How to treat mild chronic cervicitis?

Mild chronic cervicitis is a common female disease. Cervical inflammation is related to a variety of adverse factors, such as sexual life, menstrual hygiene, etc. Gynecological diseases in women are also related to men. If men do not pay attention to sexual hygiene, they will also be infected with germs or bacteria, which will aggravate the disease. Therefore, if you suffer from mild chronic cervicitis, you need to treat it. So how to treat mild chronic cervicitis? The treatment methods of the disease are:

(I) Drug treatment: There are many drug treatments for chronic cervicitis, the following are commonly used:

1. Local vaginal irrigation and local medication: the most commonly used treatment methods. Irrigation can be performed with 1:5000 potassium permanganate solution, 1:1000 chlorhexidine solution, 1% acetic acid solution or 0.5-1% lactic acid solution. For mild and superficial cases, you can use a cotton swab dipped in 5-10% iodine tincture or 5-10% silver nitrate solution to locally corrode the eroded surface once a week to promote healing of the eroded surface. However, care must be taken during application to avoid leakage of the drug solution onto normal mucosa outside the lesion area. After applying silver nitrate, gently rub it with a cotton ball dipped in saline solution. This is now rarely used. Topical application of chloramphenicol tablets (chloramphenicol 250 mg and prednisone 5 mg tablets) should be placed deep in the vagina every night or every other night. Ten consecutive uses constitute a course of treatment. Its effect is comparable to general disinfectant irrigation and can be selected according to the situation.

2. Vaginal fornix closure: See the closure therapy in the other therapies chapter for details. It can be used for patients with chronic cervicitis complicated with paracervical connective tissue inflammation, lumbosacral pain, and obvious cervical lifting pain, which seriously affects their sexual life.

3. Chinese herbal lotion Jieryin: suitable for various acute and chronic cervicitis. Its main ingredients are Cnidium monnieri, Phellodendron chinense, Sophora flavescens, and Atractylodes lancea. Generally, 10% of the medicine solution is used for vaginal washing or sitz bathing once a day, and one course of treatment is two weeks.

(B) Physical therapy: It is the method with the best effect and shortest treatment course for treating cervical erosion. It is suitable for cases with larger erosion surface and deeper inflammatory infiltration. Generally, only one treatment is needed to cure the disease.

1. Electrocoagulation: In the past, radial fashion electrocauterization was used, which took a long time to heal (6 to 8 weeks). Currently, electrocoagulation is used to iron out the entire erosion, so it is also called electric ironing. According to the summary of 2095 cases in the Affiliated Hospital of Shandong Medical University, the effectiveness of electric ironing therapy in treating cervical erosion is 100%. For specific operations, first place the electric iron and routinely disinfect the vulva, vagina and cervix. Use a vaginal speculum to expose the cervix, bring the electric iron head into contact with the eroded surface, and iron evenly, with the range slightly exceeding the eroded surface. The depth of electric ironing is about 0.2cm. Too deep may cause bleeding and slow healing; too shallow may affect the efficacy. After electric ironing, spray the wound with furacillin powder or apply chloramphenicol glycerin.

2. Cryotherapy: It is an ultralow temperature therapy. The cooling source is liquid nitrogen and the temperature is -196℃. During treatment, select an appropriate probe based on the severity of the erosion. To improve the therapeutic effect, the freeze-thaw-freeze method can be used, that is, freezing for 1 minute, thawing for 3 minutes, and freezing again for 1 minute. Its advantages are simple operation, and rarely bleeding and cervical stenosis occur after surgery. The disadvantage is that there is a lot of vaginal discharge after surgery.

There are many treatments for mild chronic cervicitis, and the treatment method should refer to the patient's condition and symptoms. Medication or physical therapy can be used for treatment. Hygiene during treatment is very important. Women should not have sex at this time and should change underwear frequently. If there is too much secretion, sanitary napkins or panty liners should be used, which should also be changed frequently. You should also pay attention to these hygiene precautions after treatment to prevent the possibility of recurrence of the disease.