Patient's question:
Hello, I have had cervical erosion for half a year and have been undergoing treatment. My husband and I really want to have a child now, but we haven't been able to conceive. The doctor said it might be caused by cervical erosion. I really want to get better quickly and have a baby. What are the treatment methods for cervical infertility?Doctor's answer:
Hello,Treatment with medication: The cervix appears normal, but there is chronic purulent discharge in the cervical canal. Cultivation and drug sensitivity tests should be conducted. Systemic treatment with anti-infective drugs, either orally or intravenously, is preferred, as local medication often has little effect on deep cervical endometrial infections.
Surgical treatment: For cases that are refractory to treatment but still have fertility requirements, cervical conization may be considered. This is mainly suitable for patients with extensive erosion, deep lesions, or involvement of the cervical canal. The excision area should extend 1-2 mm beyond the erosion surface, with a depth of approximately 2 cm. The eroded part of the cervix is shaped into a cone base, with the tip pointing towards the cervical canal, removing the conical tissue. If the wound can be sutured immediately, the resulting scar will be smaller, and the risk of postoperative bleeding will be reduced. The disadvantage of cervical conization is that although the lesion is removed, it also destroys a large number of cervical glands, potentially affecting future secretion function. If the excision is too deep, postoperative shortening of the cervix or damage to the internal cervical os may occur, both of which can affect fertility or increase the risk of miscarriage or preterm labor. Therefore, this surgery should be performed with caution in infertile patients.
Physical therapy: The main methods include electrocautery, laser, and cryotherapy. When selecting a treatment method, the patient's specific condition should be considered. If fertility is desired, cryotherapy is the best choice, as electrocautery or laser treatment should be avoided to prevent cervical scar atrophy, which could lead to cervical stenosis and affect future fertility and normal delivery.