Patient's question:
Detailed medical condition and consultation purpose: I feel that the situation hasn't changed much since treatment, and I'm wondering if there are any better methods for treatment? Is traditional Chinese medicine treatment better or Western medicine treatment?Duration and persistence of the current illness: 1 year
Current general condition: Currently, I still experience lower abdominal pain, slight itching in the outer vulva at night, and yellow discharge.
Previous diagnosis and treatment history and effectiveness: The doctor treated it with vaginal medication, and the doctor said the affected areas had shrunk compared to before, but personally, I don't think the effect is very significant. First follow-up question: I also want to ask if physical therapy treatments can cause damage.
Doctor's answer:
Hello: The following treatment methods can be tried: There are many treatment methods for cervical erosion, and appropriate choices can be made based on the degree of erosion. The main methods are as follows:(1) Medication Therapy: For small erosion areas with superficial inflammation, 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, and repeat the medication once after 1–2 months. When using the above medications, be cautious to prevent burns to the surrounding vaginal wall. Additionally, ensure sterilization during medication to prevent reinfection.
(2) Physical Therapy: Used for larger erosion areas with deeper inflammation.
① Electrocautery: Use a specially designed electrocautery device to burn the erosion tissue, causing it to necrose and fall off. The treatment should reach a certain depth for better efficacy.
② Cryotherapy: Use a specially designed rapid freezing device to freeze, necrose, and detach the diseased tissue on the erosion area. Liquid nitrogen is commonly used as the cryogenic agent, allowing the cryoprobe temperature to drop to -196°C. Apply it to the surface of the cervix to freeze and necrose the erosion tissue, leading to its detachment and the regeneration of new squamous epithelial tissue. One session is usually 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. Apply the specially designed laser treatment head to the erosion tissue, causing it to carbonize, form a scab, and fall off, followed by the regeneration of new squamous epithelial tissue. One session is usually sufficient for cure. There is no special discomfort during the procedure, though a few patients may experience detachment.