Patient's question:
Doctor:Hello! A few days ago, I had vaginal bleeding, but it wasn't much and was coffee-colored. I went to the hospital for a check-up, and it was diagnosed as endometritis and cervical erosion. The doctor prescribed me a six-day course of clindamycin intravenous infusion and Gynecological Qianjin Tablets, which I can use for four days. However, the bleeding still persists inside my vagina. What should I do? Can you tell me what might be causing this? Is there a good method to treat it?
I also want to ask: What kind of medicine is best for mild cervical erosion?
Doctor's answer:
Hello: Based on your condition, medication treatment can be administered. When treating acute endometritis, routine bacterial culture and drug sensitivity tests are necessary to select effective antibiotics. Before the test results are available or if the test cannot be performed, a broad-spectrum antibiotic like penicillin can be used. After a negative skin test, penicillin (800,000 to 1,600,000 units) should be administered intramuscularly twice daily. If the bacterial culture is aerobic, gentamicin can be injected intramuscularly (80,000 units each time, every 8 hours). If the culture results show anaerobic bacteria, metronidazole is more appropriate, taken orally (0.4 grams each time, three times daily). If acute endometritis occurs postpartum or after an abortion, it is essential to consider whether there is still placental or fetal membrane residue in the uterine cavity. If residual tissue remains in the cavity, it should be removed after controlling the infection for 48 to 72 hours, followed by thorough uterine clearance once the condition stabilizes. Postoperatively, oxytocin (10 units) should be injected intramuscularly, and oral preparations like motherwort ointment or postpartum biochemical decoction should be taken to promote uterine contractions, while antibiotics should continue to be used. If the patient has an intrauterine device (IUD), it should be removed as soon as possible. If the patient has submucosal uterine fibroids or polyps, surgical treatment is necessary, not just relying on antibiotics.There are many treatment methods for cervical erosion, and appropriate choices can be made based on the severity of the erosion. The main methods include the following:
(1) Medication treatment: For small erosion areas with shallow inflammatory infiltration, 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, with a repeat application 1–2 months later. When using the above medications