Patient's question:
I have moderate cervical erosion. I would like to know whether medication treatment is more effective or surgical treatment is more thorough. I heard that the recurrence rate is relatively high. What is the probability? How can I avoid recurrence again?Doctor's answer:
Hello: There are many treatment methods for cervical erosion, and appropriate choices can be made based on the severity of the erosion. The main methods are as follows:（1）Medication: For small erosion areas with superficial inflammation, the following medication treatments can be used:
① 10–20% silver nitrate: Apply locally once a week, with 2–4 applications constituting one course.
② Potassium permanganate: Apply locally after menstruation, and repeat the medication once after 1–2 months. When using these medications, handle with care to prevent burns to the surrounding vaginal wall, and ensure sterilization during application to prevent reinfection.
（2）Physical Therapy: Used for larger erosion areas with deeper inflammation.
① Electrocautery: Use a special electrocautery device to burn the erosion tissue, causing it to necrose and fall off. The treatment should reach a certain depth for better efficacy.
② Cryotherapy: Use a special rapid-freezing device to freeze and necrose the diseased tissue of the erosion, causing it to fall off. Liquid nitrogen is commonly used as the cryogen, lowering the temperature of the cryoprobe to -196°C. Apply it to the surface of the cervix to freeze and necrose the erosion tissue, allowing new squamous epithelium to regenerate. One session is usually sufficient for cure. Generally, there are no adverse reactions, though some patients may experience mild dizziness or lower abdominal pain.
③ Laser Therapy: Most commonly uses a carbon dioxide laser device. Apply the special laser treatment head to the erosion tissue, causing it to carbonize, form a scab, and fall off, followed by the growth of new squamous epithelium. One session is usually sufficient for cure. There is no special discomfort during the procedure, though some patients may experience bleeding when the scab falls off.
④ KS Instrument Treatment