Patient's question:
Please ask the doctor: Is it possible that one session of microwave treatment may not be enough to cure third-degree cervical erosion? Will it recur after healing? Last time I had a microwave treatment, it took about a month before I went for a check-up because of itching. The result showed vaginal inflammation, and the doctor prescribed medication to be placed inside the vagina. Two months later, when I went to another hospital for a follow-up check-up on cervical erosion, the doctor still diagnosed it as third-degree cervical erosion. I had thought it was already healed because my leukorrhea seemed normal. Please ask the doctor if the reason it didn’t heal could be due to the medication placed inside the vagina?Doctor's answer:
Hello: There are many treatment methods for cervical erosion, and appropriate choices can be made based on the degree of erosion. The main methods are as follows:（1）Medication: For small erosion areas with superficial inflammation, the following medication treatments 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, followed by 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 cryoprotectant, with the cryoprobe temperature dropping to -196°C. The device is applied to the surface of the cervix, causing the erosion tissue to freeze, necrose, and fall off, followed by the growth of new squamous epithelial tissue. 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 commonly used. A specialized laser applicator is used to irradiate the cervical erosion tissue, causing it to carbonize, form a scab, and fall off, followed by the growth of new squamous epithelial tissue. 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.
④ KS Device Therapy: This method utilizes