Patient's question:
Doctor:Hello! A few days ago, I had vaginal bleeding, but it wasn't much and was coffee-colored. I went to the hospital for a check-up, and it was diagnosed as endometritis and cervical erosion. The doctor prescribed me a six-day course of clindamycin intravenous infusion and Gynecological Qianjin Tablets, which I can use for four days. However, the bleeding still persisted inside my vagina. What should I do? Can you tell me what caused this? Is there a good treatment method?
I also want to ask, what kind of medicine is best for mild cervical erosion?
Doctor's answer:
Hello: Based on your condition, medication treatment can be administered. When treating acute endometritis, routine bacterial culture and drug sensitivity tests are required to select effective antibiotics. Before the test results are available or if the test cannot be conducted, a broad-spectrum antibiotic such as penicillin can be used. After a negative skin test, penicillin (800,000 to 1,600,000 units) should be administered intramuscularly twice daily. If the bacterial culture results show aerobic bacteria, gentamicin should be injected intramuscularly at a dose of 80,000 units, every 8 hours. If the culture results show anaerobic bacteria, metronidazole is more suitable, taken orally at a dose of 0.4 grams three times daily. If acute endometritis occurs postpartum or after an abortion, it is necessary to consider whether there is still placental or fetal membrane residue in the uterine cavity. If residual tissue remains in the uterine cavity, it should be removed after controlling the infection for 48 to 72 hours, followed by a thorough uterine cleaning once the condition stabilizes. Postoperatively, oxytocin (10 units) should be injected intramuscularly, and oral preparations such as motherwort ointment or postpartum biochemical decoction should be taken to promote uterine contraction. Antibiotics should still be continued. If the patient has an intrauterine device (IUD), it should be removed as soon as possible. If the patient has submucosal uterine fibroids or polyps, surgical treatment is also required, not just relying on antibiotics.There are many treatment methods for cervical erosion, and appropriate choices can be made based on the degree of erosion. The main methods include the following:
(1) Medication treatment: For small areas of erosion with shallow inflammatory infiltration, the following medication treatments can be used: ① 10-20% silver nitrate: Applied locally once a week, with 2-4 applications constituting one course. ② Potassium permanganate: Applied locally after menstruation, with a repeat application 1-2 months later. When using the above medications