Patient's question:
How is cervical hypertrophy treated?Doctor's answer:
1, Physical therapy is suitable for moderate and severe erosion. It is currently the most effective and shortest-course method, generally requiring only one session to heal.1) Electrocautery: The cautery tip is applied to the eroded surface to cause tissue coagulation, forming a scab. The scab typically begins to fall off after about two weeks, and wound healing generally takes 6–8 weeks. The procedure should be performed 3–5 days after the menstrual period. It is contraindicated in cases of adnexitis. After treatment, leukorrhea may temporarily increase or bleeding may occur. If bleeding is significant, sterile gauze can be used to compress the wound, and it should be removed after 24 hours. The disadvantage is that scarring may sometimes lead to cervical stenosis.
2) Cryotherapy: A cryoprobe is placed on the eroded surface for 1–3 minutes using a liquid nitrogen rapid cooling device, then removed after natural rewarming, causing the abnormal tissue to freeze and die. 2–3 weeks after treatment, a large amount of watery discharge may be expelled. The advantage is that bleeding and cervical stenosis are less likely to occur.
3) Laser therapy: The laser causes the eroded tissue to carbonize and form a scab, with a healing process similar to the previous two methods. After physical therapy, a large amount of yellow watery leukorrhea may flow from the vagina, with varying durations. External hygiene should be maintained, and recovery generally takes 6–8 weeks. Before the wound is fully healed, avoid baths, sexual intercourse, and vaginal irrigation. Post-treatment, follow-up examinations can be conducted weekly to monitor healing. If cervical stenosis is detected, it can be gently dilated with a probe.
2, Medication is suitable for mild erosion. Methods are as follows:
1) 10–30% silver nitrate solution or 10% tincture of iodine: Apply the medication carefully to the affected area using a cotton swab. After using silver nitrate, apply physiological saline to neutralize excess silver nitrate, converting it to non-corrosive silver chloride. Apply twice weekly, with 4–6 applications constituting one course. Repeat if necessary.
2) Potassium dichromate solution: Apply the medication carefully to the affected area using a cotton swab once after the menstrual period. Repeat once after the next period. This method may be more effective for larger erosion areas. Before applying the medication, cleanse the cervical mucus with 0.1% New, place two cotton balls in the posterior fornix to prevent the medication from irritating the vaginal mucosa, and remove the cotton balls afterward. Then, wipe the treated area with a 75% alcohol cotton swab (formula: 10g potassium dichromate, 75ml concentrated sulfuric acid, diluted with water to 100ml).
3, Surgical treatment may be performed for cervical hypertrophy, deep and extensive erosion involving the cervical canal, and/or suspected malignancy. The excised tissue should be sent for pathological examination. This method results in smaller scars, and the cervical condition can be maintained post-surgery.