Patient's question:
How is cervical canalitis treated?Doctor's answer:
Chronic cervicitis is one of the most common diseases among women. It often develops from acute cervicitis and is more prevalent in married women who are physically frail. The cause is typically bacterial infection resulting from damage to the cervix during sexual intercourse or childbirth.The main symptom is an increase in vaginal discharge, which is usually viscous or purulent mucus, sometimes with blood or post-coital bleeding. Secondary symptoms include vulvar itching, lower abdominal or lumbosacral pain, which worsens during sexual intercourse, menstruation, or defecation.
Treatment primarily involves local methods, such as cervical electrocautery, laser therapy, cryotherapy, or the use of corrosive agents (e.g., chromic acid, potassium permanganate).
Prescription:
1. 2–3 days after treatment, the vagina may discharge a large amount of bloody or yellowish fluid, often requiring menstrual pads. This typically subsides within about 3 weeks.
2. If excessive vaginal discharge causes discomfort in the vulvar area, warm water or a 1:5000 potassium permanganate solution can be used for vulvar cleaning, twice daily.
3. Wear 100% cotton underwear and change it frequently to maintain vulvar hygiene.
4. Abstain from sexual intercourse for 1–2 months.
5. Avoid swimming in swimming pools.