Patient's question:
Hello!I've been troubled by a concern for a while and hope to get your answer.
Six months ago, I had a medication-induced abortion. After the procedure, the doctor said I had cervical inflammation and told me to treat it gradually. The tone suggested it wasn't serious, and since I was busy, I never followed up.
In July of this year, I noticed a persistent feeling of fullness and pressure in my lower abdomen. When I went to the hospital, it was diagnosed as severe cervical erosion. The doctor said I hadn't given birth yet, so surgery wasn't an option, only some suppositories and a rinse were prescribed. They didn't ask me to follow up. At the time, I also had a cervical smear test, which showed no abnormalities. It's now nearly January, and the discomfort is still there. I might not have a child for another two years. Will this affect me? I'm also very scared that it could turn into cervical cancer. Is there a high chance of that in the next two years? I'm really worried. I'm 24 years old and preparing to...
Doctor's answer:
Hello: Generally, prolonged cervical erosion is prone to cancer because there are many secretions in the uterus that are discharged from the cervical canal. If cervical erosion forms a closed type, the substances that should be secreted cannot be expelled for a long time, making it easy to develop into cancer.There are many treatments 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 and superficial inflammatory infiltration, the following medication methods can be used: ① 10-20% silver nitrate: Apply locally once a week, with 2-4 applications constituting a course. ② Potassium permanganate: Apply locally after menstruation, and repeat the medication once after 1-2 months. When using the above medications, be cautious to prevent burns to the surrounding vaginal wall, and pay attention to disinfection during medication to prevent reinfection.
(2) Physical therapy: Used for larger erosion areas and deeper inflammatory infiltration of cervical erosion.
① Electrocautery: Use a specially designed electrocautery device to burn the erosion area tissue, causing it to necrotize and fall off. It must reach a certain depth to ensure effective treatment.
② Cryotherapy: Use a specially designed rapid freezing device to freeze, necrotize, and cause the diseased tissue of the cervical erosion area to fall off. Liquid nitrogen is commonly used as the cryoprotectant, allowing the temperature of the cryoprobe to be reduced to -196 degrees Celsius. Place it on the surface of the cervix to freeze and necrotize the erosion tissue, causing it to fall off and regenerate new epithelial tissue. It can be cured in one session. Generally, there are no adverse reactions, although some patients may experience mild dizziness, lower abdominal pain, etc.
③ Laser therapy: Carbon dioxide laser treatment devices are commonly used, with a specially designed laser treatment head shining...