Patient's question:
Detailed medical condition and consultation purpose: Doctor, hello! I treated my candidal vaginitis at the end of September this year, and after the treatment, the doctor checked my vaginal discharge, which has returned to normal. The doctor also noted cervical erosion of degree 2 and recommended microwave treatment, but I am afraid it will affect my future fertility, so I haven't undergone the treatment. Currently, my vaginal discharge still doesn't flow like egg white to my underwear every month, is this abnormal? Are there still issues? When I was normal, there was always stretchable transparent liquid discharge.Another question: When does vaginal discharge usually occur?
Current general condition: No abnormalities during menstruation, and usually, my underwear...
Doctor's answer:
Hello: Microwave therapy generally has little impact on fertility. Based on the current condition of leukorrhea, there should be no major issues. It is important to pay close attention to hygiene. At the same time, active treatment of cervical erosion should be pursued.The treatment methods for cervical erosion are numerous, and appropriate choices can be made based on the severity of the erosion. The main methods are as follows:
(1) Medication Therapy: For small erosion areas with shallow inflammation infiltration, the following medication methods can be used:
① 10–20% silver nitrate: Apply locally once a week, with 2–4 applications constituting one course.
② Potassium permanganate: Apply locally after menstruation, followed by a repeat application after 1–2 months. When using these medications, handle with care to prevent burns to the surrounding vaginal wall. Additionally, ensure sterilization during application to prevent reinfection.
(2) Physical Therapy: Used for larger erosion areas with deeper inflammation infiltration.
① Electrocautery: Use a specially designed electrocautery device to burn the erosion tissue, causing it to necrose and fall off. It is important to achieve a certain depth for effective treatment.
② Cryotherapy: Use a specially designed rapid freezing device to freeze, necrose, and detach the diseased tissue on the cervical erosion surface. Liquid nitrogen is commonly used as the cryoprotectant, with the cryoprobe temperature reaching -196°C. Apply it to the surface of the cervix to freeze and necrose the erosion tissue, allowing new epithelial tissue to regenerate. One session is typically sufficient for cure. Generally, there are no adverse reactions, though some patients may experience mild dizziness or lower abdominal pain.
③ Laser Therapy: Most commonly uses a carbon dioxide laser therapy device, with a specially designed laser applicator to irradiate the cervical erosion tissue.