Patient's question:
Detailed medical condition and consultation purpose: Previously, my menstrual flow was very normal. However, after medication-induced abortion, the first month's flow was quite heavy, but the last two months have been quite light. Previously, it took about a week to end, but now it stops within three or four days. During the abortion, it was found that I had cervical erosion and vaginitis. I have used Xiaomi (a medication), so could you please explain what is happening? Is it related to cervical erosion? Or is it related to the abortion?Doctor's answer:
Hello: Based on the situation you described, what you need to do now is actively treat your cervical erosion. There are many methods for treating cervical erosion, and you can choose appropriate ones based on the severity of the erosion. The main methods are as follows:（1）Medication: For small erosion areas with superficial inflammation, the following medication methods can be used:
① 10–20% silver nitrate: Apply locally once a week, with 2–4 applications constituting a course.
② Potassium permanganate: Apply locally after menstruation, and repeat the medication once after 1–2 months. When using these medications, be cautious to prevent burns to the surrounding vaginal wall, and ensure sterilization during application to prevent reinfection.
（2）Physical Therapy: Used for larger erosion areas with deeper inflammatory infiltration.
① Electrocautery: Use a special electrocautery device to burn the erosion tissue, causing it to necrose and fall off. It is important to achieve a certain depth for better treatment effects.
② Cryotherapy: Use a special rapid freezing device to freeze, necrose, and detach the diseased tissue on the cervical erosion area. Liquid nitrogen is commonly used as the cryogenic agent, which can lower the temperature of the cryoprobe to -196°C. Apply it to the surface of the cervix to freeze and necrose the erosion tissue, causing it to fall off and allow new squamous epithelial tissue to regenerate. It can be cured in one session. Generally, there are no adverse reactions, though some patients may experience mild dizziness or lower abdominal pain.
③ Laser Therapy: Most commonly uses a carbon dioxide laser therapy device. Apply the special laser treatment head to irradiate the cervical erosion tissue, causing it to carbonize, form a scab, and fall off, followed by the regeneration of new squamous epithelial tissue. Generally