Treatment of cervical ectropion: should burn the gland or not?

This is an automatically translated article.


Cervical ectropion is one of the leading causes of infertility - infertility and more dangerous cervical cancer. Currently, ecchymosis can be managed in several ways and the classic method for this pathology is ablation. So should you use this method?

1. Learn about the method of cauterization of cervical ectropion


Laser burning to treat cervical ectropion is a relatively "old" method and has been widely used for this disease. During the procedure, the doctor will use a laser to burn the inflamed area due to the gland in the cervix.
For a long time, lasers are known to be high-energy rays that can destroy disease-causing parasites and stings, eliminating ulcers and infections on the body. Therefore, this is an effective method to treat endometriosis.
The most obvious advantage of this method is that it is fast, burns and destroys the inflammation on a large scale. The time to conduct cervical laser burning is also very fast, only about 2 to 3 minutes. However, this method is not always the ideal choice in the treatment of cervical ectropion.

Viêm lộ tuyến cổ tử cung là một trong những nguyên nhân hàng đầu dẫn đến vô sinh - hiếm muộn
Viêm lộ tuyến cổ tử cung là một trong những nguyên nhân hàng đầu dẫn đến vô sinh - hiếm muộn

2. Should burn cervical ectropion?


The answer is case by case.
According to Dr. Bui Thi Lan, an Obstetrician and Gynecologist at the Hanoi Family Physicians Center, the burning of ectropion has many notable disadvantages such as:
If the burn is too deep, the cervical area will form The scar wall is very hard and deep, reduces the elasticity of the cervix, and easily causes cervical laceration, affecting the natural birthing process (natural birth).
When the technique is not performed properly, the cervix can be narrowed, causing blood to pool inside the vitreous, hindering fertilization and consequent infertility - infertility.
The cervix is ​​often damaged after an ablation procedure, so there will be bleeding and yellow discharge that will last for at least a few weeks. The recovery time after surgery is also relatively long (at least 8 weeks depending on the location).
The use of topical and regular antibiotics to limit surgical site infections will also destroy beneficial bacteria, leading to an imbalance in vaginal pH and fungi, bacteria... will be easier to penetrate.
The recurrence rate after surgery is very high (about 70% of patients relapse after cervical ectropion).
Because of the above problems, ablation is usually only indicated when the patient meets the following conditions:
There is no vaginal/cervical infection or the infection has been definitively treated. The patient has had no menstrual period for at least 2-3 days. Cervical ectropion reaching grade 3 or higher...

Người bệnh cần tuân thủ một số nguyên tắc khi tiến hành đốt viêm lộ tuyến cổ tử cung
Người bệnh cần tuân thủ một số nguyên tắc khi tiến hành đốt viêm lộ tuyến cổ tử cung

3. Why is the gland burned many times, but the glandular inflammation still recurs frequently?


Endometriosis is one of the diseases that directly affects not only the health of women but also their ability to have children and their family happiness. Therefore, anyone suffering from this disease also hopes to be able to cure it completely.
However, burning the gland can cause pain and fatigue. At the same time, this procedure also has a high recurrence rate and makes many patients feel depressed.
Here are some reasons why after ablation, the disease still recurs frequently.
Due to overuse of topical antibiotics and systemic antibiotics Overuse of antibiotics will destroy the vaginal flora, causing an imbalance of microorganisms and creating conditions for strong bacteria to grow.
Having sex a lot or having unprotected sex during treatment
After treatment, husband and wife must abstain from sex for at least 8 weeks. This is a huge challenge for young couples. Therefore, many cases have ignored this recommendation and led to ineffective treatment.
Patient does not adhere to the treatment regimen The treatment regimen of the procedure is lengthy and causes many patients to give up due to pain and depression. This is a huge danger to their health. The vaginal environment is now damaged and prone to re-infection, making the recurrent infection more and more serious.
Improper hygiene of the private area The regeneration of cells after burning the gland will cause increased vaginal discharge. During this time, the vagina is also very sensitive. Therefore, the patient needs to keep the intimate area dry and clean. Do not skip vaginal hygiene or douche too deeply, both of which can scratch the vagina, making it easier for the infection to recur.

Vệ sinh đúng cách và giữ vùng kín luôn khô thoáng sạch sẽ sau khi tiến hành thủ thuật
Vệ sinh đúng cách và giữ vùng kín luôn khô thoáng sạch sẽ sau khi tiến hành thủ thuật

Because there are too many constraints before - during and after surgery, the procedure of electrocautery is not very effective, and also causes many patients to give up after a short time of treatment.
Thus, the solution of burning the route to treat cervical ectropion is very little recommended due to many limitations and high recurrence rate, long recovery time as well as pain and fatigue for the patient. core. Usually, patients are only indicated for this procedure when the inflammation of the gland reaches grade 3 or higher.
Treatment of cervical ectropion requires the patient to be persistent 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.
If you have a need for consultation and examination at Vinmec Hospitals under the nationwide health system, please book an appointment on the website for service.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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