Patient's question:
I just got married two months ago, but I developed moderate cervical erosion and fluid accumulation in my pelvic cavity. I followed the doctor's treatment for a course, which included local medication for 6 days and intravenous infusion for 7 days. I'm not sure if this is effective. What kind of treatment do I need to undergo to be cured? Do I have to avoid sexual activity during this period? Also, I should have had my period, but I haven't. Could it be caused by the medication?Doctor's answer:
Hello, the application of drugs, cervical erosion, and other factors may all lead to menstrual disorders. During treatment, sexual activity should be avoided.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: Applied locally once a week, with 2–4 applications constituting one course.
② Potassium permanganate: Applied locally after menstruation, with a repeat application after 1–2 months. When using these medications, caution must be exercised to prevent burns to the surrounding vaginal wall. Additionally, sterilization should be ensured during medication to prevent reinfection.
(2) Physical Therapy: Used for larger erosion areas with deeper inflammatory infiltration.
① Electrocautery: A specialized electrocautery device is used to burn the erosion tissue, causing it to necrose and fall off. The treatment must reach a certain depth for optimal results.
② Cryotherapy: A specialized rapid-freezing device is used to freeze, necrose, and detach the diseased cervical erosion tissue. Liquid nitrogen is commonly used as the cryogenic agent, with the cryoprobe temperature reaching -196°C. It is placed on the surface of the cervix to freeze and necrose the erosion tissue, allowing new squamous epithelial tissue to regrow. 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: Carbon dioxide laser treatment devices are often used. A specialized laser treatment head is applied to the cervical erosion tissue, causing it to carbonize, form eschars, and fall off, followed by the regrowth of new squamous epithelial tissue.