Patient's question:
Patient Age: 28Detailed Medical Condition and Purpose of Consultation:
Hello! I have been experiencing soreness around my buttocks and some discomfort in my lower abdomen, with occasional acid. My period is delayed by 8 days (urine test was negative, and I used condoms during both sexual encounters without any leakage). When I went to the hospital for a check-up, the diagnosis was: cervical erosion, leukorrhea cleanliness II. I am worried about other possible infections, but the doctor said that pelvic inflammatory disease cannot be detected by ultrasound and needs to be diagnosed by touch. She said she did not feel any abnormalities in my condition and advised me to exercise more and stay active. She prescribed suppositories.
Can I be assured that I do not need further tests?
Medical History: Cervical erosion, irregular menstruation
Doctor's answer:
Hello: Based on your condition, you should undergo a follow-up examination at the hospital.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 Therapy: For small erosion areas with shallow inflammation infiltration, the following medication therapies can be used:
① 10–20% silver nitrate: Topically applied once a week, with 2–4 applications constituting one course.
② Potassium permanganate: Applied locally after menstruation, followed by a repeat application after 1–2 months. When using these medications, caution must be exercised to prevent burns to the surrounding vaginal wall. Additionally, proper disinfection should be maintained during medication to prevent reinfection.
(2) Physical Therapy: Used for larger erosion areas with deeper inflammation infiltration.
① Electrocautery: A specially designed electrocautery device is used to burn the erosion tissue, causing it to necrose and fall off. It is essential to achieve a certain depth for effective treatment.
② Cryotherapy: A specialized rapid freezing device is used to freeze, necrose, and detach the diseased tissue on the cervical erosion surface. Liquid nitrogen is commonly used as the cryoprotectant, with the cryoprobe temperature reaching -196°C. It is placed on the surface of the cervix to freeze and necrose the erosion tissue, leading to its detachment and the subsequent growth of new squamous epithelium. 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: Carbon dioxide laser therapy is commonly used. A specially designed laser applicator is used to irradiate 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. No special discomfort is experienced during the procedure.