How to treat symptomatic cervical erosion? ”Celiac disease can coexist with cervicitis. When there is discomfort such as increased, purulent leucorrhea, intermenstrual bleeding, post-coital bleeding, etc., it is necessary at this time to do early screening for cervical cancer with TCT and HPV, as well as to follow the diagnostic criteria for cervicitis, and to screen for pathogenic microorganisms such as gonorrhea and chlamydia. When microbial infections are found, antibiotics can be used for treatment. Which cervical erosions are treated with physiotherapy? For cervical lesions with erosive changes, asymptomatic physiological columnar epithelial ectoplasia does not need to be treated. For celiac disease with increased discharge, papillary hyperplasia or contact bleeding, local physiotherapy can be given to exclude microbial infection. These include laser, freezing, microwave and other methods, and can also be given with the Chinese herbal medicine Povidon suppositories or as an adjunctive treatment before and after physiotherapy. However, cervical intraepithelial neoplasia and cervical cancer must be excluded by screening before treatment. What are the treatment methods? 1.Electro-ironing How to use: Press the iron in contact with the erosion surface and move it back and forth from inside to outside until the tissue is milky white or slightly yellowish slightly beyond the erosion surface (about 3mm). Topical application of 1% gentian violet. The cautery is usually slightly deeper near the uterine orifice and penetrates 0.5 to 1 cm into the cervical canal, becoming more shallow the closer to the edge. There may be a small amount of bleeding in the vagina within 2 weeks and a small amount of bleeding in the vagina within 2-3 weeks. 2-3 weeks later, the wound is decrusted and the squamous epithelium starts to repair. Cure rate is 80%. 2.Laser treatment Principle: The laser makes the erosion tissue carbonize and crust, and the crust will fall off in about 3 weeks after the operation, and the wound surface will be repaired by the growth of new squamous epithelium. The irradiation range should exceed 2mm of the erosion surface, and the cauterization depth is 2~3mm for mild cases and 4~5mm for severe cases, with a cure rate of 80%~90%. The healing time is 1~3 months, with postoperative reactions such as debridement, running water and bleeding. Contraindications: Pregnant women, patients with excessive or frequent menstruation, and patients with systemic diseases (such as blood diseases, liver diseases, severe heart diseases, etc.). Postoperative treatment: If secondary infection occurs, use antibacterial drugs and hemostatic drugs as adjunctive treatment. Review once a month to observe the healing of the trauma. Pay attention to observe whether there is narrowing of the cervical canal. Since laser treatment has an effect on the menstrual cycle, early menstruation, increased volume and prolonged menstrual period are often seen 1~2 times after surgery. 3.Cryotherapy Using liquid nitrogen as the cooling source, the rapid cooling device reaches ultra-low temperature (-196℃) to make the erosion surface freeze, degenerate, necrosis and fall off, and the new squamous epithelium covers the cervical vagina again to achieve the treatment purpose. Cryotherapy does not form a scar, so cervical stenosis does not usually occur, so it is more suitable for women with fertility requirements. The lesion should be no more than 4 cm in diameter of the cervix and no more than 2/3 of the erosion, which ensures that the size of the probe can cover the erosion area. Side effects: Increased vaginal discharge, watery discharge starts 4~6 hours after freezing, and the discharge reaches its peak on the 3rd~4th day, about 200~300ml per day, and only gradually decreases after the scabs fall off, which can last for 1 month. Bleeding. The healing rate is 80%~90%, and the healing time is 2 months on average. 4.Microwave therapy Microwave electrode contact with local lesion tissue, instantaneous high heat effect (44 ~ 60 ℃) and achieve the purpose of tissue coagulation, and can appear coagulation thrombosis and hemostasis. The cure rate is about 90%. 5.Bohm light therapy Physical therapy precautions: (1) Before treatment, cervical cancer screening should be routinely performed. (2) Acute inflammation of the reproductive tract is contraindicated. (3) The treatment should be performed within 3~7 days after menstruation. (4) After physical therapy, there is an increase in vaginal discharge or even a large amount of watery discharge, and there may be a little bleeding when the scab is removed 1~2 weeks after surgery. (5) During the period when the trauma is not completely healed (4~8 weeks), it is forbidden to take a tub bath, have sexual intercourse and vaginal douche. (6) Physiotherapy may cause postoperative bleeding, cervical stenosis, infertility and infection, so regular review should be done after treatment to observe the healing of the wound until it is healed and to pay attention to the presence of cervical stenosis. 6.Cervical LEEP Indications: Cervical erosion is deeper and involves the cervical canal, cervical hypertrophy, if the above treatment is not effective, or suspected precancerous lesions. Since the cut specimen exogenous has been destroyed by electric knife, it affects the diagnosis of suspected cervical cancer. 7.Cold knife conization The cut specimen can be better examined pathologically, and the wound should be sutured after conization. Chronic cervical canal mucositis: For persistent cervical canal mucositis, the presence of Chlamydia trachomatis and Neisseria gonorrhoeae reinfection, whether the sexual partner has been treated, and whether vaginal microbiota dysbiosis persists. Treatment should be tailored to the cause. In cases where the pathogen is unclear and no effective treatment is available, physiotherapy can be tried.