Patient's question:
Detailed medical condition and consultation purpose: I have mild vaginitis and cervical erosion. I have used many anti-inflammatory injections, medications, suppositories, and washes, but they are only temporarily effective. Next year, I want to have a child, but I don't know if these gynecological conditions will affect the child.Duration and course of the current illness: White discharge occurs intermittently, with some burning pain during urination, lasting for three years.
Current general condition: White discharge occurs intermittently, with some burning pain during urination.
Previous diagnosis and treatment history and effectiveness: Mild vaginitis and cervical erosion.
First follow-up question: Can I apply medication locally myself?
Doctor's answer:
Hello: Taking medication actively and paying attention to hygiene are the most important aspects. Strengthen your physical exercise to enhance your physical fitness.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 Treatment: 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 the above medications, handle with care to prevent burns to the surrounding vaginal walls. Additionally, ensure sterilization during medication to prevent reinfection.
(2) Physical Treatment: Used for larger erosion areas with deeper inflammation.
① Electrocautery: Use a specially designed 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 specially designed rapid freezing device to freeze, necrose, and cause the diseased tissue of the cervical erosion to fall off. Liquid nitrogen is commonly used as the cryogenic agent, which can lower the temperature of the cryotherapy device’s tip to -196°C. Apply it to the surface of the cervix to freeze and necrose the erosion tissue, causing it to fall off and regenerate new squamous epithelial tissue. It can often be cured in one session. Generally, there are no adverse reactions, though some patients may experience mild dizziness or lower abdominal pain.
③ Laser Treatment: Carbon dioxide laser treatment devices are commonly used. Use a specially designed laser treatment head to irradiate the erosion tissue, causing it to carbonize, form a scab, and fall off, followed by the regeneration of new squamous epithelial tissue. Generally, one session is sufficient.