Patient's question:
On May 27th, before preparing for the IUD insertion, the following examinations were conducted:1. Vaginal discharge examination
- Epithelial cells: +
- Cocci: ++
- Rods: ++
- Leukocytes: +++
2. Digital electronic colposcopy examination
- Cervicitis
- Severe cervical erosion
- Polyps at the cervical os
3. Color Doppler ultrasound examination
- Uterus: Anterior position, with a size of approximately 5.7 cm (length) × 3.9 cm (width) × 4.0 cm (thickness). The shape is normal, with clear margins, regular edges, uniform muscle layer echoes, thin endometrium appearing linear, clear linear endometrial echoes, centrally located, and the cervical (anteroposterior diameter) is about 2.5 cm. An abnormal high-echo reflection is detected within, with a diameter of about 0.7 cm.
- Bilateral adnexa:
- Right ovary: Size approximately 3.3 cm (length) × 1.4 cm (width).
- Left ovary: Size approximately 3.7 cm (length) × 1.7 cm (width). Both ovaries show small anechoic areas, with the larger one on the left measuring about 1.4 cm (length) × 1.0 cm (width).
- Ultrasound findings:
- Abnormal high-echo reflection at the internal cervical os
- Anechoic area in the left ovary (considered physiological)
- Recommendations: Follow-up ultrasound after menstruation. The uterus and adnexa show no obvious abnormalities.
Doctor's answer:
Hello, general treatment for cervical erosion often employs local therapies, and there are numerous methods available, such as drug therapy, physical therapy, surgical therapy, etc. During the treatment period, it is important to maintain cleanliness and dryness of the external genitalia to prevent infection. Sexual activity, tub baths, and vaginal irrigation should be avoided until the wound is fully healed, which generally takes 4 to 8 weeks. Monthly follow-up examinations are recommended after treatment to monitor the healing of the wound. If the above treatments are ineffective, or if there is cervical hypertrophy, or if the erosion is deep and extensive, involving the cervical canal, cervical conization or total hysterectomy may be considered. It is recommended to visit a hospital for examination and receive symptomatic treatment based on individual circumstances.