physical treatment is generally more effective. Examples include laser, microwave, BOM light, and electric cauterization. If the patient is not pregnant, drug treatment should still be preferred to avoid adverse consequences. Physical treatment must be performed under the operation of an experienced gynecologist. Faced with the impact of cervical erosion, we should actively undergo examinations and treatment, without avoiding medical consultation. If cervical erosion does not improve after treatment, it is important to promptly adjust the treatment plan.