Does cervical erosion require physical therapy?

Whether cervical erosion requires physical therapy depends on the specific situation. If it is a physiological columnar epithelial ectopia without any discomfort symptoms, it usually does not require treatment; If combined with pathological manifestations such as cervicitis and contact bleeding, physical therapy such as laser or cryotherapy may be necessary. Cervical erosion is mostly a physiological phenomenon caused by elevated estrogen levels in women of childbearing age, manifested as the outward migration of columnar epithelium in the cervical canal, which appears to be erosion to the naked eye but is not actually true ulceration. This type of situation is usually accompanied by a slight increase in vaginal discharge but no odor or itching. gynecological examination shows no congestion or edema, and cervical cytology screening results are normal. At this time, it is only necessary to regularly check TCT and HPV, avoid excessive vaginal flushing or the use of irritating care products, and keep the external genitalia clean and dry. When cervical erosion is combined with pathogen infection, symptoms such as purulent vaginal discharge, bleeding after sexual intercourse, and lower abdominal pain may occur. Gynecological examination may show cervical congestion and easy bleeding upon touch, and TCT may indicate lesions above ASC-US. This situation requires targeted medication for pathogens, such as metronidazole vaginal effervescent tablets for bacterial infections and azithromycin dispersible tablets for mycoplasma infections. If drug therapy is ineffective or there is persistent contact bleeding, carbon dioxide laser therapy can be considered to promote the regeneration of squamous epithelium on the eroded surface, or liquid nitrogen cryotherapy can be used to eliminate inflammatory tissue. After physical therapy, it is necessary to prohibit baths and sexual activity for 2 months. It is normal to have pale yellow watery discharge one week after surgery.

Daily attention should be paid to choosing pure cotton breathable underwear and changing it daily. Menstrual sanitary pads should be changed every 3 hours. Avoid long-term use of pads that may cause local moisture, and clean the external genitalia before and after sexual intercourse. Women over 30 years old are recommended to undergo cervical cancer screening annually. If HPV infection is found, they should follow medical advice for follow-up and enhance their immunity. If abnormal bleeding or discharge occurs, seek medical attention promptly and do not purchase vaginal suppositories for treatment.