Patient's question:
Infertility previously had an induced abortionDoctor's answer:
Analysis of the Condition: Chronic inflammation of the cervix, if left untreated for a long time, can lead to more severe conditions such as polyps, cracks, inversion, and cysts. In some cases, cervical erosion may even develop into cancer. When cervical erosion progresses to moderate or severe stages, the cervical secretions significantly increase, becoming thick and containing a large number of white blood cells. This affects sperm motility, directly obstructing sperm from entering the uterine cavity, thereby impairing normal conception and leading to female infertility. Mild cervical erosion is common among many people and is generally not a major issue, but it should never be taken lightly!Under chronic inflammation, the cervix may also develop polyps, cracks, inversion, cysts, and other deeper conditions. In some cases, cervical erosion can even progress to cancer. When cervical erosion reaches moderate or severe stages, cervical secretions increase significantly, becoming thick and containing a large number of white blood cells. This affects sperm motility, directly obstructing sperm from entering the uterine cavity, thereby impairing normal conception and leading to female infertility. Additionally, if a woman with cervical erosion does not receive timely treatment or only uses low-effective medications, the inflammation in the cervix may persist, leading to infections and complications in other organs, such as endometritis, chronic pelvic inflammatory disease, and urinary system disorders.
Suggestions for Treatment:
1. Physical Therapy: The principle involves using various physical methods to cover the eroded cervix with a single layer of columnar epithelium. Regular follow-up is required after treatment. However, physical therapy may cause postoperative bleeding, cervical stenosis, infertility, and infections.
2. Local Drug Therapy: This is suitable for cases with small erosion areas and superficial inflammation. In the past, corrosive agents like silver nitrate were used locally, but this method is rarely employed now.
3. Laser Therapy: When laser therapy was first introduced, it was highly popular due to its ability to prevent bleeding and cause minimal discomfort during the procedure. While laser treatment represents progress in treating cervical erosion, it still has limitations. The principle of laser therapy involves direct action on the affected area, where high temperatures dehydrate, vaporize, or carbonize the diseased tissue, causing it to fall off. Due to the localized high temperature, blood vessels are sealed, resulting in almost no bleeding during the procedure. However, if the laser intensity is not properly controlled, it may excessively damage healthy tissue. As a result, postoperative cervical elasticity significantly decreases, which can be a major issue for women who have not yet given birth, potentially leading to cervical laceration during childbirth. Even for women who have already given birth, it is not ideal, as it may affect the quality of sexual life.
4. Cryotherapy: The principle of this technique is simple: a probe is inserted into the vagina to reach the cervix, and liquid nitrogen is released to drastically lower the temperature of the affected area. The diseased tissue cells are frozen under low temperatures, leading to necrosis and detachment. New healthy tissue then covers the original affected area, restoring health. However, this technique also has drawbacks. The main issue lies in the difficulty of controlling the depth of liquid nitrogen freezing during actual operation. As a result, while the diseased tissue is frozen, the underlying healthy tissue may also be damaged. Therefore, the recovery process after surgery is relatively slow.