Patient's question:
Detailed medical condition and consultation purpose: I was diagnosed with reactive hyperplasia of glandular epithelium in a cervical smear. Through biopsy and fractional curettage, it was determined to be chronic cervicitis, but HPV was positive. Some people say that regular follow-up is sufficient, while others suggest a cone biopsy. I would like to ask the experts how I should be treated?Current general condition: asymptomatic
Doctor's answer:
Here is the English translation of the provided text, with line breaks preserved as instructed:Hello, effective treatments for chronic cervicitis include:
1. Medication: Potassium permanganate solution or povidone-iodine solution can be used for local vaginal irrigation; Chloramphenicol and prednisone ointments can be applied locally; Jieryin can be used for or sitz baths.
2. Physical therapy: Electrocoagulation; Cryotherapy is simple, with minimal postoperative bleeding and cervical stenosis; Laser therapy has anti-inflammatory, analgesic, and tissue repair effects, and the treatment time is short with a high cure rate.
3. Traditional Chinese Medicine (TCM) treatment:
- Damp-heat accumulation: Excessive leukorrhea (yellowish-white or purulent, possibly with blood streaks), lower back pain and fullness, abdominal distension, frequent urination with pain, vaginal itching, bitter taste in the mouth, dry throat. Red tongue with greasy yellow coating, wiry and slippery pulse. Over-the-counter TCM: Fuyanping capsules, Zongzi pills—take with warm water after meals.
- Spleen and kidney deficiency: Excessive thin leukorrhea that persists, poor appetite, fatigue, lower back and knee weakness, pale complexion, or loose stools. Pale tongue with white or greasy coating, weak and slow pulse. Over-the-counter TCM: Zhibai pills—take with warm water.
4. Lifestyle care: In the days following treatment, the vagina may discharge a large amount of bloody or yellowish fluid. It is important to keep the area clean; this usually stops within three weeks. If excessive vaginal discharge causes discomfort to the external genitalia, rinse the area with warm water or potassium permanganate solution twice a day. Change underwear frequently to maintain cleanliness, avoid sexual activity, and do not swim in swimming pools.