Patient's question:
Cervical erosion, checked with colposcopy and biopsy, the result showed chronic inflammation, CIN3 grade.I don't have children yet. What treatment options are available? Thank you!
First follow-up question:
Detailed condition and consultation purpose: The colposcopy biopsy result is CIN3 grade, and I am seeking a non-surgical treatment option.
Current general condition: Pain in the lower abdomen and upper left inguinal area, with prolonged menstruation for the past three months.
Medical history: Cervical erosion for 8 years.
Previous diagnoses, treatments, and outcomes: Underwent laser treatment 6 years ago, using...
Doctor's answer:
(1) Medication Treatment: For small erosion areas with superficial inflammatory infiltration, the following medication treatments can be used:① 10–20% silver nitrate: Apply locally once a week, with 2–4 applications constituting one course.
② Potassium permanganate: Apply locally after menstruation, and repeat the treatment once after 1–2 months. When using these medications, handle with care to prevent burns to the surrounding vaginal wall, and ensure sterilization during application to prevent reinfection.
(2) Physical Treatment: Used for larger erosion areas with deeper inflammatory infiltration.
① Electrocautery: Use a specialized electrocautery device to burn the erosion tissue, causing it to necrose and fall off. The treatment should reach a certain depth for effective results.
② Cryotherapy: Use a specialized rapid-freezing device to freeze, necrose, and detach the diseased tissue on the erosion area. Liquid nitrogen is commonly used as the cryogenic agent, which can lower the temperature of the cryoprobe to -196°C. Apply it to the surface of the cervix to freeze and necrose the erosion tissue, leading to its detachment and the regrowth of new squamous epithelium. 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 Treatment: Most commonly uses a carbon dioxide laser device. Apply the specialized laser treatment head to the erosion tissue to carbonize, form eschars, and detach it, followed by the regrowth of new squamous epithelium. One session is usually sufficient for cure. There is no special discomfort during the procedure, though some patients may experience bleeding when shedding eschars.
④ KS Device Treatment: Utilizes special wavelength photothermal therapy, which is painless and highly effective. During treatment with these methods, maintain cleanliness of the external genitalia, and avoid sexual activity, vaginal irrigation, or sitz baths. Regular follow-up examinations should also be conducted to monitor the healing of the erosion area.