Patient's question:
Hello!I've been troubled by this for a while and hope to get your answer.
Six months ago, I had a medication-induced abortion. After the procedure, the doctor said I had cervical inflammation and told me to treat it gradually. The tone suggested it wasn't serious, and since I was busy, I never followed up.
In July of this year, I noticed a persistent feeling of fullness and pressure in my lower abdomen. When I went to the hospital, it was diagnosed as severe cervical erosion. The doctor said I hadn't given birth yet, so surgery wasn't an option, only some suppositories and a rinse were prescribed. They didn't ask me to follow up. At the time, a cervical smear test was also done, but no abnormalities were found. It's now almost January, and the pressure and fullness are still there. I might not have a child for another two years—will this cause any problems? I'm also very scared that it could turn into cervical cancer. How likely is that in two years? I'm really worried. I'm 24 years old and about to...
Doctor's answer:
Hello: Generally, cervical erosion that persists for a long time is prone to cancer because there is a lot of secretion in the uterus that is discharged from the cervical os, such as cervical erosion, forming a closed system. The substances that should be secreted cannot be expelled for a long time, making it easy to develop into cancer.There are many treatment methods for cervical erosion, and appropriate choices can be made based on the degree of erosion. The main methods are as follows:
(1) Medication: For small erosion areas with relatively 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, careful operation is required to prevent burns to the surrounding vaginal walls, and attention should be paid to disinfection during medication to prevent repeated infection.
(2) Physical therapy: Used for larger erosion areas with deeper inflammation infiltration.
① Electrocautery: Use a specially designed electrocautery device to burn the erosion area tissue, causing it to necrotize and fall off. It must reach a certain depth to ensure good therapeutic effect.
② Cryotherapy: Use a specially designed rapid freezing device to freeze, necrotize, and cause the diseased tissue of the cervical erosion area to fall off. Liquid nitrogen is commonly used as the cryoprotectant, which can lower the temperature of the cryoprobe to -196 degrees Celsius. Place it on the surface of the cervix to freeze and necrotize the erosion tissue, causing it to fall off, and new epithelial tissue will grow back. It can be cured in one session. Generally, there are no adverse reactions, although some patients may experience mild dizziness, lower abdominal pain, etc.
③ Laser therapy: Carbon dioxide laser treatment devices are commonly used, with a specially designed laser treatment head shining...