Patient's question:
How is the formation of second-degree erosion of the cervix? How to treat it?Doctor's answer:
Cervical erosion is a common inflammatory condition of the female reproductive tract, classified into three degrees—mild, moderate, and severe—based on the proportion of the cervix affected by erosion. Treatment methods include non-invasive and invasive treatments. Local treatments using medication applied vaginally are non-invasive, but this method is not very effective for moderate to severe cervical erosion. Invasive treatments involve local cervical treatments using methods such as phototherapy, cryotherapy, laser, and electrocautery. This approach may cause minor damage to the cervix locally and sometimes affect its ability to dilate during childbirth, but it does not lead to infertility. Instead, severe cervical erosion or acute infections that are left untreated can result in infertility. Therefore, for women who have not borne children and suffer from cervical erosion without affecting pregnancy or acute infections, cervical laser treatment can be performed after childbirth.The treatment of cervical erosion often involves local therapies, with numerous methods available, such as drug therapy, physical therapy, and surgical treatment. The first two conservative treatments aim to cause the columnar epithelium on the eroded cervix to necrose and fall off, creating conditions for the regrowth of new squamous epithelium.
(1) Drug therapy: This is suitable for patients with smaller erosion areas and superficial inflammatory infiltration. Antibiotics can be applied locally, such as metronidazole, sulfonamide drugs, and furacillin. Traditional Chinese medicine is widely used in clinical practice for treating cervical erosion, with good efficacy. Many empirical formulas and prescriptions are processed into medicinal powders or suppositories and placed on cotton balls, which are then applied to the eroded area. Generally, medication is applied twice a week. During treatment, there may be a significant amount of yellow vaginal discharge, but it should not have an unpleasant odor. Treatment typically begins after the menstrual period has ended.