Cervicitis is a common disease among women of childbearing age. It is divided into acute and chronic cervicitis, but chronic is more common. This disease is often caused by damage to the cervix during childbirth, miscarriage or surgery, and infection by pathogens. In addition, it is also related to excessive sexual life, physical or chemical stimulation, endometritis, and vaginitis. There is a certain relationship between chronic cervicitis and the incidence of cervical cancer. According to research, the incidence rate of cervical cancer in those with cervical erosion is 0.75, which is significantly higher than that in those without cervical erosion. Therefore, active treatment of cervicitis is of great significance in preventing the occurrence of cervical cancer.
The main symptom of this disease is increased leucorrhea. Acute cervicitis presents with purulent leucorrhea, accompanied by pain in the lower abdomen and lumbosacral region, or bladder irritation symptoms such as frequent urination, urgency, and painful urination. Chronic cervicitis leucorrhea may be milky white mucus or light yellow purulent; when severe cervical erosion or cervical polyps are present, bloody leucorrhea or bleeding after sexual intercourse may occur. In mild cases, there may be no systemic symptoms. When the inflammation spreads along the uterosacral ligament to the pelvic cavity, there may be pain in the lumbosacral region, a feeling of distension in the lower abdomen, and dysmenorrhea, which are aggravated during defecation and sexual intercourse. In addition, thick and purulent leucorrhea is not conducive to the passage of sperm and can also cause infertility.
The principle of treatment is to destroy columnar epithelium and promote squamous epithelial covering and healing.
1. Electric ironing treatment: Using high-frequency current to perform electric ironing and cauterization on the eroded surface, it is suitable for treating various types of cervical erosion.
2. Cryotherapy: rapid contact cooling with liquid nitrogen to freeze the diseased tissue into necrosis; suitable for erosions with a smooth surface.
3. Laser treatment: Vaporization and cauterization are used to treat cervical lesions, which can damage the lesions to a good depth. The advantages of laser treatment are high curative effect, no adverse reactions during the operation, small postoperative tissue reaction, less scab and necrotic tissue, short vaginal exudation time, good healing, and no scars on the cervix. It is currently an ideal method for treating cervical erosion.
4. Microwave therapy: Microwave tissue coagulation, smokeless and odorless operation has good hemostatic effect, great safety, and high recovery rate in one session.
5. Drug cauterization therapy: Use 40% potassium dichromate or 20% silver nitrate solution to corrode the eroded surface of the cervix.
6. Surgical treatment: Cervical conization can be used for cervical erosion that cannot be cured for a long time; total hysterectomy can be used for older people or those with suspected cancer or those with other reproductive organ diseases.
7. Yangyin Shengji Powder: Clean the cervix, spray the powder on the affected area, 2 times a week, 10 times as a course of treatment, suitable for cervical erosion.
8. Vaginal lavage method: 15 grams each of wild chrysanthemum, atractylodes, sophora flavescens, moxa leaves, and cnidii, and 10 grams each of rhizome and cork. Decoction 200ml of it and perform vaginal lavage, once a day, 10 times as a course of treatment. Suitable for acute cervicitis.
In addition, patients should 1. Keep the vulva clean. 2. Minimize the damage to the cervix caused by abortion and other gynecological surgeries. 3. Medication on the cervix should be suspended during menstruation, and sexual intercourse is prohibited during treatment.