When to start treatment
Treatment of erosion should not be delayed. This disease is very dangerous due to its consequences. In some very advanced cases, malignant cells may begin to appear in the cervical area. If there are minor changes on the surface of the cervix, you can get by with gentle means: solutions and suppositories.
Cauterization is a painless and safe procedure. However, after it a scab appears on the neck, which requires some time to heal. If you cauterize erosion before the onset of menstruation, the discharge will have a negative effect on the injured area of the organ, thereby causing mechanical irritation.
Since blood is an excellent medium for pathogenic organisms, an inflammatory process may occur in the cervix.
As the scab heals, it releases fluid, which, when interacting with the blood, increases the likelihood of developing infections. It is for these reasons that no doctor, even with the most modern equipment, performs cauterization before the onset of menstruation.
At what period of the cycle should therapy be carried out?
The best time to treat erosion is considered to be the 3rd day after menstruation. Cauterization is carried out up to the 9th day of the cycle.
Cauterization of erosion is carried out during menstruation, since the tissues of the uterus at this time are most softened, and the cervix is slightly open. The gynecologist has a better view of the area that requires treatment, and it is also much easier for him to remove the changed tissue without affecting healthy cells.
The day of the procedure is prescribed depending on the abundance and duration of menstruation.
It is necessary that the cervix is sufficiently open, but at the same time there is practically no discharge, since it can prevent the affected cells from being seen:
- For long periods, cauterization is performed on the 6th day.
- With normal menstruation at 3.
The procedure can be carried out after the end of the critical days. The period of intervention is determined by the condition of the cervix, as well as the extent of regeneration. Before the next period, the scab must have time to disappear, leaving behind healthy cells. The regeneration process usually takes about a month.
Before carrying out the manipulations, a cytological examination of the cells is carried out. During colposcopy, the specialist must make sure that the transition zone is clearly visible between the changed tissues and healthy ones. In addition, the doctor conducts tests to determine the absence of any inflammatory processes in the genital organs.
Cauterization usually lasts a couple of minutes. Local anesthesia is often used.
There is an opinion that when choosing chemical cauterization or radio wave surgery, it does not matter when the procedure is performed.
Preventing the development of complications
After cauterization of erosion, a woman can observe clear discharge from the genital tract for 10-20 days. This is a normal process indicating tissue healing. To avoid staining clothes and underwear, it is recommended to use pads. During this period, it is forbidden to use tampons, as this may lead to.
Prohibitions during the rehabilitation period include:
- Swimming in ponds, pools, saunas.
- Taking a bath.
- Having a sexual life.
- Physical exercise.
You need to adhere to such prohibitions for about a month after the cauterization procedure. It is allowed to begin sexual activity only after examination by a doctor, 30-45 days after the procedure.
During the first weeks after therapy, you need to carefully listen to your body. If heavy yellow or green discharge appears and your general condition worsens, you should consult a doctor. Perhaps, against the background of erosion, an infectious inflammation develops, requiring immediate use of antibiotics.
In custody
And although after the procedure of cauterization of erosion, there is a possibility of complications occurring, you should not refuse this type of treatment. You need to know that the inflammatory process of the cervix can affect other organs. And then you will have to undergo deeper treatment, including antibiotic therapy and hospital treatment. There is no need to worry about cauterization.
Thanks to modern medical devices, healing of inflamed tissue occurs quickly and painlessly. And subsequently, the woman retains the opportunity to become pregnant and bear a healthy baby.
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Types of cauterization
There are many types of this procedure. Some are considered obsolete because they can cause irreversible consequences. But in some cases they are used. Currently, low-traumatic but effective methods are widely used.
The choice of type of procedure depends entirely on the size of the erosion. For this reason, only a doctor can correctly choose a method that will fully satisfy all the requirements for curing a particular pathology.
Specialists use the following cauterization methods:
- Chemical. Using Solkovagin, which contains zinc nitrate and acid, cauterization is carried out. The procedure can be performed for minor erosions, as well as for nulliparous women. The gynecologist performs cauterization with Solkovagin using a colposcope. No anesthesia is required. Thanks to the colposcope, the drug is applied precisely to the affected areas of tissue. The procedure is carried out in two stages. Before applying the drug, the doctor carefully removes all mucus from the vagina using a cotton swab. Then a 3% vinegar solution is applied to the erosion, thanks to which you can more clearly see the boundaries of the erosion. Only after this the product is applied to the affected cells using a cotton swab. After a few minutes, the drug is again applied to the affected area. This allows you to greatly enhance the therapeutic effect.
- Cryodestruction. The procedure does not leave scars, so it is often used in women who are planning a pregnancy in the future. The method allows you to cure only minor erosions. This method is painless, since the cold instantly blocks all nerve endings. However, some women who are sensitive to pain are given local anesthesia. The positive aspects of cryodestruction include the immunostimulating effect of nitrogen, minimal trauma, and the absence of bleeding. Disadvantages: long recovery time. It can last up to 6 weeks, during which heavy discharge is observed.
- Using current. Currently, most doctors consider this method obsolete. In practice, it is practically not used due to its increased morbidity in women with minor erosion and in nulliparous women. The procedure is performed only under anesthesia, as it is very painful. Exposure to electric current causes the formation of a large number of scars.
- Laser. The most popular method. The laser precisely removes diseased cells without affecting healthy ones. This procedure makes it possible to treat even deep, large erosion.
- Argon plasma ablation. The newest method in which the instrument does not contact the affected area of tissue.
- Cauterization by radio waves. This method can be used for women of all ages with erosions of varying sizes.
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Experts consider the optimal period for cauterization of erosion to be the time after the end of the menstrual cycle. In some cases, the procedure can be carried out up to 9 days after the end of the critical days. Only the doctor decides which method of cauterization of the cervix to choose.
Cervical erosion is the most common genital disease among women. Many people live with this disease for a long time without even knowing about it.
It is important to treat erosion in time to avoid complications. Modern medicine offers various ways to treat this disease. This article describes in detail methods for cauterizing cervical erosion, and also describes preparation for this procedure.
Postoperative period
After radio wave treatment of cervical erosion, discharge may occur (for more details, see the article about discharge after cauterization of cervical erosion), which will contain yellowish or brownish ichor elements. This phenomenon is considered completely natural. After 14 days have passed since the surgical intervention, the fair sex needs to visit her doctor and undergo the necessary diagnostic tests to make sure that the operation brought positive results and did not provoke the occurrence of all sorts of consequences.
During the rehabilitation period, which lasts for a month, it is prohibited:
- enter into intimate relationships;
- perform vaginal douching;
- perform intense physical activity;
- visit the bathhouse, sauna, swimming pools and beaches;
- use tampons.
Restoration of the mucous membrane of the uterine cervix should take place under the strict supervision of a qualified physician. If a sick patient experiences pain or other symptoms that worsen the quality of her life, an experienced specialist should immediately prescribe her pharmacological agents that eliminate the unfavorable signs present.
Preparing for the procedure at the antenatal clinic
Under no circumstances should you neglect preparation for the cauterization procedure.
Tests are done first:
- vaginal smear;
- bacterial culture;
- tissue biopsy;
- blood test for infections;
- blood chemistry;
- analysis for tumor markers;
- PCR.
Analyzes must be fresh .
A number of diagnostic procedures are also prescribed: it is necessary to ensure that there is no pregnancy; if pathology is suspected, an ultrasound scan may be prescribed. Colposcopy and external examination can reveal visible abnormalities. During the preparation period for a week, it is recommended not to overeat and avoid food with dyes and preservatives. The procedure itself is carried out on an empty stomach. 2-3 days before cauterization, you should avoid intimate contact. For two weeks, you must stop using tampons, douching, and anything else that can further injure the mucous membrane. Avoid taking blood thinners.
Preparation
In order to begin radiotherapy of the affected area in the cervix, the following preparation rules should be observed:
- undergo a full gynecological examination;
- submit a smear from the vaginal cavity for microflora analysis;
- undergo a diagnostic procedure - colcoscopy;
- take a general and biochemical blood test;
- get tested for the presence of diseases such as HIV, syphilis, HPV or hepatitis;
- undergo bacteriological and cytological examination;
- conduct research on tumor markers;
- polymerase chain reaction assay.
Sometimes preparation for a therapeutic procedure also involves taking antibacterial agents a day before radio wave exposure, which will help prevent the occurrence of inflammatory processes after the operation is completed.
How does the treatment process work?
Diathermocoagulation
The oldest method of treatment. Cauterization is carried out with high-frequency electric current. One electrode is inserted into the vagina, the second is placed under the patient’s back. The large amount of heat generated melts the affected area. The procedure takes about half an hour, its effectiveness is 75% .
Women who have undergone diathermocoagulation note that it is painful. Recovery of the female body takes from 7 to 10 weeks.
- infertility;
- heavy bleeding;
- endometriosis.
In this regard, a woman who has undergone a diathermocoagulation procedure should regularly visit a gynecologist. At first, sexual intercourse and heavy lifting are contraindicated.
Antibacterial ointments will help speed up healing . Discharge and lower back pain may occur for a month after the procedure.
The diathermocoagulation procedure is contraindicated:
- pregnant women;
- women in the postpartum period;
- affected by infectious diseases or malignant tumors of the uterus.
Diathermoexcision
As in the previous method, one electrode is placed under the back. The doctor monitors the process using a gynecological speculum, and uses a colposcope to determine the affected area. The erosion is treated with iodine so that the boundaries of the lesion are better visible . Local anesthesia is administered using a long needle. The diameter of the electrode is selected in such a way as to capture the entire erosion zone at once.
Unlike the previous method, the affected tissue is not simply cauterized, but removed. She is then sent for research. The duration of the procedure is up to half an hour.
Preparation for the procedure is similar to preparation for diathermocoagulation. The procedure is quite painful and takes about thirty minutes.
Recovery of the body occurs within 1-2 months . After about a week, the crust that forms on the affected area comes off. After this, bleeding may occur. For productive recovery, you should exclude:
- sex life;
- bath;
- do not take a bath;
- do not lift heavy objects;
- do not swim in open waters.
Possible pain in the lower abdomen. This is one of the most traumatic methods of treating erosion and can lead to scars, bleeding, and hematomas. In 25% of cases, relapse is possible.
Radio wave methods
A free electrode is placed under the patient's lower back. The procedure is carried out using mirrors. The doctor selects the electrode size depending on the size of the lesion . The nature of the erosion determines whether it will be cauterized or removed along with the affected tissue.
The electrode does not directly interact with the cervix. The effect is produced using high-frequency radio waves, which cause tissue heating and diseased cells seem to evaporate. At the same time, the surface on which the electrode acts is sterilized.
The method is non-contact and does not cause discomfort. Unlike previous methods, radio waves do not leave scars, which makes it possible to treat even nulliparous patients. There are no side effects or pain.
In the first days after the procedure you should:
- avoid overheating;
- sexual intercourse;
- physical activity;
- do not use tampons.
Laser vaporization
Laser cauterization is carried out in an outpatient setting : quite quickly, bloodlessly and does not cause complications. As with other methods, laser vaporization requires preparation. During the treatment process, the doctor inserts the laser tip into the patient’s vagina and directs the beam to the affected areas, while the diseased cells evaporate and the capillaries are sealed, which eliminates bleeding.
The specialist must have extensive experience, perform manipulations very accurately and not harm healthy tissue. Recovery after vaporization occurs quite quickly - within 4-6 weeks. At first, there may be some bleeding - this is normal. You should abstain from sexual intercourse and not use tampons for a month. Relapses when using this method occur in approximately 10% of cases.
Cryodestruction
Cauterization is carried out using liquid nitrogen. This method is not as traumatic as surgery, but more effective than drug treatment. Exposure to cold destroys the affected areas and causes them to be rejected. The cryodestructor, touching the affected area, cools the tissue to -200 degrees, causing tissue necrosis. In the future, dead tissue comes out naturally.
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The depth of tissue freezing depends on the duration of contact . For some time after the procedure, unpleasant sensations in the form of nausea and dizziness are possible. The recovery period after cryodestruction is slightly higher than with other methods - 6-8 weeks. The risk of recurrence of the disease is also increased - about 20%.
Chemical burning
Let's consider how chemical cauterization of erosion proceeds, which is prescribed if, along with cervical erosion, a benign process is observed. Chemical cauterization is one of the oldest methods. For the procedure, a mixture of acids is used - “solkovagin” and “vagotil”. They destroy the affected areas, which are then rejected. Chemical cauterization is used only for small areas of erosion.
During the procedure, the doctor applies the drug to the affected area using a cotton swab. The procedure is monitored using mirrors. Repeated processing is required. The recovery period after the cryodestruction procedure is from 5 to 7 weeks . In 20-25% of cases, a relapse of the disease is possible.
Argon plasma coagulation
It is similar to the radio wave coagulation method, but the radio wave is amplified by argon. In this case, an argon torch is formed, which evenly burns the erosion. In this case, the tissues do not become charred, but become uniformly whitish.
Recovery of the body occurs quite quickly - within 1-1.5 months . Recurrence of the disease occurs no more often than in 10% of cases. Contraindications, preparation and recommendations for recovery are similar to other methods.
Surgical method
Removing the affected areas using a scalpel. An extremely traumatic method. It is used very rarely in modern medicine.
How cauterization of erosion affects a woman’s menstrual cycle
Surgical manipulation can cause disruption of the regularity of menstruation. During 3 cycles after treatment, there may be delays or the onset of menstruation earlier than the expected date. Cycle disruption occurs when using any cauterization method; it occurs when:
- cryodestruction;
- chemical coagulation;
- radio wave treatment;
- diathermocoagulation;
- laser vaporization.
There is no cause for concern if, after cauterization of the erosion, there is a delay in menstruation lasting 7-10 days. Starting menstruation a week earlier is also considered normal.
After surgery, cycle disruptions are not the only problem. At the same time, pain may occur in the lower abdomen.
When is it cauterized before or after menstruation (on what day of the cycle) and where is it done?
When can you cauterize? Cauterization is done exclusively after menstruation on days 5-7 of the cycle . This is the time of best regeneration of the epithelium, and in addition, there is maximum time left for healing before the next menstruation.
Where can I cauterize? Almost all antenatal clinics have equipment for cauterization with electric current, so this method is still prescribed. In paid centers there is much more choice of cauterization methods . But in any case, it is important to consult a doctor.
Timely treatment of cervical erosion will prevent complications from developing and will preserve women's health if cauterization is carried out in time. The advent of modern methods has made this process painless and gentle.
Almost all diseases that are associated with a woman’s reproductive system occur at an initial stage without symptoms. Most often, a girl learns about the disease during a routine examination with a gynecologist.
However, an advanced form of cervical pathology can lead to serious health complications. Often erosion and other inflammatory processes lead to the formation of tumors.
For this reason, it is necessary to closely monitor your health and visit a doctor more often for preventive purposes. If cervical erosion is detected, the method of therapy depends on several factors.
These are the age characteristics of the patient, the desire to preserve the reproductive system, as well as the nature of the course of the disease.
Menstruation after cauterization
After cauterization of erosion, delays may occur. The nature of your periods may change. But the procedure itself does not affect the abundance and intensity of discharge. Menstruation changes under the influence of hormones.
One of the reasons for the development of erosion is hormonal imbalance. After cauterization of the altered epithelium on the cervix, the hormonal background does not change. Therefore, if a woman had delays in menstruation due to cervical erosion, then they will continue after her treatment.
The first menstruation after the procedure may be scanty and characterized by increased pain. After complete healing of the cervical tissue, the nature of menstruation should return to normal. Scanty discharge is observed in women with large areas of erosive lesions that have been treated for a long time. A decrease in the abundance of menstruation is due to a narrowing of the cervical canal.
How many days does menstruation last after cauterization of erosion?
After surgical treatment of the cervix, the duration of menstruation should not change. The shortening or lengthening of the duration of critical days is due to changes in hormonal levels, the reaction of uterine receptors to surgical manipulation and the stress experienced.
If menstruation lasts less than 3 days after cauterization of cervical erosion by radio waves or another method, then consultation with a doctor is required. There is a possibility that the detached endometrium and blood cannot leave the uterus due to the narrowed cervical canal.
Menstruation lasting more than 7 days in a row is also a reason to consult a gynecologist. Prolonged heavy discharge should be a concern; it is better to consult a doctor so as not to miss bleeding.
After cauterization of erosion, heavy periods
The appearance of intense discharge after treating problem areas is considered normal. In the first cycle after surgery, large clots may appear. Changes in the nature of menstruation are most often associated with the body’s reaction to stress.
Important! Heavy periods after cauterization of cervical erosion are normal, provided that the pad lasts more than 2 hours.
After 3-5 days, the amount of discharge should noticeably decrease. If blood continues to flow on the 7th day of your period, then a consultation is required.
Discharge before menstruation after cauterization of erosion
For 10-20 days after the procedure, women experience various vaginal discharges. Their nature is directly related to the healing process of the wound formed after treating an eroded surface.
Before menstruation, pinkish fluid may be released from the vagina, and brown spotting with dense inclusions may occur. Their appearance is due to the healing of the wound surface and the removal of the scab. When the crust is separated from the cervix, blood vessels may be damaged, as a result of which small amounts of blood will be released from the vagina.
After cauterization of erosion, menstruation began earlier
As a result of stress, the regularity of the cycle may be temporarily disrupted. Some women experience that their periods begin 5-7 days earlier than the due date. This is a variant of the norm. But you need to monitor your condition so as not to confuse your period with the onset of bleeding. It can occur when the scab leaves and large vessels are damaged.
If earlier there was a delay in menstruation due to erosion, then after its treatment the cycle may normalize. Therefore, it will seem to a woman that menstruation began earlier than expected.
Delayed menstruation after cauterization of cervical erosion
Many patients experience delays lasting 7-10 days after surgical treatment of erosion.
Disturbances in the regularity of menstruation are caused by:
- specific reactions to medical manipulation of the receptor uterine apparatus;
- tissue reactions to surgery that resulted in tissue damage;
- psychological stress that a woman experiences while waiting for the procedure, during it and during the recovery process.
To normalize menstrual function, it takes about 3 months after cauterization of the erosion.
When is cauterization prescribed?
This method of surgical intervention is used when the pathology is in an advanced form. Cauterization is also used if the patient does not respond to conservative treatment and cases of re-inflammation constantly occur.
In addition, surgery is performed in cases where the area of spread is large enough and simple therapy does not help in this situation.
Are women interested in when erosion is cauterized? A doctor can prescribe this procedure only if there is no doubt that the tumors on the cervix are not malignant.
In addition, cauterization is performed only when the infection does not spread to the internal canal of the organ.
Methods of cauterization of cervical erosion
Modern clinical gynecology has a set of methods for physically eliminating the pathological process.
Among them are:
- Diathermocoagulation is a method of treatment with electric current. One of the outdated and most traumatic methods of getting rid of erosion.
- Cryodestruction is a method of getting rid of erosion using nitrogen. This is a more gentle way to remove erosion by freezing pathological cells and their subsequent destruction.
- Laser vaporization is a method of getting rid of pathology using a laser. A fairly painless and effective way to remove erosion, which is highly effective.
- Radio wave coagulation is a method of cauterizing erosion using radio waves. One of the most promising and progressive methods of healing damaged areas.
- The argon plasma ablation method is the elimination of erosion using argon. It is performed using special devices in which argon undergoes ionization with high-frequency currents and precisely affects the eroded area with a plasma beam.
- Electroconization is used to treat severe dysplasia and allows even deep epithelial layers to be removed from atypical cells.
- Ultrasound. Relieving the patient of erosion using ultrasound.
- Chemical or medicinal cauterization. Most often, the drug Solkovagin is used for this purpose, which causes tissue necrosis, the formation of a scab, followed by its replacement by a layer of new epithelium.
The choice of one or another treatment method will depend on the woman’s condition, her age, the presence of concomitant diseases, etc.
Cauterization of cervical erosion with laser
In order for treatment of a damaged area with a laser to have a positive effect, a thorough preliminary examination is necessary. Indeed, in one case a low-intensity impact will be effective, in another, on the contrary, a high-intensity one, and in a third – carbon dioxide. In this regard, the area of the affected area and the duration of the existence of erosion are significant. The older and larger the pathology, the more intense the impact. In addition, a woman should not suffer from an infectious disease of the genital area. If there is one, preliminary therapy is needed.
In medicine, the concept of cauterization of the cervix with a laser does not exist; doctors call this procedure “laser vaporization.” It is carried out in an outpatient clinic and does not require pain relief, even local. The essence of the procedure is as follows: the doctor outlines the boundaries that are to be processed (a laser is used for this, it acts like a pencil), then systematic evaporation begins. The evaporation of atypical cells from the cervical canal begins and ends at a pre-drawn border (to be on the safe side, the healthy zone is captured within 2 mm). The whole procedure takes no more than 7 minutes.
Advantages. The advantage of this treatment is that there is no risk of bleeding: the vessels are immediately coagulated.
Nuances. A woman should know that large erosions cannot be cured at once; up to 2 to 3 procedures may be required, the interval between which should be at least a month.
After cauterization. After laser treatment, a woman may experience slight discharge for some time. They can be observed for no more than 3 weeks. Complete restoration of the cervical mucosa occurs after 1.5 months. This method is suitable even for nulliparous women. Among the main contraindications: the period after childbirth, pregnancy, inflammatory processes of the vagina, uterus or appendages, as well as malignant neoplasms.
Radio wave treatment of cervical erosion
Doctors dealing with the problem of eliminating the erosive process claim that this particular therapy is the most effective and safe compared to other methods. This procedure is non-contact, low-traumatic and painless, does not cause bleeding, and possible complications are minimized. However, due to the fact that the method is quite new, it is not widely used.
Before performing the procedure, it is necessary to conduct a histological examination, take a smear for microflora, to identify sexually transmitted diseases.
Radio wave therapy is carried out in the first half of the menstrual cycle (the optimal period is from 5 to 10 days, after the onset of menstruation). This is due to the fact that the risks of complications are minimized, and the tissues themselves are restored faster.
The essence of the procedure is that radio waves increase the temperature of the treated tissues by thermally affecting the liquid inside the cells. It heats up and evaporates, and the vessels located around it coagulate. The direct impact is carried out using an electrode, which emits waves. The device itself does not contact the surface of the cervix. Most often, the Surgitron apparatus is used to perform the procedure. Thanks to such a gentle effect, after treatment a scab does not form, but a thin film is formed.
Anesthesia, as a rule, is not used, since the sensations experienced by a woman are comparable to mild nagging pains during menstruation. But if the threshold of her sensitivity to pain is too high, then it is advisable to use local anesthesia. At the same time, existing adhesions or other defects on the cervix and cervical canal can be eliminated.
The recovery process most often does not exceed one month. A woman may be bothered by slight discharge, which completely disappears after 10 days.
One session is enough for a complete cure. Radio wave coagulation is suitable for all women, including those who are planning a pregnancy in the near future. This can be done a month later, after a scheduled visit to the gynecologist.
Recommendations after the procedure: abstinence from intimate life for 4 weeks, restrictions on physical activity, a ban on swimming in open reservoirs, pools and baths. The only drawback of this progressive and safe method of removing erosion is the high cost of the procedure, as well as the lack of equipment and specialists in municipal clinics.
Cauterization of cervical erosion with electric current
The most outdated method of eliminating erosion is cauterizing it with an electric current. In medicine, this method of therapeutic action is called “diathermocoagulation”. Its undeniable advantages include its widespread availability and high efficiency. That is why it has not yet been completely abandoned.
Before performing electric treatment, it is necessary to sanitize the vagina and eliminate any infectious and inflammatory process.
The essence of the method is that an electrode emitting current discharges points to the affected surface until the entire erosion is covered with a scab. As a result, a wound forms at this place, which bleeds, but is covered with a crust on top. After two months it becomes epithelialized. The scab itself comes off in about 10-12 days. Since there is no immediate coagulation of blood vessels during the procedure, the woman experiences spotting and spotting during the recovery period.
In addition, a serious disadvantage of this method is the formation of a rough connective tissue scar. This may further negatively affect the course of labor. That is why this method of moxibustion is not recommended for nulliparous girls.
Cauterization of cervical erosion with nitrogen
This method is based on cold treatment. Damaged tissues are exposed to converted liquid nitrogen using a cryoprobe. The procedure is one-time and most often does not take more than 5 minutes. Pathological cells crystallize and then die. After an average of 2-3 months, they are replaced with healthy ones. The optimal time for the procedure is from 7 to 10 days of the menstrual cycle.
Contraindications include a large erosion surface - more than 3 cm, cervical injuries, fibroids, any infectious and inflammatory processes in the genitals, as well as pregnancy and tumors.
The procedure is painless, but at the request of the patient, she can be given local anesthesia, as a slight burning sensation or slight tingling is felt. This method is applicable to nulliparous women. Other advantages include the speed of implementation on an outpatient basis and the absence of bleeding.
However, the method has some disadvantages: a long recovery process, the appearance of watery discharge, and the inability to treat deeply affected tissues. In addition, repeated therapy may be required.
Chemical coagulation method
The procedure boils down to treating the eroded surface with medications. If earlier doctors used mainly Vagotil, now it has been replaced by a more modern and effective remedy - Solkovagin.
During the procedure, the doctor uses a cotton swab to dry the damaged area. Another swab is thoroughly soaked in the selected product and the area with erosion is treated with it. Processing time is 3 minutes. Excess medication is removed with another dry cotton swab. For more accurate application, the entire session is carried out under colposcopy control.
The procedure is absolutely painless and does not even require local anesthesia. This method of treatment is suitable for a woman who has never given birth. However, this method is not used if the erosion is more than 1 cm in diameter. But due to the fact that the drugs act much more gently than physical methods of treatment, several procedures may be required for a complete cure.
Contraindications to the procedure
This procedure is performed in the absence of an inflammatory process, and the patient should not have sexually transmitted infections.
If such a situation occurs, then first of all it is necessary to cure the existing disease of the genital organs, and only after that the procedure is performed.
Girls who have not yet given birth to children are not subject to cauterization. This is due to the fact that erosion is often associated with the presence of an inflammatory process. If the infection is treated, the erosion disappears on its own without surgical intervention.
It is worth noting that this cauterization operation leaves scars. They interfere with the future bearing of a child, most often, the woman loses her reproductive functions.
For this reason, it is not advisable for young patients to undergo cauterization surgery. To treat pathology, it is necessary to use other methods of therapy that have a more gentle effect.
Cauterization is not performed if:
- the woman is in position;
- the patient underwent a cesarean section;
- there are signs of type 2 diabetes;
- bleeding;
- pathology of the circulatory system;
- the presence of a spiral in the genital organ.
Diagnosis of the disease
To understand on what day cervical erosion is cauterized, you need to undergo an examination. The doctor prescribes a comprehensive diagnosis in order to understand the clinical picture of the disease.
In the course of the research, the nature and extent of the spread of erosion is revealed, and neoplasms are also an important indicator.
First of all, the gynecologist takes a smear sample, and in the laboratory it is cultured, which shows the presence or absence of an inflammatory process in the genital organs.
The presence of infections is also checked; for this, the laboratory uses two methods - PCR and ELISA.
In the case where neoplasms are found in a woman, a biopsy is required to determine the nature of the erosion.
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The formations can be malignant or benign. An examination is also carried out using an optical apparatus; it magnifies and illuminates the affected area of the organ. This procedure is called colposcopy.
The patient also donates blood for general and biochemical analysis, and is checked for the presence of HIV infection, syphilis and hepatitis.
In addition, important parameters during the study are blood clotting, the number of leukocytes and their speed, and the presence of sugar. To get a complete picture, urinary fluid is submitted for analysis.
Only after a detailed study of the examination results can the doctor determine the true cause and prescribe competent and comprehensive treatment. After this, the question arises when is it better to cauterize cervical erosion.
How is the treatment carried out?
Before the start of the therapeutic procedure, the vaginal cavity is anesthetized with an anesthetic; this will help protect the girl from discomfort and pain during removal of the lesion.
Cauterization of cervical erosion with radio waves is carried out under the strict supervision of a doctor using a special device - a colposcope. Thanks to it, a qualified medical worker has a complete overview of the affected cavity and can control the procedure without affecting healthy soft tissues with radioactive radiation.
Radiotherapy is a non-contact therapeutic method; it consists only of the impact of rays emitted by the device (frequency - 3.8-4.0 MHz) on the affected tissues, which, as a result, heat up and provoke the evaporation of pathogenic cells and the healing of injured capillaries.
Techniques used to cauterize erosion
To understand when cervical erosion is cauterized, you need to know what method is used in this procedure. There is more than one way to remove erosion on the cervix.
For example, the patient can have the surface of the genital organ treated; there is a non-contact removal method.
Most women are concerned about the question of when to cauterize erosion - before or after menstruation?
The attending physician provides more accurate information, since each specific case has its own characteristics. However, there is a norm when surgery is performed.
Most often, the doctor performs the procedure 5-9 days before the start of the next period. This is because it takes time for part of the organ to heal before the next period begins.
Most often, erosion is cauterized using diathermocoagulation. The procedure uses high-frequency current, but the patient does not feel pain, since the operation is performed under local anesthesia.
The duration is only half an hour, and the organ heals completely within 10 weeks. However, it happens that the healing process occurs after 1.5 months.
Over the course of 30 days, the patient may secrete a significant amount of clear fluid; do not worry if blood clots appear. This is completely normal after the procedure.
This method has many advantages, its cost is relatively low, and the technique is accessible and quite effective.
However, it has some disadvantages - it leaves scars. Subsequently, they affect the size of the uterus, it narrows significantly, which leads to the fact that getting pregnant is quite problematic.
For this reason, this surgical option is not performed if the girl has not yet given birth to children or wants to preserve reproductive function.
In addition, many complications arise:
- manifestation of bleeding;
- a woman develops endometriosis;
- severe attacks of inflammation.
To prevent the development of serious complications after surgery, it is necessary to be observed by a gynecologist every 5 days.
The most effective method is laser cauterization. This method of surgical intervention is one of the safest. Depending on the affected area, the intensity of the beam is adjusted.
In this case, the laser beams do not affect healthy soft tissues of the organ. In addition, disinfection is carried out, and this helps prevent the development of pathological processes after surgery.
It is worth noting that with this type of surgical intervention there are no scars, which means that the cervix retains its reproductive functions.
On what day of the cycle is the erosion cauterized using a laser. As a rule, this is done on days 5-7 of the cycle so that the surface can heal a little. Full recovery occurs within 30 days.
Cryodestruction, which involves the use of liquid nitrogen, is rarely used. The operation is performed using a probe into which a substance is placed and the damaged surface is frozen.
The duration of the operation is only 5-7 minutes, and local anesthesia is used. Complete restoration of the damaged organ occurs in 2-3 months, this time is quite enough for soft tissue regeneration to occur.
The great advantage is that moxibustion can be done to people who have not yet given birth to children.
The only negative is that recovery takes quite a long time. It is also worth saying that this technique is not very effective if the lesion is deep.
In such a situation, the patient is prescribed a repeat procedure to eliminate the relapse.
One of the safe methods is radio wave coagulation. With this procedure, the erosion evaporates.
The affected areas become heated to a high temperature. This prevents the formation of new relapses, and also prevents the occurrence of an inflammatory process.
This treatment lasts more than 15-20 minutes, and complete restoration of the organ is observed after 30 days. The main disadvantage of this technique is that it is not cheap.
The equipment used during the procedure is extremely expensive. Contraindications to radio wave coagulation is the presence of a pacemaker in a woman.
Also, the procedure is not performed when there is an exacerbation of chronic diseases. This is due to the fact that severe pathologies can provoke various negative consequences.
Possible complications after cauterization of erosion
This procedure, like any operation on the female genital organs, is always associated with a certain risk, since after the intervention, consequences may occur both in the first weeks and in the future.
The immediate consequences are associated with the spread of the inflammatory process from the cervix to the uterine cavity, tubes and ovaries. Inflammation can occur on one side or both.
A dangerous complication is bleeding. Disorders of the menstrual cycle and changes in the nature of menstruation may occur. Typically, such complications occur within the first 8 weeks.
Long-term consequences occur if, as a result of cauterization, the cervix narrows or the cervical canal is blocked by scarred tissue. Scarring also occurs in a deeper layer (coagulated neck syndrome), which leads to a complete loss of elasticity. Re-formation of erosion in the same place is possible.
Endometriosis often develops if the next menstruation begins faster than the wound has completely healed. With the flow of menstrual blood, endometrial particles are carried into the unhealed tissue and begin to grow, forming foci of inflammation, disrupting the patency of the cervix.
Such complications are manifested by pain in the lower abdomen, fever, cycle disorders and changes in the nature of discharge.
Yellow discharge after cauterization
The appearance of copious yellow discharge may indicate the following pathologies:
- Recurrence of cervical erosion in the same area. The reason is insufficiently precise impact on the affected area or trauma to the surface during the procedure.
- The appearance of a bacterial infection in the vagina (it could be introduced both during the procedure and subsequently). Abundant foamy yellow discharge is characteristic of trichomoniasis and gonorrhea. They may have a greenish tint. Such discharge has an unpleasant odor.
- Inflammation of the vagina (vaginitis), ovaries (oophoritis) or tubes (salpingitis). If a purulent process occurs in the uterus and appendages, then thick yellow-green discharge with a pungent putrid odor appears.
Note: Cauterization with chemicals or liquid nitrogen is sometimes carried out in several stages to make the effect more gentle. This does not mean that new ulceration is eliminated every time.
Brown discharge
If such discharge is accompanied by pain in the lower abdomen and occurs several days before menstruation, then the cause is endometriosis. The growth of the endometrium into the cervical area is accompanied by damage to a large number of vessels, and therefore the discharge becomes brown. The shade may be reddish or black. They are abundant and have a thick mucous consistency. Blood clots are visible in them. If such discharge has a bad odor, this indicates infection of the endometrium and the occurrence of an inflammatory process.