Methods to cure cervical ectropion

This article was professionally consulted with Specialist Doctor I Truong Nghia Binh - Obstetrician - Gynecology Department - Vinmec Da Nang International General Hospital.

Cervical ectropion is a common gynecological inflammatory disease that can reduce fertility and increase the risk of cervical cancer. Therefore, timely detection and treatment of the disease is of great significance in minimizing the adverse effects of the disease on women's reproductive health.

Cervical ectropion is formed when glandular cells located in the cervical canal grow outward, invading the outer surface of the cervix. Because the exposed glandular cells still secrete fluid, the patient often has an increase in vaginal discharge, which can easily lead to infection (echoicitis). The causes of cervical ectropion are usually: cervical trauma (after miscarriage, abortion, childbirth, ...), ovarian hyperestrogen (make the glands grow strongly, secrete a lot of fluid). , destruction of the squamous epithelium of the cervix) and congenital anomalies (common in newborn girls due to maternal estrogen use during pregnancy). In addition, infection with bacteria, parasites, fungi, viruses, etc. also increases the risk of thyroiditis.

If left untreated, cervical ectropion can increase the risk of female infertility. Depending on the specific case, the doctor will prescribe the appropriate treatment method for the patient.

There are many treatment methods for cervical ectropion. First, patients are usually prescribed vaginal and systemic use of the drug. After the inflammation is gone, invasive treatments will be applied to destroy the route (electrocautery, cryotherapy or laser burning).

This method is suitable for the case of mild, newly formed route. Vaginal suppositories are effective against and prevent inflammation in the cervix. At the same time, the drug also helps to improve the secretion of mucus in the vagina and balance the pH level.
One course of prescription medication is done in 10 days and every 3-7 days there will be a follow-up course. However, the use of drugs only works to treat inflammation, not completely treating the inflammation of the cervical gland, so the risk of recurrence is still high.

If left untreated, the gland will spread to the outer surface of the cervix. Laser treatment for cervical ectropion is a method to kill the glands encroaching on the outside of the cervix, and at the same time, create conditions for the squamous epithelium to recover, reducing the risk of gynecological infections later.

The treatment process is as follows:
The patient has a gynecological examination, a colposcopy or a vaginal smear is performed, a specific condition is determined, and a health check is made to see if it is enough to perform laser burning. Use anti-inflammatory drugs to treat the bacteria causing the infection and prevent the bacteria from returning to attack. Perform laser burning directly on the inflammatory cells. When burning to destroy the cervical gland, if it is burned too deeply, the cervix will have sclerotic scars, the cervical opening will be narrowed, causing stagnation of menstrual blood, pain during menstruation and may interfere with the menstrual cycle. conception.
Note when burning laser:
Should cervical ectropion be burned? Cervical ectropion is divided into 4 grades from mild to severe. The method of electrocautery is only applied to the route at level 3 or higher and the indication depends on the patient's childbearing status. Therefore, the patient needs to be examined and properly assessed the extent of the cervical ectropion before conducting laser ablation. During the first month after laser ablation, epithelial cell regeneration will cause increased vaginal discharge. Therefore, the patient needs to keep the intimate area clean and dry during this period. After that, the phenomenon of increased secretion will gradually decrease and regenerate the squamous epithelium (no longer exposed) after 6 months.

With cryotherapy, the doctor will use low-temperature nitrogen gas to freeze and destroy the cells that cause cervical inflammation. Cryotherapy only takes about 1-2 minutes. The doctor will apply cold for 30 seconds and then remove the metal tube to protect the tissue around the cervix. However, this method is very expensive and not yet popular, so women also face many difficulties in treatment.

Treatment of cervical ectropion requires the patient to be patient and strictly adhere to the doctor's advice. Where is the best place to treat cervical ectropion? Vinmec International General Hospital owns a team of experienced gynecologists and modern machinery, which can accurately assess the level of infection, and perform safe and effective treatment at the same time. fruit.