Patient's question:
I have cervical erosion for more than a year and I want to get better quickly. Now I also have vaginitis. I don't know if cervical erosion and vaginitis can be treated simultaneously with physical therapy?Doctor's answer:
Hello: Based on your condition, it is recommended to consider concurrent anti-inflammatory treatment, while paying attention to hygiene and rest.There are many treatment methods for cervical erosion, and appropriate choices can be made based on the severity of erosion. The main methods are as follows:
(1) Medication Treatment: For small erosion areas with superficial inflammation, the following medication treatments can be used:
① 10–20% silver nitrate: Topically applied once a week, with 2–4 applications per course.
② Potassium permanganate: Applied locally after menstruation, followed by a repeat application after 1–2 months. When using these medications, caution must be exercised to prevent burns to the surrounding vaginal wall. Additionally, sterilization should be ensured during application to prevent reinfection.
(2) Physical Treatment: Used for larger erosion areas with deeper inflammation.
① Electrocautery: A specialized electrocautery device is used to burn the erosion tissue, causing it to necrose and fall off. The treatment must reach a certain depth for optimal results.
② Cryotherapy: A specialized rapid-freezing device is used to freeze and necrose the diseased tissue of the erosion, causing it to fall off. Liquid nitrogen is commonly used as the cryogenic agent, with the cryoprobe temperature reaching -196°C. The device is applied to the surface of the cervix, causing the erosion tissue to freeze, necrose, and fall off, followed by the growth of new squamous epithelial tissue. One session is typically sufficient. Generally, there are no adverse reactions, though some patients may experience mild dizziness or lower abdominal pain.
③ Laser Treatment: Carbon dioxide laser treatment devices are commonly used. A specialized laser applicator is used to irradiate the erosion tissue, causing it to carbonize, form a scab, and fall off, followed by the growth of new squamous epithelial tissue. Typically, one session is sufficient.