Patient's question:
I have a friend who suffers from cervical erosion of the second degree. Pathological biopsy showed no cancer cells. She has been using Baofukang (a topical medication) but it has not been effective. Someone suggested that she should use vaginal medication combined with the antibiotic Norfloxacin. Is this method feasible? Or are there other more effective treatment options?First follow-up question: Physical therapy is only suitable for patients who have given birth. What medications are used for conservative treatment?
Doctor's answer:
The treatment of cervical erosion primarily involves local therapies, with a variety of methods available, such as drug therapy, physical therapy, and surgical therapy. The first two conservative treatments aim to cause the columnar epithelium on the eroded cervix to necrose and fall off, creating conditions for the regrowth of squamous epithelium.(1) Drug therapy: This is suitable for patients with a small area of erosion and superficial inflammatory infiltration. Antibiotics can be applied locally, such as metronidazole, sulfonamide drugs, and furacilin. Traditional Chinese medicine (TCM) is widely used to treat cervical erosion in clinical practice, with good efficacy. Commonly used prescriptions are processed into powder or suppositories, placed on cotton balls, and applied to the eroded area. Medication is usually applied twice a week. During treatment, there may be a significant amount of yellow vaginal discharge, but it should not have an unpleasant odor. Treatment typically begins after the menstrual period ends and continues for one month, with medication paused during the menstrual period.
(2) Physical therapy: This is a widely used treatment method with the advantages of a short course and good efficacy. It is suitable for patients with a large area of erosion and deep inflammatory infiltration. Common methods include electrocautery, laser therapy, and cryotherapy. Electrocautery is best performed 3–7 days after the menstrual period ends. During treatment, the cautery tip is applied to the eroded area with slight pressure and moved in an outward, left-right motion until slightly beyond the erosion. After the procedure, a 1% gentian violet solution is applied to the wound. Patients may experience increased vaginal discharge for 2–3 days post-treatment, and there may be minor vaginal bleeding for up to 2 weeks. After 2–3 weeks, the wound will slough off, and squamous epithelial regeneration will begin. Laser therapy uses laser to carbonize and form crusts on the eroded tissue. About 3 weeks after treatment, the crust will fall off, and new squamous epithelium will grow in the wound. Laser treatment...