Patient's question:
Hello! I have moderate cervical erosion, but recently I've noticed an increase in discharge, especially after ML, it's more. I had a colposcopy in March this year, and I've heard that cervical erosion is difficult to treat. What should I do? I'm not married, and I had a miscarriage in July this year. What can I do to treat the erosion? Please reply! Thank you very much!Patient Age: 21
Detailed Condition and Purpose of Consultation: Moderate cervical erosion, want to be cured.
Duration of Current Illness: November 2005
Current General Condition: Excessive discharge. Also during menstruation
Doctor's answer:
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 superficial inflammation, the following medications can be used:
① 10–20% silver nitrate: Applied locally 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, careful operation is required to prevent burns to the surrounding vaginal wall. Additionally, sterilization should be noted during medication to prevent reinfection.
(2) Physical Therapy: Used for larger erosion areas with deeper inflammatory infiltration.
① Electrocautery: A specially designed electrocautery is used to burn the erosion tissue, causing it to necrose and fall off. It must reach a certain depth to ensure 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 cryogenic agent, which can lower the temperature of the cryoprobe to -196°C. It is placed on the surface of the cervix to freeze and necrose the erosion tissue, leading to its detachment and the regeneration 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 carbonization, scab formation, and detachment, followed by the regeneration of new squamous epithelium. One session is usually sufficient for cure. During the procedure, most patients experience no special discomfort, though some may bleed slightly during scab detachment.
④ KS Instrument Therapy: This is