Is electrocauterization good for cervical erosion?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on November 29, 2024
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Cervical erosion electrocautery is a treatment method used in the past. Nowadays, most cases can generally be treated through physical methods like laser, electrocoagulation, and cryocondensation. After electrocautery, the cervical tissue typically becomes harder, which can result in cervical lacerations during childbirth for patients who plan to conceive in the future. Therefore, electrocautery is rarely used now, and most treatments currently employ laser or electrocoagulation methods. Patients with cervical erosion should first visit a hospital for cervical cancer screening, which generally involves TCT and HPV testing. If these tests show no cervical cancer or precancerous lesions, simple cervical erosion is generally not a serious issue. At this time, topical medications or some physiotherapy treatments can also be used for symptomatic treatment. (Please undergo medication under the guidance of a professional doctor, and do not medicate blindly.)

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Can you swim with cervical erosion?

Cervical erosion is permissible for swimming because cervical erosion itself is not considered a disease; it is merely a physiological condition, a normal physiological phenomenon in young women. Cervical erosion is due to high estrogen levels in young people, leading to the proliferation and externalization of columnar epithelium, which is a normal state. It does not affect daily life, including swimming. As long as the water quality in the swimming pool meets health standards and does not lead to infections, normal daily activities can be carried out. Therefore, there is no need to be overly concerned about cervical erosion detected during a physical examination.

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Written by Li Lin
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Is cervical erosion cervical inflammation?

Previously, cervical erosion was considered a manifestation of cervicitis. Recent research has proven that cervical erosion occurs when the epithelium inside the cervical canal grows out towards the external os and vaginal portion of the cervix, replacing the original epithelium at these sites. This results in a bright red appearance, visually similar to erosion, hence the term cervical erosion. Since the outward migration of the endometrium is a physiological phenomenon that typically retracts back into the cervical canal as age increases, cervical erosion generally does not require treatment if there is no inflammation.

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How is cervical erosion treated?

Cervical erosion is not considered a disease, so there is no need for any treatment for cervical erosion, including the use of anti-inflammatory drugs or various physical therapies such as laser, microwave, LEEP, etc. Simple cervical erosion is just a physiological condition, and routine cervical precancerous lesion screening is necessary. If there are no precancerous cervical lesions, and if the usual secretions are normal without abnormal odor or itching, then no treatment is needed if there is no infection.

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Written by Tao Zhong E
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Cervical erosion is classified into several grades.

Cervical erosion is generally divided into three grades: Grade 1 cervical erosion refers to erosion covering less than one-third of the total cervical area, which is also called mild erosion. Grade 2 erosion, also known as moderate-to-severe erosion, refers to the erosion covering about two-thirds of the total area, which is considered moderate, being the middle grade of erosion. Grade 3 cervical erosion is the last and most severe grade, also known as severe erosion. In this case, the erosive area exceeds two-thirds of the entire cervical area, and may even involve the entire cervix. This condition is generally more serious and typically requires examination including a TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) co-screening to investigate the possibility of cervical lesions. Further assessments might include a colposcopy or localized treatment, as severe erosion could lead to symptoms like contact bleeding and increased discharge that need to be addressed.

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Is cervical erosion prone to pregnancy?

Cervical erosion, if not severe, generally does not affect pregnancy. However, if cervical erosion continues to worsen, leading to chronic inflammation of the uterus, it is likely to result in infertility. Timely treatment can be administered, and once disease symptoms are controlled, it is possible to become pregnant again. Treatment methods such as LEEP (Loop Electrosurgical Excision Procedure) with blue light can be used to effectively alleviate the symptoms of cervical erosion. Cleansing with traditional Chinese medicine can also have a certain therapeutic effect on alleviating cervical erosion.