Fiona If there is inflammation before cervical conization, it is usually necessary to control the inflammation before considering surgery. Treatment methods mainly include antibiotic treatment, topical vaginal medication, physical therapy, traditional Chinese medicine conditioning, and lifestyle adjustment. Cervical inflammation may be related to factors such as pathogen infection, endocrine disorders, decreased immunity, mechanical stimulation, chemical stimulation, etc. It usually manifests as symptoms such as abnormal leucorrhea, contact bleeding, and lower abdominal pain.
1. Antibiotic treatment
For bacterial cervicitis, antibiotics such as azithromycin dispersible tablets, doxycycline hydrochloride tablets, and levofloxacin tablets can be used as directed by the doctor. Azithromycin dispersible tablets are suitable for mycoplasma and chlamydial infections, doxycycline hydrochloride tablets are effective against a variety of Gram-positive and negative bacteria, and levofloxacin tablets can be used for gonococcal infections. The entire course of antibiotic treatment must be completed to avoid the development of drug resistance.
2. Topical vaginal medication
Antifungal drugs such as clotrimazole vaginal tablets, miconazole nitrate suppositories, and nystatin vaginal suppositories can be used for fungal cervicitis. Clotrimazole vaginal tablets can inhibit fungal cell membrane synthesis, miconazole nitrate suppositories have a bactericidal effect on Candida, and nystatin vaginal suppositories can be used for stubborn fungal infections. During medication, the vulva should be kept clean and dry and sexual intercourse should be avoided.
3. Physical therapy
For chronic cervicitis accompanied by erosion, physical therapies such as laser, microwave, and cryotherapy can be used. Laser treatment can accurately vaporize diseased tissue, microwave promotes the absorption of inflammation through thermal effect, and freezing can cause diseased tissue to necrosis and fall off. Physical therapy needs to be avoided during the menstrual period. There will be a small amount of vaginal discharge after the operation, and the wound healing needs to be reviewed regularly.
4. Traditional Chinese medicine conditioning
For damp-heat cervicitis, Chinese patent medicines such as Fuyankang tablets, Jingangteng capsules, and Baofukang suppositories can be used. Fuyankang tablets have the effect of clearing away heat and promoting dampness, Jingangteng capsules can activate blood circulation and remove blood stasis, and Baofukang suppositories can remove putrefaction and promote muscle growth. The treatment period of traditional Chinese medicine is long, and it needs to be coordinated with dietary adjustments, and spicy and irritating foods should be avoided.
5. Adjustment of living habits
During treatment, you should avoid sex, bathing, and swimming. Choose cotton breathable underwear and change it daily. Keep your vulva clean by washing it with warm water and avoid using harsh lotions. Regular work and rest and moderate exercise can help enhance immunity and reduce the probability of recurrence of inflammation. Eat a light diet and consume more fresh fruits and vegetables rich in vitamin C.
Before cervical conization, it is necessary to ensure that inflammation is completely controlled. It is usually necessary to treat 1-2 menstrual cycles before evaluating the timing of surgery. Cervical cytology examinations should be performed regularly after surgery to detect abnormal lesions early. Paying attention to sexual hygiene in daily life and using condoms can reduce the risk of pathogen transmission. Women over 40 years old are recommended to undergo combined HPV and TCT screening every year to detect cervical precancerous lesions in time.
