The cervix is a protective barrier from the external environment. The pathology of this area is usually asymptomatic and most women often do not know about it.
Cervical erosion is a defect in the surface layer of the cells of the vaginal part of the uterus caused by various factors: an inflammatory process, a hormonal malfunction, or trauma in labor or an abortion. Because of the death of cells on the mucosa, a wound is formed, which when viewed is a small red spot.
The disease does not interfere with childbearing, but can cause infertility in case of infection and complication. Also, long-term running erosion can transform into cancer.
Various conservative methods of therapy( suppositories, tampons, ointments, vaginal tablets) do not always lead to success. They will rather complement the main method of treatment - moxibustion. But, not always erosion should be treated this way.
For example, dyshormonal erosion( pseudo-erosion) is treated conservatively. It is enough to restore the level of hormones, and it will disappear itself. The cautery method is good for traumatic erosions - these destructive methods give excellent results.
Examination before cauterization of cervical erosion
First you need to find out what erosion is in a particular case. Identify the nature of the defeat is impossible.
For this purpose, before burning cervical erosion, perform the necessary examination:
- Take a swab from the vagina to avoid inflammation.
- Is examined on the IPP( sexual infection).
- A biopsy is performed and histology data is obtained. It is important to exclude oncology.
Methods of cauterization of cervical erosion
The method of physiosurgical cauterization is performed by liquid nitrogen, electric current, laser, radio waves, ionized argon with the help of special devices.
Advantages: gentle, has a low percentage of complications and does not require long periods of treatment.
Types of moxibustion
- Cryodestruction - freezing with liquid nitrogen;
- Radio wave effect;
- Laser coagulation;
- Electrocoagulation;
- Chemical coagulation.
- Argonoplasma ablation
All methods are successfully used in nulliparous women, except for electrocoagulation. It can cause scar formation and deformation due to the depth of the lesion. Let's consider in detail each method of cauterization of cervical erosion, its pluses and minuses.
Diathermocoagulation firing
Coagulation is the process of cell adhesion. The edges of the defect are connected, and the wound surface heals with time.
Electrocoagulation is one of the very first methods. Under the action of an electrode heated by an electric current, the wound is cleaned. In fact - this is a thermal burn with charring and smoking of tissues, which is accompanied by an unpleasant odor. The procedure can be painful and anesthesia is desirable. After removal of the focus, healing begins two months later.
Cauterization of cervical erosion by current is acceptable for those who give birth, because scars can cause narrowing of the cervical canal, which will serve as an obstacle to conception. This complication is not desirable for a future mother.
Laser cauterization
Laser cauterization of cervical erosion - a unique method, requires a laser jewelry possession. A beam of high-intensity light evaporates water from cells and coagulates tissues. Has a proven result, completely painless.
The method does not have such consequences as electrocoagulation and recovery occurs in a month and a half. Requires good practical medical skills and staff experience, because of this is not available everywhere.
Radio wave combustion
Coagulation by waves is the most promising and fastest method of treatment. The finest electrode creates such a powerful energy on the tip that the cells literally evaporate. Coagulation and nerve endings, so the procedure is painless. Reparation in a month.
The advantage of the method is the absence of a scar. Given that the consequences of cauterization of cervical erosion by radio waves are minimal, this type of surgery is popular with nulliparous women. The most sparing and safe kind of impact - healthy tissues do not suffer.
Cauterization of cervical erosion by radio waves is not performed by patients with an artificial pacemaker and pregnant women.
Liquid nitrogen
Cryodestruction is a method of freezing a pathological site with nitrogen. A gentle kind of erosion treatment. Safe and leaks painlessly. The healing time is 2 months. Also does not leave scarring and other complications.
Method of chemical coagulation
As a coagulant is "Solkagin" - a mixture of acids that have an effect only on the damaged parts of the cervix and virtually do not cling to healthy areas of the mucosa. During an advanced colposcopy( magnification up to 8 times), the doctor applies the drug for erosion. The method has worked well for small erosions.
Still use "Vagotil" - a medicine with a double effect: cauterizing and anti-inflammatory, accelerates recovery upon erosion.
Argon-plasma coagulation method
Argon-plasma ablation is a progressive method of erosion treatment. The latest development of non-contact exposure, which allows you to control the depth of penetration. Using argon plasma, it is possible to achieve a surface effect to a depth of only 0.5 mm.
While in hospitals there are few such devices and the method is expensive today. Reparation is carried out for two months without the formation of scars.
Consequences of cauterization of cervical erosion
Modern methods of cauterization have practically no complications. Rarely there are spotting - they are not dangerous. Duration of excreta after cauterization can last two weeks.
If the period of bloody discharge is prolonged or bleeding occurs after cauterization, the gynecologist should be consulted immediately for examination. The vessel may have been damaged.
Also a normal reaction is considered a minor pulling pain in the lower abdomen and an increase in the number of transparent secretions. This indicates the activation of healing processes.
One of the most unpleasant consequences is endometriosis. The phenomenon is rare, typical for electrocoagulation. To prevent this, a minimally invasive operation is performed in the second phase of the cycle.
Large area of necrosis with tissue destruction can cause secondary infection. Then the discharge gets an unpleasant smell. A woman should pay attention to this.