Patient's question:
Hello, I had a check-up at the hospital and was told I have severe cervical erosion. The doctor said surgery is needed, but there are many surgical treatment methods available now, and I don't know which one to choose. Additionally, I want to get pregnant after treatment. Does surgical treatment affect fertility? Some doctors recommended using Bomei therapy, while others suggested using the LEEP. I don't know what to do. Please help me!Doctor's answer:
Hello: Severe cervical erosion itself affects fertility and must be treated.Physical Therapy: Used for cervical erosion with a large area and deep inflammation.
① Electrocautery: A special electrocautery is used to burn the erosion tissue, causing it to necrotize and fall off. It must reach a certain depth for effective treatment.
② Cryotherapy: A special rapid freezing device is used to freeze, necrotize, and cause the diseased tissue of the cervical erosion to fall off. Liquid nitrogen is commonly used as the cryogenic agent, allowing the cryoprobe's temperature to drop to -196°C. It is placed on the surface of the cervix to freeze and necrotize the erosion tissue, causing it to fall off and new squamous epithelial tissue to grow. It can be cured in one session. Generally, there are no adverse reactions, though a few patients may experience mild dizziness or lower abdominal pain.
③ Laser Therapy: Carbon dioxide laser treatment is commonly used. A special laser treatment head is used to irradiate the cervical erosion tissue, causing it to carbonize, form a scab, and fall off, followed by the growth of new squamous epithelial tissue. It can usually be cured in one session. There is no special discomfort during the procedure, though a few patients may experience bleeding when the scab falls off.
④ KS Instrument Therapy: This uses special wavelength photothermal treatment, causing no pain. It is highly effective. During the treatment with the above methods, attention should be paid to keeping the external genitalia clean, and sexual activity, vaginal irrigation, and sitz baths should be avoided. Regular follow-up is also necessary to monitor the healing of the erosion.
There are many treatment methods, each with its pros and cons. I hope you can choose one that is suitable for you.