Patient's question:
Detailed medical condition and consultation purpose: Cervical erosionCurrent general condition: ++
Medical history: Did not know before
Auxiliary tests: TCT test
Doctor's answer:
Hello:There are many methods for treating cervical erosion, 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 superficial inflammation, the following medication therapies 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 these medications, handle with care to prevent burns to the surrounding vaginal wall, and ensure sterilization during application 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 optimal results.
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 cryogen, lowering the temperature of the cryoprobe to -196°C. Apply it to the surface of the cervix to freeze and necrose the erosion tissue, allowing it to fall off and new squamous 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. Apply the specially designed laser treatment head to the erosion tissue to carbonize, form a scab, and detach it, allowing new squamous epithelial tissue to regenerate. One session is usually sufficient for cure. There is no special discomfort during the procedure, though some patients may experience bleeding when the scab falls off.