Patient's question:
Currently, in general: No symptomsHistory of previous diagnosis and treatment, as well as effectiveness: A physical examination in October last year showed everything was normal. This year's physical examination revealed cervical canal inflammation (Pap smear grade 11)
Doctor's answer:
Cervical canalitis is also a manifestation of chronic cervical inflammation, also known as endocervicitis. Its lesions are limited to the mucous membrane of the cervical canal and the underlying tissues, often accompanied by connective tissue hyperplasia and cervical hypertrophy. Sometimes, the mucous membrane of the cervical canal proliferates and protrudes outward. During gynecological examinations, the cervical os appears red and congested. The vaginal part of the cervix is generally smooth.The treatment of cervical canalitis should first address the underlying cause of the inflammation. If poor hygiene habits are the cause, they should be corrected promptly; if it is due to an intrauterine device (IUD), the IUD should be removed. Additionally, cervical scraping may be performed to remove inflamed tissues from the canal. However, cervical adhesion may occur after scraping, so follow-up examinations should be scheduled regularly, especially if menstrual pain occurs or if menstruation is expected but absent with accompanying pain.
Local medication can also be applied. After fully exposing the cervix, a cotton swab soaked with sulfonamide powder or other medications is inserted into the cervical canal and rotated to coat the surface of the cervical mucosa. Medication is typically applied once every other day, for a total of 3–4 times.