Patient's question:
Detailed medical condition and consultation purpose: I was found to have reactive hyperplasia of glandular epithelium in a cervical smear. Biopsy and fractional curettage confirmed chronic cervical inflammation, but HPV was positive. Some people say that regular follow-up is sufficient, while others suggest a cone biopsy. I would like to ask the expert how I should be treated?Current general condition: Asymptomatic
Doctor's answer:
Hello, effective treatments for chronic cervical inflammation include:1. Medication: Potassium permanganate solution or povidone-iodine solution can be used for local vaginal irrigation; chloramphenicol and prednisone ointments can be applied locally; Jieryin (a herbal rinse) can be used for irrigation or sitz baths.
2. Physical Therapy:
- Electrocoagulation
- Cryotherapy: Simple operation, rarely causes postoperative bleeding or cervical stenosis.
- Laser therapy: Has anti-inflammatory, analgesic, and tissue repair effects; treatment time is short, and the cure rate is high.
3. Traditional Chinese Medicine (TCM) Treatment:
- Damp-heat accumulation in the lower body: Excessive discharge (yellowish-white or purulent), with or without blood streaks; lower back pain, abdominal distension, frequent urination with pain, vaginal itching, bitter taste in the mouth, dry throat; red tongue with greasy yellow coating, wiry slippery pulse.
- Over-the-counter TCM: Fuyanping capsules, Zongzi pills—take with warm water after meals.
- Spleen and kidney deficiency: Excessive clear and thin discharge, continuous but mild; poor appetite, fatigue, lower back and knee weakness, pale complexion, or loose stools; pale tongue with white or greasy coating, slow and weak pulse.
- Over-the-counter TCM: Zhibai pills—take with warm water.
4. Lifestyle Care:
- In the days following treatment, the vagina may discharge a large amount of bloody or yellowish fluid; it is important to keep the area clean. This usually stops within about three weeks.
- If excessive vaginal discharge causes discomfort in the external genital area, use warm water or potassium permanganate solution to clean the area twice a day (morning and evening).
- Change underwear frequently to maintain cleanliness of the external genital area. Avoid sexual activity and swimming in swimming pools.