Bacterial vaginosis and cervical erosion, which should be treated first?

Patient's question:

Doctor, hello! I have bacterial vaginosis and first-degree cervical erosion. On November 5th, I had an induced abortion (I have no plans to have children yet, but I want to have a baby in May). I would like to ask if I can be treated for bacterial vaginosis and cervical erosion now? Which one should I treat first? How should it be treated? I don't want to be treated in the hospital because the conditions do not allow it.

Doctor's answer:

Hello: Your situation is that you should first treat your cervical erosion! It is recommended to use microwave therapy. Some people believe that physical therapy methods (such as laser) for cervical erosion may lead to infertility, but this is actually an incorrect view. Cervical erosion itself can lead to infertility and definitely requires treatment. However, if it is severe erosion, using medication may be costly, time-consuming, and require a lot of effort (if it is moderate to severe erosion, clinical experience shows that treatment may take 2 to 3 months, and some people with a good response may recover quickly, while others may need a longer time). Therefore, it is recommended for patients with severe cervical erosion who have not been able to conceive to use physical therapy methods such as laser, as they are effective quickly. When treating, you should inform the doctor about your fertility needs and have the procedure done more superficially to ensure it does not affect the function of the cervix. Even if there is cervical adhesion, it can be resolved by a simple procedure.

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