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 recommend 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.
- Jie'eryin (a herbal rinse) or sitz baths can be used.
2. Physical Therapy:
- Electrocoagulation.
- Cryotherapy is simple to operate, with minimal postoperative bleeding and cervical stenosis.
- Laser therapy has anti-inflammatory, analgesic, and tissue repair-promoting effects, with a short treatment duration and high cure rate.
3. Traditional Chinese Medicine (TCM) Treatment:
- Damp-heat in the lower burner: Excessive leukorrhea (yellowish-white or purulent, possibly with blood streaks), lower back pain, abdominal distension, frequent urination with pain, vaginal itching, bitter taste in the mouth, dry throat. Tongue: red with greasy yellow coating; pulse: wiry and slippery.
- Over-the-counter (OTC) herbal pills: Furenping capsules, Ziyutang pills. Take with warm water after meals.
- Spleen and kidney deficiency: Excessive thin leukorrhea (continuous and watery), poor appetite, fatigue, lower back and knee weakness, pale complexion, or loose stools. Tongue: pale with white or greasy coating; pulse: slow and weak.
- OTC herbal pills: 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. Clean the area promptly; this usually stops within three weeks.
- If excessive vaginal discharge causes discomfort to the external genitalia, rinse the area with warm water or potassium permanganate solution twice a day (morning and evening).
- Change underwear frequently to maintain cleanliness of the external genitalia. Avoid sexual activity and swimming in pools.