Treatment of cervical erosion

Cervical erosion is a benign condition characterized by changes in the structure of the cervical mucous membrane. Most often, it develops without symptoms and is diagnosed during a routine check-up.

In reproductive age, up to 30% of women face this diagnosis. In some cases, treatment is urgently required, while in others, only observation is recommended. The reason is that erosion can vary in nature: it may be a physiological feature or a serious pathology.

True and false (pseudo) erosion are distinguished. True erosion is a relatively rare condition. It usually develops due to trauma and typically resolves within 10–14 days.

Cervical erosion is commonly used to refer to a different condition — the displacement of cylindrical epithelium from the cervical canal to the vaginal part of the cervix, which is normally covered by stratified squamous epithelium. Cylindrical epithelial cells, which lack protective properties, are affected by the acidic environment and microorganisms of the vagina, resulting in inflammation. In medicine, this process is called ectopia or pseudo-erosion, though it is generally referred to as "erosion."

In most cases, cervical erosion does not have pronounced symptoms and does not manifest clearly, which significantly complicates diagnosis. In some cases, abnormal (prolonged, heavy) discharge may occur, sometimes purulent or with an unpleasant odor. Some women may report lower abdominal pain during urination or sexual intercourse.

Cervical erosion may be caused by:

• mechanical injuries;

• weakened immune system;

• other gynecological diseases.

To choose the optimal treatment method for cervical changes, the doctor considers the patient's age and endocrine status, the state of the cervical and vaginal flora, and the nature and severity of epithelial changes.

To obtain a complete picture of the cervix’s condition, several diagnostic methods are used:

• extended colposcopy;

• cytomorphological analysis of epithelial cells from the cervix and cervical canal;

• cervical biopsy and histological examination of the tissue for cancer cells.

Both laser and radio wave treatments are performed after comprehensive diagnostics. Patients are usually prescribed colposcopy, ultrasound, and laboratory tests.

The procedure is usually scheduled at the beginning of the menstrual cycle. For 3–4 days prior, the following is recommended:

• avoid sexual intercourse;

• do not perform douching;

• avoid using vaginal suppositories and tampons.

The gynecology department of our clinic offers several methods for treating cervical erosion:

• laser treatment;

• radio wave treatment of the cervix;

• cryotherapy.

Laser treatment of cervical erosion is the most effective and safest method, allowing for the removal of erosion without bleeding, complications, or the need for hospitalization. The laser causes coagulation of the affected tissues, thereby stopping the pathological process.

Radio wave treatment achieves a similar effect, with the energy source for coagulation being radio waves of a specific frequency instead of a laser beam. Neither laser nor radio wave treatments leave scars.

Cryotherapy involves cauterization of the erosion with liquid nitrogen, whose low temperature eliminates the erosion. However, this method has a more superficial effect and may not be suitable for all patients.

Each method has its advantages and disadvantages. The indication for a specific method is determined by the gynecologist after consultation and a complete clinical and laboratory examination.

Despite its safety, high effectiveness, and gentle nature, laser treatment has a number of contraindications:

• patient bleeding;

• diagnosed malignant tumors;

• pregnancy or breastfeeding;

• active inflammatory processes in the genital tract.

Other contraindications may include blood clotting disorders, cardiovascular diseases, and polyps in the upper part of the cervix — in such cases, the feasibility of laser cauterization is assessed individually by the doctor.

After treatment, patients do not have scars or adhesions. Laser cauterization allows for complete removal of pathological cells with the lowest possible risk of complications (compared to other methods).

As the most gentle treatment method, laser vaporization requires minimal recovery time. It does not impair reproductive function and does not affect healthy normal epithelial cells.

At the Oxford Medical clinic, cervical erosion is treated using both laser and radio wave energy. The gynecologist determines the best method for the patient individually, based on diagnostic results. The procedures are performed using new expert-class equipment, ensuring high effectiveness and safety.

Advantages of cervical erosion treatment at Oxford Medical include:

• procedures performed by highly qualified specialists with many years of experience;

• use of modern equipment from European and American manufacturers;

• high effectiveness and safety of laser and radio wave therapy;

• no need for hospitalization;

• short and easy recovery period;

• comfortable conditions in the day hospital;

• loyalty program for regular patients.

To schedule a gynecologist consultation and cervical erosion treatment, call our contact center or write in the website chat.