Patient's question:
Hello! I am 27 years old and have been married for one year. In September of this year, I was diagnosed with cervical erosion of degree II accompanied by candidal vaginitis and a growth at the cervix. Before starting medication, I happened to be on my menstrual period. After the period, the vaginal condition improved on its own without the need for treatment. After using medication six times (once a week with Aprost), there has been some improvement in the cervical erosion, but there is no sign of improvement in the growth at the cervix. I have not yet given birth. How can I completely eliminate the growth at the cervix and the cervical erosion? Is the growth more difficult to treat than erosion? I am not very clear about what the growth at the cervix is. Could you please explain it for me?Doctor's answer:
Actually, this is a pathological term. Pathological hyperplasia may be related to long-term stimulation by inflammation, and the treatment of cervical hyperplasia is generally handled as an inflammatory condition.The treatment methods for cervical erosion are numerous, and appropriate choices can be made based on the severity of the erosion. The main methods are as follows:
(1) Medication: For small areas of erosion with superficial inflammation infiltration, the following medication methods 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. Additionally, ensure sterilization during medication to prevent reinfection.
(2) Physical therapy: Used for larger areas of erosion with deeper inflammation infiltration.
① Electrocautery: Use a specially designed electrocautery device to burn the eroded tissue, causing it to necrose and fall off. The treatment should reach a certain depth for optimal results.
② Cryotherapy: Use a specially designed rapid freezing device to freeze, necrose, and detach the diseased tissue on the cervical erosion surface. Liquid nitrogen is commonly used as the cryogenic agent, which can lower the temperature of the cryoprobe to -196°C. Apply it to the surface of the cervix to freeze and necrose the eroded tissue, causing it to fall off and allow new epithelial tissue to regenerate. One session is typically sufficient for cure. Generally, there are no adverse reactions, though some patients may experience mild dizziness or lower abdominal pain.
③ Laser therapy: Often uses a carbon dioxide laser therapy device. Apply the specially designed laser treatment head to irradiate the eroded cervical tissue, causing it to carbonize, form a scab, and fall off.