Patient's question:
After examination, there are two degrees of cervical erosion. The doctor recommends performing a check to determine if it is cancerous before undergoing physical therapy. This examination is very expensive. May I ask: Can I proceed with physical therapy without this check? What is the purpose of this examination? What treatment will I receive next?Doctor's answer:
How is cervical erosion acquired? Cervical erosion is the most common gynecological disease and the most common clinical manifestation of chronic cervical inflammation. There are many causes of cervical erosion, which can be mechanical irritation such as sexual intercourse, damage to the cervix, or infections by bacteria and viruses, as well as chemical drug irritation, all of which can lead to cervical erosion. A small number of unmarried women have congenital cervical erosion. Mild cervical erosion may not cause obvious discomfort and may only be detected during a gynecological examination. Severe cases may result in increased vaginal discharge, which is purulent or bloody and has an odor. The discharge may irritate the external genitalia, causing itching. Severe cases may also cause lower abdominal pain, which worsens after sexual intercourse, or symptoms such as frequent urination. Gynecological examination reveals that the cervix appears red, with the original squamous epithelium shedding and being replaced by columnar epithelium. The erosion surface has a clear boundary with the surrounding normal epithelium and is easily bleeding during examination. Cervical erosion can lead to female infertility Cervical erosion is caused by inflammation, which results in a significant increase in cervical secretions. The mucus becomes viscous and contains a large number of white blood cells. When sperm pass through the cervix, the inflammatory environment reduces sperm vitality, and the viscous secretions make it difficult for sperm to pass through. Inflammatory cells also consume a large amount of sperm, and the remaining sperm are further destroyed by bacteria and their toxins. If there is also an infection of Escherichia coli, it can cause sperm to aggregate strongly, leading to a loss of vitality. The various toxic effects on sperm cause excessive energy consumption and a shorter lifespan, which affects sperm motility and hinders their entry into the uterine cavity, ultimately reducing the chances of sperm and egg fertilization. Metaphorically speaking, sperm are like being trapped in a mud, "drowning" in it. Therefore, cervical erosion increases the difficulty of conception and can lead to infertility. There is a certain correlation between cervical erosion and infertility, but with proper treatment, pregnancy is very possible once the erosion heals or improves. Microlaser without scars, restoring cervical elasticity without affecting fertility The treatment of cervical erosion, after excluding early cervical cancer, is primarily local. For women who have not borne children, the treatment focuses on maintaining cervical elasticity and not affecting fertility. Microlaser treatment is based on the principle that normal tissues and pathological tissues have different selective absorption properties for light energy of certain wavelengths. Through the photothermal composite effect, it effectively kills pathological cell tissues, causing the mucosal tissue to coagulate in a short time and promoting the regeneration of new squamous epithelial cells to restore the wound. It can also dilate local blood vessels, accelerate blood flow, eliminate venous congestion, and improve local blood circulation. This accelerates the absorption of local metabolic products, promotes the resolution of inflammation, and enhances local cell activity and metabolic processes, speeding up cell regeneration and repair. The treatment time is short, leaving no scars, with a smooth surface, restoring the original elasticity of the cervix, and having no impact on fertility. Minimally invasive ablation solves the problem promptly, offering multiple choices for women with fertility needs Once diagnosed with cervical erosion, even if there are no symptoms, it is not advisable to be "completely at ease" and should be actively treated. If cervical erosion is not actively treated, the risk of developing malignant tumors may increase. Targeted treatment can be chosen based on the severity of cervical erosion, such as radiofrequency ablation technology, which applies radiofrequency to the eroded tissue. By accurately controlling the temperature of the superconducting tip with a computer, it releases immense energy, causing the inflammatory eroded tissue to dehydrate and coagulate, disappear, and restore the normal state of the cervix. This method has the advantages of minimal pain, rapid effectiveness, and simplicity. Other treatments such as laser or microwave therapy can also be used to improve blood circulation and enhance the body's immunity. Within one month after treatment, it is recommended to avoid sexual intercourse, tub baths, and vaginal irrigation, as this can greatly increase the risk of infection. Daily precautions to prevent recurrence of erosion Cervical erosion can be cured as long as the patient follows the doctor's advice during treatment, such as refraining from sexual intercourse, swimming, tub baths, and vaginal irrigation. Additionally, the doctor should be followed to choose suitable courses of treatment based on the severity of the erosion and should not give up halfway. After healing, it is important to maintain cleanliness of the external genitalia and hygiene during sexual intercourse, use contraception, and enhance the body's disease resistance to prevent repeated infections of the cervix, which can lead to recurrent cervical erosion.