Patient's question:
How many days does it take to treat cervical erosion with suppositories? I have been using them for 10 days. I am using Xiaomi Lian. Currently, the symptoms are yellowish peeling in the vagina, with a small amount of black mixture.First follow-up question: I have completed one course of treatment. If I stop taking the medication, will it affect future use?
Doctor's answer:
Hello: The duration of medication use depends on how well you absorb the drug. There are many treatment methods for cervical erosion, and appropriate choices can be made based on the severity of erosion. The main methods are as follows:（1）Medication Treatment: For small erosion areas with shallow inflammation infiltration, the following medication treatments can be used:
① 10–20% silver nitrate: Apply locally once a week, with 2–4 applications constituting one course.
② Potassium permanganate: Apply locally after menstruation, and repeat the medication once after 1–2 months. When using the above medications, handle with care to prevent burns to the surrounding vaginal wall. Additionally, ensure sterilization during medication to prevent reinfection.
（2）Physical Treatment: Used for larger erosion areas with deeper inflammation infiltration.
① Electrocautery: Use a specially designed electrocautery device to burn the erosion tissue, causing it to necrotize and fall off. It must reach a certain depth to ensure effective treatment.
② Cryotherapy: Use a specially designed rapid freezing device to freeze and necrotize the diseased tissue on the cervical erosion surface, causing it to fall off. Liquid nitrogen is commonly used as the cryogenic agent, which can lower the temperature of the cryotherapy device's tip to -196°C. Apply it to the surface of the cervix to freeze and necrotize the erosion tissue, allowing new squamous epithelial tissue to regrow. One treatment is usually sufficient. Generally, there are no adverse reactions, though some patients may experience mild dizziness or lower abdominal pain.
③ Laser Treatment: Carbon dioxide laser treatment devices are commonly used. A specially designed 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. One treatment is usually sufficient. There are no special reactions during the procedure.