Patient's question:
Recently, my wife underwent an "SLIKA electronic colposcopy examination" at the hospital. The report is as follows:Main complaints: Itching, increased vaginal discharge, and contact bleeding.
Vaginal cytology smear:
Clinical manifestations: Contact bleeding, creamy discharge.
Colposcopic findings: Stratified squamous epithelium, inflammatory changes.
RCI assessment: Iodine reaction: No staining in the non-stained areas. Score: 2. Total score: 2.
Direct biopsy site (Figure):
Six erosions, circularly distributed.
Doctor's answer:
Hello:Based on the information, cervical inflammation can be considered. Acute cervicitis is not very common, but the symptoms are prominent if the condition occurs. Active treatment should be initiated to prevent it from becoming chronic or causing retrograde infection leading to endometritis or even pelvic inflammatory disease.
Western medicine primarily focuses on local medication for this condition. Acute cervicitis is generally caused by purulent bacteria, and sulfonamide powder or nitrofurantoin can be applied or sprayed in the vagina and on the cervix once daily. If there is also candidiasis, trichomoniasis, or gonococcal vaginitis, the primary condition should be treated first.
In traditional Chinese medicine, the treatment of acute cervicitis is still divided into internal and external methods. The internal method involves syndrome differentiation and treatment. The condition is classified into two types: damp-heat type and heat-toxin type.