How to treat moderate chronic cervicitis with physical therapy?

Chronic cervicitis is a common disease among women. The disease can be divided into three types: mild, moderate and severe. There are many mild patients and the disease is not easy to detect. Therefore, most mild patients are not treated. When the disease develops to moderate, it is often accompanied by other gynecological diseases, such as cervical erosion, which is a symptom caused by inflammation. Patients must be treated immediately after discovering the severity of the disease. So how to treat moderate chronic cervicitis physically?

Physical therapy: It is currently the most effective and shortest treatment method for treating moderate chronic cervicitis. 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.

3. Laser therapy: It is a high-temperature treatment with temperatures reaching over 700°C. The main function is to carbonize and form scabs on the eroded tissue. After the scabs fall off, the wound surface is covered with new squamous epithelium. Cervical erosion is generally treated with a carbon dioxide laser and infrared light with a wavelength of 10.6μm. Preparation before treatment is the same as that for electric ironing. In addition to thermal effects, its advantages also include pressure, photochemical and electromagnetic field effects. Therefore, it has anti-inflammatory effects (stimulating the body to produce stronger defensive immune functions), analgesic effects (reducing tissue edema and reducing chemical and mechanical stimulation to nerve endings) and promoting tissue repair (enhancing the anabolism of epithelial cells, promoting epithelial proliferation, and accelerating wound repair). Therefore, the treatment time is short and the cure rate is high.

Physical therapy should be performed within 3 to 7 days after the end of menstruation and is contraindicated in cases of acute genital inflammation. Vaginal secretions increase after physical therapy, and the vulva should be kept clean. Bathing, sexual intercourse and vaginal douching should be avoided before the wound heals (4 to 8 weeks after surgery). If cryotherapy is performed, the patient should be asked whether he or she has a history of heart disease before the operation, and an electrocardiogram should be performed if necessary. It is contraindicated for people with heart disease.

The treatment of moderate chronic cervicitis is complicated. For many women, erosion will worsen when the disease is moderate. Erosion and chronic cervicitis may coexist. It is recommended that patients undergo a cervical smear examination before treatment to prevent the possibility of cervical cancer. It can also predict the time of cancer in the future and remind patients to prevent them from not seeking treatment. If the disease is not treated, it will worsen faster, and the accelerated progression of the disease will damage the patient's cervical health.