Patient's question:
After examination, there are two degrees of cervical erosion. The doctor recommends first conducting a check to determine if it is cancerous, and then proceeding with physical therapy. This examination is very expensive. May I ask: Is it okay to skip this check and directly undergo physical therapy? 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 cause no obvious discomfort and can only be detected during a gynecological examination. Severe cases may result in increased leukorrhea, which is purulent or bloody with an odor. The leukorrhea may irritate the external genitalia, causing itching. Severe cases may cause lower abdominal pain and dyspareunia, and may also lead to urinary frequency. During a gynecological examination, 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 cervical 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. Inflammatory cells also consume a large amount of sperm, and the remaining sperm are further damaged by bacteria and their toxins. If there is also an infection with 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 fertilizing an egg. Metaphorically speaking, sperm are like being trapped in a mud, "drowning" in it. Therefore, cervical erosion increases the difficulty of conception, leading 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 aims to maintain cervical elasticity and avoid affecting fertility. Microlaser treatment is based on the principle that normal tissues and pathological tissues have different selective absorption of light energy at certain wavelengths. Through the photothermal composite effect, it effectively kills pathological cells and tissues, causing the mucosal tissue to coagulate in a short time and promoting the regeneration of new squamous epithelial cells to heal the wound. It also dilates local blood vessels, increases blood flow, eliminates venous congestion, and improves local blood circulation. This accelerates the absorption of local metabolic products, promotes inflammation resolution, and enhances cellular activity and metabolic processes, speeding up cell regeneration and repair. The treatment is short, leaves no scars, and restores the original elasticity of the cervix, with no impact on fertility. Minimally invasive ablation provides timely solutions, offering multiple choices for women of childbearing age Once diagnosed with cervical erosion, even if there are no symptoms, it is not advisable to be "completely at ease" and should be treated actively. If cervical erosion is not treated actively, 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. Through computer-accurate control of the temperature at the tip of the superconducting head, it releases 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. Laser or microwave therapy can also be used as supplementary treatments 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 these can significantly 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, such as refraining from sexual intercourse, swimming, tub baths, and vaginal irrigation during treatment. Additionally, the doctor should be followed to choose suitable courses of treatment based on the severity of erosion, and it is crucial not to 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 that could lead to recurrent cervical erosion.