Patient's question:
I went to the hospital and the doctor said my cervix is not good, with 3 degrees of erosion. The upper lip has severe inversion and erosion, while the lower lip is still good. They also did a Pap smear test, which showed no cancer cells. However, the doctor suggested that since I haven't had children yet, I should first use medication to control the condition and then undergo physical therapy after giving birth. Is this a good approach? Based on my situation, what would be the best course of action? Is there a method that can treat the condition effectively without affecting future fertility? Thank you!First follow-up question: I don't want to have children in the near future, and the doctor only mentioned my upper lip inversion without specifying the type of erosion. Given my current condition, what method should I use to avoid affecting future fertility?
Doctor's answer:
Hello, moderate to severe cervical erosion, especially granular or papillary cervical erosion, should be actively treated. Patients with sexual intercourse bleeding or cervical erosion with contact bleeding during examination should also be treated.Before treatment, these patients should undergo routine cervical scraping for cancer prevention. If atypical hyperplastic cells are found, although it does not necessarily indicate cancer, only treatment can actively promote cell transformation in a positive direction to prevent future complications. If necessary, colposcopy or biopsy may be performed to rule out cervical cancer. Women using intrauterine devices (IUDs) for contraception must wait until the moderate to severe cervical erosion is treated before inserting the IUD. Similarly, severe cervical erosion is a contraindication for induced abortion, and the procedure must only be performed after the erosion has improved.
There are many methods for treating cervical erosion, and the appropriate choice can be made based on the severity of the erosion. The main methods are as follows:
(1) Medication Treatment: For small erosion areas with shallow inflammation infiltration, the following medication treatments can be used:
① 10–20% silver nitrate: Apply locally once a week, with 2–4 applications per course.
② Potassium permanganate: Apply locally after menstruation, and repeat the medication once after 1–2 months. When using the above medications, handle with care to prevent burns to the surrounding vaginal wall. Additionally, ensure sterilization during medication to prevent reinfection.
(2) Physical Treatment: 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 must reach a certain depth, and