In the fight against erosion, the most effective solution to the problem is burning. This procedure is over three hundred years old. The burned area after some time overgrown with epithelium. But women who have been prescribed the procedure often worry: is it painful to cauterize the erosion of the cervix, how does the intervention go, what are its consequences? You will find answers to these questions in this article.
Is there an alternative to cauterization?
To date, a widespread method of freezing. This method is different in that the pulling pain will be slightly stronger than when cauterizing. Sexual rest will need to observe less - only 2 weeks. Which method to choose is up to you! But remember that timely resolution of the problem is extremely important!
What is cervical erosion?
The vast majority of pathologies in gynecological practice occur in cervical erosion, which is a violation of the integrity of the mucous membrane of the intrauterine space and requires immediate treatment.
The disease is divided into three types:
- congenital, which occurs very rarely in practice and disassociates after childbirth or hormonal adjustment of the body,
- true erosion, which is a small defect on the mucous membrane that heals itself after a short time,
- false erosion, the name of which is not true, since it is the most dangerous of all. It does not have the property of self-healing, increasing the size of the mucosal epithelium lesion, and therefore requires urgent treatment.
Electric current or diathermocoagulation (DEK)
This is the most common method to date. The doctor treats the defective parts of the mucous with electric current, dead tissue forms in their place, which is rejected in a few days, and healthy epithelium appears in its place. This procedure is carried out in the second half of the cycle. Two months later, a full recovery of the body occurs and recovery begins. The diathermocoagulation method is highly effective and available to each patient. It is used in every gynecological hospital.
However, apart from all the advantages of DEC, there are also disadvantages - scarring of the tissue at the site of cauterization, which will lead to difficulty opening the cervix during the labor process, therefore this method is not suitable for women who do not have children.
This is a method of removing ectopia with liquid nitrogen, acting pointwise and not affecting the surrounding healthy tissue. Nitrogen pushes water from the affected cells, crystallizing it. Edema and discharge after this procedure are quite common.
Nitrogen erosion removal is absolutely painless, and complete healing will come in a month and a half, or maybe a month. This method is effectively applied to women who still want to have babies, since wounds do not cicatrize, but in some cases shortening of the cervix is likely. This method has drawbacks, namely the lack of complete confidence in the removal of all the affected areas and part of the healthy ones, due to the irregular shape.
Cryodestruction is also not effective for in-depth erosion.
The most effective method of treatment is radio waves quickly and painlessly. After the procedure, patients did not experience any side effects, and one procedure is enough for complete cure. Radio waves remove the defective part of the mucous membrane, and healthy cells are formed at the removal site. Before the procedure, the doctor is obliged to do a biopsy of erosion tissue, in order to exclude its malignancy.
Perhaps the only drawback of this procedure is that not everyone can afford it, since it is quite expensive.
This is one of the most modern treatment methods. It is preferred by the majority of patients due to high efficiency, no risk of bleeding and painless procedure.
After laser removal, scars are not formed, and the dead tissue is removed from the body within a week, and the place of the pathology heals faster than in the three previous methods. After removing erosion using this method, nothing will interfere with the flow of the generic process.
As with the above methods, laser removal has its drawbacks, namely, the inaccessibility of the procedure for patients with a low level of financial position. In addition, this procedure can be done only in gynecological clinics with the necessary equipment.
Chemical coagulation method
It is used only in the early stages of the disease. For this you need to carry out several procedures. The doctor applies a special solution to the affected area that removes the diseased cells. The course of treatment consists not of one procedure, but several.
Why erosion needs to be treated
When a doctor diagnoses erosion, he sees on the cervix:
- injuries and abrasions, when you click on which blood begins to stand out, or the true form of pathology,
- red spots, on the cervix of the uterus, formed by a red cylindrical epithelium, not typical for the vaginal zone, or false erosion (ectopia),
- nodules of red epithelium on the neck, or congenital form.
Injuries and abrasions are caused by mechanical damage due to various medical procedures, difficult childbirth or rough sex. True erosion is rarely fixed - mechanical injuries exist on the mucous for no more than two weeks, then they either heal, forming a scar, or are closed by an atypical epithelium, i.e., they turn into false erosion.
Normally, the cervix is covered with a layered cylindrical epithelium. The cells are closely spaced to each other, their shells are fairly dense, normally a small amount of mucus is secreted.
During ectopia, instead of dense epithelium, a cylindrical epithelium begins to form on the cervix:
- it is characteristic of the internal cervical canal,
- its cells are cylindrical,
- the created surface is velvety,
- covers the affected area in a single layer,
- secretes viscous mucus in greater quantities than squamous epithelium.
This layer is easily injured, mucus is the background for the multiplication of infection. Why instead of the "native" epithelium is formed cylindrical - doctors do not know, the most likely cause is hormonal disruption in a woman’s body (this is described in the video).
Congenital form of erosion is considered a pathology, which is triggered by hereditary factors or hormonal fluctuations in the mother's body during pregnancy and passes on its own after 25 years.
As a general examination, the gynecologist takes a smear for the examination of the vaginal flora and assigns tests to examine the presence of genital infections.
If erosion is observed against the background of the absence of inflammatory diseases and genital infections, the doctor takes a waiting position and monitors the health of the woman every three months - in this case, the disease can go away by itself.
If there is inflammation, the specific treatment is prescribed first. It can be long, its purpose is:
- elimination of foci of pathology,
- normalization of the vaginal microflora,
- improving immunity
- normalization of hormonal levels.
If there is no improvement, cauterization is prescribed. The burn provoked by doctors on the mucous membrane “restarts” the organism, due to the “shock” therapy on the burned out mucous membrane, a crust forms, and under it the “native” flat cylindrical epithelium.
- eliminate inflammatory processes in the body,
- take the load off the immune system
- restore hormonal balance
- prevent the transformation of epithelium into malignant forms.
There are several methods of cauterization, the doctor chooses:
- least painful
- technologically accessible.
For the procedure, the doctor prescribes the day, usually it falls on the first week after the end of the month.
Stage before cauterization
If a woman is constantly observed by a doctor, no compulsory preparations are made. The doctor prescribes repeated laboratory tests for control:
- general clinical and biochemical blood tests,
- bacteriological smear test,
- blood test for genital infections, HIV and hepatitis, HPV,
- if necessary, tissue sampling for histology is performed.
Cauterization is carried out only if the woman does not suffer:
- inflammatory diseases of the sexual sphere,
- acute infectious diseases
- blood disorders that reduce clotting,
- CNS disorders.
The procedure is not performed if the woman is diagnosed with pregnancy, she recently gave birth or is feeding the child.
A few days before the procedure, the patient should:
- stop smoking
- switch to a fractional diet, food should be light,
- avoid hard physical labor and active sports,
- to exclude nervous overloads and stresses from life,
- use hygienic cotton underwear,
- apply body care products without fragrances.
If the procedure will be carried out in the morning and anesthesia is planned - it is desirable to do without breakfast.
Every woman is afraid of gynecological procedures because of the feeling of discomfort and pain. And stories about the pain of cauterization have been passed between women for a dozen years.
At first, these rumors were groundless - the very first cauterization was performed by high-frequency current and was painful due to a deep burn of the mucous membranes.
Now apply more gentle methods of action on the mucous membrane of the cervix, not causing significant pain.
Each person has his own threshold of sensitivity, therefore, it is impossible to determine in advance how painful the procedure is for a woman — for one, it will be a slight pinching, for the second, a pain threshold.
Sensitivity during gynecological procedures arises due to irritation of the receptors of the cervix of the uterus, which is sufficiently well innervated. The deeper and more extensive the effect on the mucous membrane, the stronger the reaction.
Whether it is painful to treat cervical erosion depends on how cervical erosion is cauterized (what method is used - from painful current to minimally invasive radio wave).
The doctor applies anesthesia depending on the procedure and the condition of the woman.
Possible methods of anesthesia
The main methods of pain relief are:
- local anesthesia, which is carried out as an injection of the drug from 2 sides of the cervix to block the painful sensitivity of the lower abdomen,
- general anesthesia with intravenous injections of drugs that are immersed in sleep and relieve general pain sensitivity.
Anesthesia is practically not used when using the method of laser vaporization and radio wave - they allow you to act pointwise, burning only the affected areas.
Possible consequences after the introduction of anesthesia will be:
- headache, dizziness as a reaction to the action of the drug,
- nausea or vomiting
- possible allergic reaction to the introduction of the drug.
Most often, these effects are observed if general anesthesia is used, so it is suggested:
- during current cautery,
- with a cone-shaped removal of the cervix,
- in exceptional cases with other types of interventions.
Local anesthesia can be used for freezing the cervical area, if the woman did not give birth, often giving birth to anesthesia.
In the treatment of cervical epithelium disorders, the following methods of exposure are used:
- high frequency current burning, or diathermocoagulation,
- freezing with nitrogen, or cryodestruction,
- laser dot exposure, or laser vaporization,
- radio waves
- a beam of argon plasma or argon plasma ablation,
- ultrasonic waves
Answering the question whether it is painful to cauterize the erosion of the cervix, it is impossible not to notice - much depends on the skill, experience and qualifications of the doctor.
How is the cautery procedure?
The cautery procedure, despite the method by which the treatment is carried out, consists of the following steps:
- A woman turns to a doctor to determine the causes of illness.
- The doctor makes a diagnosis, determines the treatment regimen.
- Conducted a course of conservative therapy.
- The gynecologist performs a check-up, prescribes the day of cauterization.
- The patient comes to the procedure from 3 to 8 days of the physiological cycle.
- The doctor prepares the cauterization zone, determining its size, dries and conducts anesthesia.
- Conducting hardware exposure.
- A scab or film forms at the site of contact (this depends on the cautery method).
- After 10-15 days, the scab or film leaves, a zone of squamous epithelium forms below.
- The gynecologist conducts a physical examination, allows the woman a full life.
Diathermic electrocoagulation, or cauterization of cervical erosion by high frequency current has been used for more than 20 years. The method is outdated, although it is often used due to the fact that the equipment for cauterization of the cervix with current is present in all antenatal clinics and the cost of treatment is insignificant.
The disadvantages of the method are:
- the inability to regulate the effect of current on the tissue, which leads to a stronger and deeper burn than is necessary for healing,
- severe pain due to extensive burns and a strong reduction in muscle fibers,
- long recovery period after treatment (6-8 weeks), associated with the need to heal an extensive wound, strong bleeding, a long period of sexual abstinence and physical limitations,
- formation due to healing of an extensive scar, which makes the cervix inelastic, and causes difficulties during repeated births,
- a high percentage of recurring cases of erosion.
The treatment is carried out under anesthesia, a woman can be in the clinic for one day to recover her health. The doctor before cauterization instructs the woman how to behave after the procedure, appoints a day of re-examination.
Cauterize laser erosion is considered a gentle method of exposure, which is carried out without determining a woman in the clinic and anesthesia. The method of laser vaporization make cauterization with small erosion as giving birth and not giving birth to women.
The procedure is carried out quickly - up to an hour, for it the interval between the fifth and ninth days of the monthly cycle is selected.
Laser vaporization method is performed as follows:
- the instrument for influencing the mucosa is a hydrocarbon laser
- the tip is inserted into the vagina and the beam focuses on the point of impact,
- the directed beam evaporates the cells of the cylindrical epithelium,
- small blood vessels immediately thrombose, which stops possible bleeding.
Properties of a hydrocarbon laser when exposed to tissue:
- elimination of possible infection in the affected area,
- thickening of tissues in the impact zone,
- the launch of regenerative processes on the cervix,
- improvement of blood circulation at the point of laser exposure,
- destruction of the focus of the modified epithelium,
- normalization of metabolic processes in the zone of manipulation.
The positive side of laser vaporization:
- there are no painful symptoms of muscle contraction in the affected area,
- the depth of penetration of the beam can be strictly controlled,
- the method allows you to point to the affected area,
- laser exposure has a stimulating effect on the cervical epithelium,
- healing and removal of a scab lasts up to 10 days,
- a scar is not formed, almost 100% recovery of the epithelium,
- due to the lack of contact, the mucosa is not infected.
The rehabilitation period after vaporization takes up to 15 days, the ban on other activities (sports, sex) is determined by the doctor.
Radio wave coagulation
How is erosion of the cervix treated (as it is cauterized) by radio wave coagulation? To do this, use a special apparatus that generates low-frequency vibrations - Surgitron.
The gentle method, in modern gynecology, is considered one of the most promising treatment methods, the lack of contact with the device suppresses possible inflammatory processes after the procedure. This is the only method after which the scab is not formed on the treated surface, but a thin film.
The treatment is carried out from the fourth to the 9th day of the cycle; this reduces the possibility of bleeding and increases the chances of healing of the tissues. Hospitalization during treatment with this method is not needed, the duration of the procedure is 15 minutes. If necessary, conduct anesthesia.
When exposed to radio waves, the tissue is dissected at the desired point, the cells evaporate, the vessels in this zone are “sealed”, which stops the possibility of bleeding, one session is required for cure.
It takes up to 10 days to restore normal mucous membranes, and 30 days to complete rehabilitation.
Immediately after cauterization, a woman may feel nagging pains in the abdomen, there will be scanty vaginal discharge that disappears over one and a half weeks.
Less commonly used methods are plasma ablation and pharmacological cauterization.
Plasma cauterization is performed by the Fotek apparatus with an expansion unit for carrying out such a procedure or with a special coagulator. The erosion zone is affected by ionized argon gas, focused through a probe.
During chemical degradation, the drug Solkovagin is used, which is a mixture of zinc nitrate and concentrated acids (nitric, oxalic). The mixture swab is applied to the zone of erosion and causes the folding of proteins, forming a scab. After 10 days it will appear under it
Whatever method of cauterization may be used for a radical effect, the key to recovery is the exact adherence to the recommendations of the attending physician.
Cervical erosion is almost asymptomatic, so treatment is often prescribed in the later stages. The causes of pathology are studied by almost all doctors in the world. Usually, the disease occurs against the background of a hormonal imbalance, which increases the production of estrogen, which provokes strong tissue growth.
At the very beginning, true erosion develops, which after 2-3 weeks goes into another stage and gets its name - pseudo-erosion. Ectopia is the replacement of flat epithelium on the cylindrical. This tissue is not able to hold the infection and kill it, so there is a danger of bacteria penetrating the uterus.
Cauterization is prescribed when conservative treatment of cervical erosion does not work, pathology progresses, and the area is constantly increasing. Destruction is performed in several ways, which one to choose, is determined by the doctor, based on the results of the study.
Causes of erosion
It is possible to say exactly what caused the erosion only after additional diagnostics. Most often, the pathology is detected in young women, and such factors can cause it:
- Genital infections.
- Endocrine diseases.
- Various operations, abortions, childbirth.
- Weakened immunity, hormonal failure.
- Mechanical damage to the cervix and uterus.
- Chronic pathology or comorbidities.
All of these factors contribute to erosion, but it can also be innate. This form is not treated, the woman is simply seen by a doctor and periodically tests for oncology, infections, etc.
Suspecting erosion is difficult, it is rarely accompanied by any symptoms. When the disease progresses, the woman notices:
- Bright red or pale pink secret secreted from the vagina,
- Non-menstrual bleeding
- Redness and itching of the external genital organs,
- Pain in the lower abdomen of a different nature,
- Discharge of blood after or during sexual intercourse.
If the first symptoms of cervical erosion appear, it actively expands, so an urgent need to visit a gynecologist.
Therapy can be conservative and operative. It is advisable to go through the cautery procedure before pregnancy, if conception is planned soon. After destruction, relapses are minimal, so this method of treatment is most preferable.
Conservative therapy involves taking anti-inflammatory drugs and antibiotics. The effect can be expected at the initial stages, surgical procedures are shown in the advanced ones. Cauterization is almost painless, so you should not be afraid of the operation.
For more information about the disease, see the article Cervical erosion: what it is and how to treat it.
Is it necessary to cauterize erosion and is it possible
After a woman has heard about her diagnosis, she is concerned about a fair question - is it necessary to cauterize the erosion of the cervix? The method of treatment is determined only after the study, therefore, it is impossible to say unequivocally whether it is necessary to cauterize or not, without results.
Congenital and true erosion is usually not treated, pseudo-erosion is burned without fail. If a woman plans to conceive, it is necessary to carry out therapy before pregnancy, since pathology interferes with fertilization and can cause miscarriages or premature birth. When a pregnancy has already occurred, cauterization is prohibited.
It is necessary to cauterize erosion only if it progresses, causes discomfort and unpleasant symptoms, is not cured by conservative methods and can threaten the patient's health. In cases of quiet flow, erosion is simply observed, after a while it may disappear itself.
Each method of destruction has its pros and cons. Below are popular cauterization methods and their benefits:
- Radio wave coagulation - painless, no scars and injury, minimal risk of bleeding, quick recovery, almost 100% no recurrence.
- Laser treatment - this method of treatment is used most often. Cauterization safe, painless, at all stages, the doctor controls the depth of exposure, so that healthy tissue is not affected. After surgery, scars do not remain, the risk of complications is minimal, there is a rapid tissue repair, and there are practically no bleeding.
- Diathermocoagulation - removal by electric current. The method is simple, affordable and effective.
- Cryotherapy - the freezing of pathological tissues with liquid nitrogen passes quickly, without pain, bleeding, scars. The method activates the immune system, which improves the patient's well-being.
- Argon plasma ablation - the procedure is fast, it does not cause pain and discharge, it is excellent for those who have not born, it takes place in the shortest possible time, there is no risk of infection. This method of treatment eliminates the occurrence of complications and relapse.
In addition to the advantages, moxibustion has its drawbacks, consider them below.
Some methods are not always so harmless, for example:
- Diathermocoagulation is the most difficult cauterization - high risk of bleeding, long rehabilitation, deep scars, pain during rehabilitation, not suitable for those who have not given birth,
- Cryotherapy - it is difficult for the doctor to control the depth of exposure, recovery is long, perhaps repeated treatment, watery discharge often occurs,
- Radio wave treatment - the disadvantages include only non-intensive pain, similar to pulling menstrual pain,
- Argon plasma ablation - abdominal pulling sensations, high cost,
- Laser moxibustion is expensive.
Despite the disadvantages, these treatments are the most relevant.
Indications and contraindications
Erosion is cauterized in cases where the area is too large, the disease progresses actively and conservative therapy does not help. Destruction is prescribed in the absence of doubt of a benign course, and erosion did not affect the cervical canal.
Contraindications to cauterization:
- Inflammation in the uterus or neck.
- Infectious or fungal pathologies.
- Intrauterine devices.
- Human papillomavirus infection.
- Exacerbation of chronic diseases.
- Poor blood clotting.
- Diabetes (decompensated).
- Cesarean section.
- Schizophrenia, seizures and other psychological pathologies.
- Wearing a pacemaker.
Cauterization is not used after childbirth, if there are lochia. They try to treat the pathology during menstruation, when the neck is ajar and all tissues are softened. The procedure is prescribed for 2-3 days of menstruation, if the bleeding is abundant - for 5-6 days.
Is it possible to cauterize erosion during pregnancy
During pregnancy, cauterization is not used, it is desirable to cure the pathology before fertilization. The doctor postpones therapy for the postpartum period, as sometimes she passes by herself. Treatment is carried out only after full recovery. If erosion threatens the patient’s life, moxibustion may be prescribed even during pregnancy, but this rarely happens.
Is it possible to cauterize erosion nullite
Modern medicine does not stand still, today there are sparing methods of treatment of erosion, which do not leave scars and do not deform the uterus. These include cryodestruction, radio waves, laser irradiation, argon plasma ablation and chemical moxibustion with special preparations. The methods are gentle, and after them almost no deep scars.
Risk factors for cervical erosion
- Long-term course of sexually transmitted diseases
- Long-term presence of vaginal dysbiosis
- Immunodeficiency states
- Early sexual debut
- Frequent injuries of the genital tract due to abortion, medical procedures, inadequate use of certain types of contraceptives.
- Hormonal disorders
Laser coagulation of the cervix
This method is considered the most effective at the moment. Undoubtedly, it has several advantages over the above. The laser beam causes local contactless surface heating. Due to the fact that the laser system has the ability to dose radiation, and the duration of exposure to the tissue is determined individually by the gynecologist, it is possible to warm the mucous membrane to different depths, which reduces the damaging effect, leading to optimal tissue destruction. Due to this feature of the laser, the duration of the recovery period is shortened to the maximum, the frequency of development of complications is also reduced. When performing laser coagulation, complete epithelialization of erosion is more common, in the case of scar formation, the volume of scar tissue is minimal. The duration of the recovery period is 4 weeks.
How to behave after cauterization of the cervix?
After cauterization on the mucous membrane of the cervix, there is a wound. For its optimal healing, it is necessary to create optimal conditions, functional rest, normalize the microflora, follow the hygienic recommendations of the attending physician. In this regard, any form of genital contact should be excluded. It is necessary to take drugs that stimulate healing, antibacterial drugs and eubiotics that create optimal conditions for speedy healing.
The duration of sexual rest is determined individually. However, this period in most cases is at least 4 weeks. For a more confident determination of the terms of the recovery period, regular visits to the attending gynecologist and examination in the mirrors are necessary.
The duration of drug treatment is determined individually by the attending gynecologist depending on the general condition of the patient, the cause of erosion and the dynamics of the process.
Moxibustion preparation includes several steps:
- restoration of normal vaginal microflora
- conducting research on sexually transmitted diseases.
- in case of revealing sexually transmitted diseases, it is necessary to conduct a comprehensive treatment of identified infections.
- in some cases it makes sense to conduct a preliminary biopsy (taking a normal part of the vaginal mucosa) for subsequent microscopic examination.
- in the case of the presence of immunodeficiency states, it is necessary to conduct a complex treatment of the stimulating protective properties of the organism.
What could be the consequences of cauterization of the cervix?
The effects of cauterization of cervical erosion depend on the type of cautery. There are several types of this procedure:
- Chemical destruction,
- Laser therapy
Another possible consequence is the development of endometriosis - the movement of the epithelium, characteristic of the internal cavity of the uterus, to the surface of the cervix. To prevent endometriosis, cauterization is recommended in the second half of the menstrual cycle.
After cryodestruction (effects on erosion with liquid nitrogen) scar tissue is not formed, and the cervical canal retains its elasticity, but sometimes it can be slightly shortened. The depth of exposure to this method is limited, therefore, cryodestruction is shown only for surface defects of the cervical mucosa. Erosion of irregular shape is not treated in this way, because possible hit of nitrogen on healthy tissue, which is highly undesirable. The possibility of conception and successful pregnancy after cryodestruction remains.
Chemical destruction erosion does not entail any negative consequences, but it is able to affect only small area defects. Another "inconvenience" of this procedure is the need for repeated sessions - up to 3-5 procedures may be necessary for complete recovery.
Perhaps the only method that has no side effects and contraindications - laser treatment erosion. After it, no scars remain, the depth of exposure can be set manually, healthy tissues are not damaged.
What is erosion and where does it come from?
Cervical erosion is a defect in the mucous membrane.
There are several reasons for this:
- Any inflammation of the vagina.
- Venereal diseases.
- After childbirth or abortion.
- Too active sexual acts.
- Perhaps due to inaccurate examination by a gynecologist.
Younger women who are just starting their sex life are most susceptible to this disease.
If you are told that you need to use cauterization for treating erosion, and you have never come across a similar concept, naturally many questions arise.
Question number 1: Does it hurt cauterize erosion?
No, it doesn't hurt. It all depends on what method of cauterization will be used in your case. You can always use pain relief (it is better to use a spray), for example, if it is an electric shock treatment. In order to burn the necessary surface a lot of time is not required, the procedure takes a maximum of 10 minutes.
If you are very sensitive to pain, choose more modern types of cauterization, for example contactless procedures.
Question number 2: How to cauterize erosion of the cervix?
Medical technological processes go only forward, and today gynecologists use different methods of cauterization of cervical erosion.
Highlight the most common and accessible:
The method, as carried out, features.
The affected areas are treated with current, while the burnt uterine epithelium is renewed.
The most common and already "not fashionable" method and more traumatic.
Liquid nitrogen treatment (cryodestruction).
At low temperatures, the cells crystallize and die.
Radiowave treatment (radio wave coagulation).
Cauterization of erosion by surgitron (radiosurgery apparatus), the effect of radio waves on cells.
Non-contact treatment, fast healing.
Laser treatment (laser vaporization).
With the help of a laser, water is evaporated from the cells, and they are destroyed.
Non-contact treatment, minimal damage, gives a high effect.
Moxibustion argon (argon plasma ablation).
The complex process of ionization of argon and its effects on erosion.
Contactless treatment, the new "fashionable" method.
Chemical moxibustion (drug).
Cauterization of erosion by solkovagin (a drug that causes tissue necrosis). The treatment site is treated with a cotton swab.
Preferably several procedures.
There are still ways that are used to cauterize erosion.
One of them - electro-conization (cauterization of cervical dysplasia). Used in the treatment of severe dysplasia (a violation of the tissues of the cell structure).
And the second is ultrasound treatmentThis method is used for a large number of different diseases. This method is not cheap.
Along with the treatment of ectopia (pseudo-erosion) of the cervix, it is sometimes necessary to cauterize the leukoplakia of the cervix. Leukoplakia (white spot on the surface of the cervical epithelium). This disease appears for almost the same reasons as erosion, appears at the beginning of its formation.
It is worth noting that the use of a particular procedure depends on the degree of cervical damage, the age of the woman, whether the woman has gone through childbirth or is about to become pregnant. It is necessary to listen to the opinion of the doctor and, of course, their own preferences, availability of finances and availability of the method are taken into account (for example, cauterization of cervical erosion by argon is not available everywhere).
Question number 3: Should I cauterize erosion?
There is an opinion that girls who do not give birth should not do cauterization of the cervix. To do or not, is considered in the event that erosion is not large and analyzes are in order. And of course, there is no frequent change of partners. Perhaps erosion will heal itself.
If soon a girl or woman is going to become pregnant, you should not do cauterization with diathermocoagulation, in the case of such treatment, a scar is formed, which can interfere with the normal delivery process.
In other cases, the question whether it is necessary to cauterize cervical erosion? - the answer is yes. Refusal of treatment may lead to an increase in erosion and related complications up to cervical cancer (the appearance of malignant cells).
Do not self-medicate, it can also lead to adverse effects. No need to put yourself at risk when there are different ways to effectively cauterize erosion.
Question number 4: How to prepare for treatment?
Before treatment, it is necessary to pass the necessary tests (blood, urine, smear, cytology and colposcopy, possibly a biopsy, etc.).
What exactly can not be done before cauterization of erosion is to go for an operation without being convinced that there are no inflammatory processes, tumors and infections. In the case of unsatisfactory tests, you need to undergo treatment to eliminate inflammation.
Many are interested in whether it is possible to engage in intimacy before cauterization. Sex is possible, but only with a condom.
Question number 5: Do cauterization before or after menstruation, when is it better?
At the time of critical days do not cauterize, there is a risk of infection, and it will be difficult to see all the damaged tissue.
If it was not possible to get rid of erosion on these days, then it is as possible to carry out the procedure no later than the 9-10th day. In this case, you need to consult with your doctor and you may have to move the cautery to the next month.
Before menstruation, cauterization is done only in the case of non-contact treatment (for example, cauterization of erosion with argon). The disadvantages are that the menstrual cycle may be delayed or subsequent discharge will interfere with the healing process. When treating with medical cauterization, it does not matter on which day to choose ectopic treatment.
Question number 6: What consequences can bring the treatment?
Cauterization of cervical erosion, in whatever ideal way it is carried out, will necessarily lead to any consequences.
To insignificant can be attributed unusual discharge, which is accompanied by unpleasant pulling pain in the lower abdomen. This is natural when restoring epithelium.
Blood-suckling discharges appear because the procedure itself destroys some blood vessels. These symptoms must pass quickly, and to eliminate them you do not need to do anything.
When cauterized with current, the discharge may be more abundant, and the cautery of the surgitron leaves a minimal trace from the operation. Each doctor is obliged to warn the patient in advance about the postoperative consequences.
Unfortunately, cautery erosion can leave a negative mark:
- Inflammation of the fallopian tube and possibly the ovaries.
- Excessive bleeding with blood loss.
- Violation of the cyclical nature of menstruation, to the temporary cessation of menstruation, blockage of discharge, which can lead to infertility.
- Erosion can not be done after treatment and need a second operation.
- The appearance of scars on the cervix (this is with diathermocoagulation), which leads to problems with gestation and childbirth.
- Cervical deformity.
Another unpleasant thing is the necessary restrictions for faster healing. This applies to sexual relations with a break of up to two months. There are also special medicines to help with healing and pain relief (for example, candles).
It is necessary to reduce physical activity and eliminate the use of tampons. In the warm season, you should not swim in local waters, do not use the sauna, and it is not even recommended to take a bath.
And no douching! The right attitude, compliance with the recommendations of the doctor and intimate hygiene will help you quickly get rid of the consequences. Before you decide to restore your normal lifestyle, you need to make a visit to the doctor.
Reviews of different methods of cauterization?
It is worth noting that if erosion is greater than 1 cm or deep, it is necessary to re-do cauterization in about a month.
Chemical coagulation (cauterization of cervical erosion with the solkovagin) and treatment with liquid nitrogen received good feedback from some patients. Removal of erosion by these methods is considered fairly benign. Therefore, according to reviews after the first therapeutic effects, erosion does not disappear. In this case, it is necessary to undergo treatment as many times as necessary for healing. And during treatment with low temperatures, long healing takes place.
Increasingly, most women abandon the method of cauterization by electric current. Obsolete, of course, method. Opinions about the process are different, someone is unpleasant, and someone is happy. Sometimes anesthesia is used, but this method is more accessible and 100% effective.
We should not forget that the treatment is individual for each woman. Many women categorically refuse to treat erosion, living a full life with it. But still, a larger percentage of women believe that health should come first and be treated immediately.
To avoid unpleasant factors associated with the need for treatment, try to find a conscientious, with sufficient qualifications of the doctor and choose the correct method of cauterization.
What tests need to pass
Testing before cauterization of cervical erosion will show whether the procedure can be carried out. A woman should undergo the following studies:
- HIV test
- Biochemical, blood count,
- Hepatitis test
- Biopsy, if required.
- Smear oncocytology,
- PCR analysis for the determination of urogenital infections.
After all the data has been obtained, the doctor determines whether prior therapy is needed. If there are no deviations, the cautery method is determined. The choice depends on the age, the desire to give birth in the future, the stage of development of the pathology, its course.
Cauterization of cervical erosion by laser
In order for the treatment of the damaged area with a laser to have a positive effect, a thorough preliminary examination is necessary. Indeed, in one case, a low-intensity effect will be effective, in the other, on the contrary, a high-intensity effect, and in the third - a carbon dioxide one. In this regard, the area of the affected area and the duration of erosion are significant. The pathology is “older” and larger, the more intense the impact will be. In addition, a woman should not suffer from an infectious disease of the genital sphere. If any, prior 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 held in the ambulatory, does not require anesthesia, even local. The essence of the procedure is as follows: the doctor delineates the boundaries that are to be processed (the laser is used for this, it acts like a pencil), then the systematic evaporation begins. Evaporation of atypical cells from the cervical canal begins, and ends at the pre-established border (to secure it, a healthy zone is captured within 2 mm). The whole procedure takes no more than 7 minutes.
Benefits. The advantage of this treatment is that there is no risk of bleeding: the vessels immediately coagulate.
Nuances A woman should know that large erosion cannot be cured at once, it can take up to 2 - 3 procedures, the interval between which should be at least a month.
After cauterization. After the laser treatment is carried out, the woman may have a slight discharge for a while. They can be observed for no more than 3 weeks. Full restoration of the mucous membrane of the cervix occurs after 1.5 months. This method is suitable even for unborn women. The main contraindications are: the period after childbirth, pregnancy, inflammation of the vagina, uterus or appendages, as well as malignant neoplasms.
Radiowave treatment of cervical erosion
Doctors involved in the problem of eliminating the erosive process, argue that it is this therapy is the most effective and safe compared to other methods. This procedure is contactless, low-impact and painless, does not cause bleeding, and possible complications are minimized. However, due to the fact that the method is quite new, it was not widespread.
Before performing the procedure, it is imperative to conduct a histological study, to pass a smear on the microflora, in order 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 recover faster.
The essence of the procedure lies in the fact that radio waves increase the temperature of the treated tissues by thermal exposure to the fluid inside the cells. It is heated and evaporated, and the vessels located around coagulate. The direct effect is carried out with the help of an electrode, which emits waves. The device itself is not in contact with the surface of the cervix. Most often, the Surgitron apparatus is used to perform the procedure. Due to such a careful effect, after processing, 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 with a slight pulling pain during menstruation. But if the threshold of its sensitivity to pain is too high, then it is advisable to apply local anesthesia. In parallel, it is possible to eliminate adhesions or other defects in the cervix and cervical canal.
The recovery process most often does not exceed one month. A woman may be disturbed by insignificant discharge, which completely disappears after 10 days.
For complete treatment, one session is enough. 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 planned visit to the gynecologist.
Of the recommendations after the procedure: the rejection of intimate life for 4 weeks, restrictions on physical exertion, a ban on swimming in open water, pools and baths. The only drawback of this progressive and safe method of erosion removal can be called the high cost of the procedure, as well as the lack of apparatus and specialists in municipal clinics.
Cauterization of cervical erosion shock
The most outdated method of eliminating erosion is burning it with the help of current. In medicine, this method of therapeutic treatment is called "diathermocoagulation." Among the indisputable advantages can be identified its widespread availability and high efficiency. That is why it is still not completely abandoned.
Before carrying out treatment with a current, it is necessary to sanitize the vagina and eliminate any infectious and inflammatory process.
The essence of the method is that the electrode, which emits current discharges, touches the affected surface pointwise until all erosion is covered with a scab. As a result, a wound is formed at this place, which bleeds but is covered with a crust from above. Two months later, she epithelized. Himself scab leaves after about 10-12 days. Since there is no instantaneous coagulation of blood vessels during the procedure, then the woman during the recovery period, there is a spotting blood.
In addition, a serious disadvantage of this method is the formation of a rough scar of connective tissue. This may further negatively affect the course of labor. That is why this method of cauterization is not recommended to give birth to girls.
Cauterization of cervical erosion with nitrogen
This method is based on cold treatment. The damaged tissues are treated with converted liquid nitrogen through a cryoprobe. The procedure is a one-time, most often it does not take more than 5 minutes. Abnormal cells crystallize and then die. After an average of 2-3 months, they are replaced by healthy ones. The optimal time for the procedure is from 7 to 10 days of the menstrual cycle.
Contraindications include a large surface erosion - more than 3 cm, cervical injuries, fibroids, any infectious inflammatory processes in the genitals, as well as pregnancy and tumors.
The procedure is painless, but at the request of the patient, she may be given local anesthesia, as there is a slight burning sensation or a slight tingling sensation. This method is applicable in women who have not given birth. Among other advantages - the speed of conducting on an outpatient basis, the absence of bleeding.
However, the method has some drawbacks: a long recovery process, the appearance of watery secretions, the inability to process deeply affected tissues. Repeated therapy may also be required.
How is moxibustion going?
Any cauterization process is aimed at destroying abnormal cells, which must subsequently be replaced with healthy stratified squamous epithelium. As already mentioned, the term "cautery" is not always correct. However, it is he who reflects the essence of any technique.
If we consider any procedure in stages, then it consists of a series of sequential actions:
A woman undergoes a full diagnosis to detect any contraindications to the session of cauterization.
If they are not found, the patient comes to the doctor, most often in the first half of the menstrual cycle.
Preparation of the treated zone is made (its boundaries are determined, sometimes the surface is dried).
Erosion is affected in one way or another, destroying its cells.
At the place of the treated surface, either a scab or a thin film is formed.
Within a few weeks the scab leaves and the damaged tissue is replaced with healthy one.
A scar is formed on the treated surface. However, modern medicine allows you to avoid this unpleasant stage.
In order to undergo the procedure of cauterization by any of the above methods, you must ensure that there are no contraindications.
Among them are the following:
Any inflammatory processes of the sexual sphere.
The presence of any sexually transmitted disease.
Any bleeding in the active phase.
Blood clotting disorders.
Malignant neoplasm of eroded area.
Pregnancy, and sometimes lactation.
Unresolved lochia and the early postpartum period.
Installed intrauterine device.
Conducted cesarean section.
Carriage of human papillomavirus.
Some mental disorders, such as schizophrenia and a tendency to seizure.
Wearing a pacemaker (for some methods).
Exacerbation of chronic diseases.
In addition, some methods are not applicable when significant amounts of erosion.
Causes of cauterization of cervical erosion
Although medicine has made great strides in terms of erosion treatment, however, the ideal procedure, which would not have a single effect on a woman’s body, was not found. Each method has its advantages and disadvantages. Therefore, it is so important not only to make the right choice with regard to the cautery method, but also to find a qualified specialist.
Among the possible effects of cauterization of erosion, there are both immediate and late symptoms.
The closest, that is, those that may arise in the first 8 weeks after the procedure, include:
Exacerbation of inflammation of the fallopian tube or at the same time the fallopian tube and ovaries. Most often the process is one-sided, although it can develop on both sides.
Bleeding with a significant loss of blood (this complication does not include minor blood stains, which are the norm).
Disorders of the menstrual cycle, in particular, the development of amenorrhea.
Among other effects that occur two months after cauterization, more often than others are observed:
Complete scarring or stenosis of the cervical canal.
Scarring of the underlying layer, this complication has received the name “coagulated cervical syndrome” in medicine.
Re-occurrence of erosion at the same place.
Endometriosis, which occurs on the background of the slow recovery of the epithelial layer of the cervix. If this does not happen by the beginning of the next menstruation, then the endometrial cells that have departed with blood can invade the unhealed wound and form a focus of inflammation.
If we consider such consequences as insignificant nagging pains in the lower abdomen and discharge, then, as a rule, they are not classified as complications. This is due to the fact that an increase in secretions and their somewhat unusual nature is a natural physiological process of epithelial recovery. They are more or less observed after passing through any method of cauterization. Indeed, even with the coagulation of blood vessels, at the bottom of an artificially formed pit, the production of damaged glands increases, which begin to produce a secret in large volumes.
Blood-lucrative discharges appear as a result of locally damaged blood vessels. Also, blood can be formed where the scab does not quite correctly or incorrectly. However, such phenomena must pass quickly and independently. Otherwise, you should consult a doctor for help. It is also worth knowing that the more aggressive the cautery method is, the more abundant the discharge will be. This is primarily related to diathermocoagulation. The doctor is obliged to warn the patient about this in advance.
Popular questions and answers:
Больно ли делать прижигание эрозии шейки матки? Именно вопрос болезненности процедуры чаще всего беспокоит женщину. Опасаясь сильных болей, многие пациентки откладывают начало лечения, нанося вред собственному организму. This should not be done, since cauterization is practically painless. The fact is that the cervix has a negligible number of nerve endings. This fact explains the fact that the disease has a mild clinical picture. Therefore, you should not be afraid of pain, especially if a woman chose one of the modern methods for cauterization. In addition, if the doctor sees increased anxiety or fear in the patient, he can offer her local anesthesia. Most often this is done to calm the patient, as well as during diathermocoagulation, in which there is direct contact with the damaged surface. As an anesthetic, most doctors give priority to lidocaine (medication is injected or injected, or used as a spray).
Can I get pregnant after cauterization of cervical erosion? The cautery procedure for erosion is not an obstacle to subsequent conception. You can get pregnant, however, you should wait 1-2 months before starting to bear the child, since it is during this time that the tissues will fully recover and the doctor will be able to assess the success of the treatment. A fundamentally important moment for women who have not yet given birth is a competent definition with the choice of method for cauterization. Categorically, diathermocoagulation is not suitable for such patients, as it causes the formation of the scar, which often complicates the process of childbirth. Therefore, it is better to use more benign ways of getting rid of pathology.
On which day of the menstrual cycle is it better to cauterize erosion? Doctors unanimously agree that the optimal time for the procedure is either 5 or 6 day of the cycle. Thus, it will be possible to achieve maximum healing of epithelial tissue until the next menstruation. If it was not possible to get rid of the pathology on the second day after the end of menstruation, then the maximum possible period is 9-10 days. Although in this case it is advisable to consult with your doctor and, if possible, postpone the session to the next month.
Childbirth after cauterization of cervical erosion. Most of both women who have given birth and those who have not given birth are worried about how burns can affect the process of delivery in the future. These fears come from the past, when the diathermocoagulation of blood vessels was the only way to eliminate the pathology. It is as a result of such a session that a scar remains on the neck, which threatens to rupture as the child passes through the natural birth canal. However, modern methods of treatment allow to avoid such problems, as they are: contactless, the doctor controls the depth of exposure to epithelial tissues, carefully monitors the boundaries of the treated surface. As a result, on the uterine cervix that recovered after the procedure, there are no visible traces of the cautery. This means that modern methods of treatment have no effect on the process of childbirth, since it is more dangerous to conceive a child with “active” ectopia, especially of inflammatory origin.
Can erosion reappear after cauterization? Defect may occur in women again, after the treatment.
But without any reason it does not arise:
Firstly, provoking erosion can be caused by aggressive sexual infection, douching with unsuitable solutions for this purpose, injuries received during labor or during abortion, etc.
Secondly, if the factor that provoked the occurrence of previous erosion was incorrectly diagnosed or was not completely eliminated. It turns out that the defect was burned, but its “root” was not eliminated. As a result, after some time it will arise again.
Thirdly, the patient should know that procedures such as the removal of erosion with nitrogen or chemical coagulation are quite benign. This means that it will take several sessions. After the first therapeutic effect, erosion will not disappear, but this does not mean that it has reappeared.
Sex after cauterization of cervical erosion. After the problem is resolved, it is worth sustaining a certain period of time before re-engaging in sex.
First of all, it depends on which way to eliminate the defect was chosen, since the epithelium will recover at different speeds:
If a woman has undergone a full cryodestruction, then the optimal time to start sex is 6 weeks later.
When the patient underwent laser vaporization, it will be possible to have sex not earlier than in a month, and it is better to wait 2 months.
If the choice was made in favor of radio wave surgery, then tissue repair takes an average of 1.5 months, it is for this period that the intimate life should be postponed.
The longest period of sexual abstinence will be a woman who has passed through diathermocoagulation - it is 2.5 months.
When the cervix was treated with Solkovagin, you will have to wait at least a week, and the maximum safe period is 3 weeks.
Doctors recommend: before starting sexual intercourse, it is imperative to come for an examination and make sure that the cervix is fully restored. If this does not happen, then sexual rest may be extended for a longer period.
Spotting after cauterization of erosion. After the procedure is carried out, a woman can experience a different kind of discharge. Mostly they come with blood impurities.
However, their character depends on what stage the healing is:
Normal bleeding may disturb a woman for up to 10 days. They may be slightly pinkish, and may have a more saturated shade. After a specified time, the discharge should become mucous, thicker, appear in a smaller volume. The appearance of blood is due to the fact that some vessels burst immediately after the procedure or as the eschar erupts.
Pinkish discharge can change its color to a richer brown, but normally a week after that, they should stop completely.
The normal recovery cycle of the cervical epithelium is as follows: first, there are watery discharges with minor blood impurities, they are replaced by thicker pink discharges, which are subsequently replaced by brown and scanty. In addition, in each of these types of women can observe small clots - dark pieces. They, as a rule, are particles of scab.
A slight bleeding in a cauterized woman may open between 8 and 21 days. It is associated with a complete discharge of a scab and should be completed within a couple of hours. To worry about this is not worth it, since it is a natural physiological healing process. It is necessary to consult a doctor when there is an abundant discharge of blood, an increase in body temperature, severe abdominal pain and other alarming symptoms. The guideline is the following rule: discharge should not exceed the volume that a woman used to lose during menstruation.
Unpleasant smell after cauterization of cervical erosion. Unpleasant smell after the procedure is not the norm. It may indicate inadequate or inappropriate intimate hygiene. If the woman fulfills all the rules and recommendations of the woman’s personal care, and the unpleasant smell continues to pursue, then this may indicate the addition of infection. It is necessary to visit the attending physician and pass a vaginal smear to determine the pathogenic microflora. The reason for the urgent trip to the doctor are purulent, or, having a greenish hue of discharge. These signs clearly indicate the joining inflammatory process.
How long does erosion of the cervix heal after burning? First of all, the recovery period after cauterization depends on how it was performed. The shortest recovery period in a woman is observed after chemical coagulation. As a rule, three weeks is enough for the epithelial tissues of the cervix to fully regenerate. The longest recovery period will have to go through a woman who has undergone diathermocoagulation. The treated area is fully restored after 2.5 and sometimes three months. The average recovery period is from 4 to 8 weeks, subject to the implementation of medical recommendations and without the addition of complications.
Is it possible to play sports after cauterization of erosion? If until the moment when a woman had to go through cauterization, she was involved in sports, then after a week she can resume training. However, they should consist of warm-up exercises and take place in reduced intensity mode. If you experience pain or with increased secretions, you will need to give up physical activity for a month. That is the period recommended by doctors to abstain from sports. During this time, the scab departs and the cervix is partially restored. Exceptions are only made by doctors for professional athletes who may lose their shape. Such a limitation is due to the fact that increased physical exertion can provoke serious bleeding from vessels injured after the procedure.
What to do after cauterization of cervical erosion? Recommendations
The procedure of cauterization of ectopia is a serious intervention in the woman's body, so she must follow all medical recommendations. This will make the recovery process as quick as possible and minimizes the risk of possible complications.
Among the many recommendations, it is important to adhere to the following:
If possible, sexual rest should be observed during the first one and a half months after the cauterization session. A return to intimate life is possible after an examination of the cervix by a gynecologist.
Under the ban, any grueling exercise. A woman can not lift weights, as this increases the risk of complications.
Do not swim in open ponds. You should also refuse to visit baths, saunas, steam rooms and bathing. All hygiene procedures should be carried out under running water or shower.
As an adjunct therapy, a woman can use topical treatment. The use of tampons with medicinal compositions (sea buckthorn oil or ointment Levomekol) contributes to the fact that the scab softens faster and leaves easier. In addition, it is an excellent prevention of its incorrect separation, and therefore, prevents the development of bleeding.
Do not plan pregnancy immediately after the procedure. A woman needs to wait at least a month until the next menstrual cycle ends. In addition, it is important to ensure that no complications that have been removed in time have occurred after the intervention.
In addition, in the first month after cauterization, unless absolutely necessary, an ultrasound scan should be performed, for which a vaginal probe is used.
It is important to follow the rules of intimate hygiene. Gaskets should change as they become contaminated. Wearing the same sanitary napkin for more than 3 hours contributes to the development of bacterial microflora, and therefore increases the risk of infection. The linen has to be from natural fabrics, it is necessary to refuse tampons.
During the first two months you should give up bad habits, since, for example, smoking and alcohol contribute to the occurrence of vasospasm and their expansion. This, in turn, leads to an increased risk of bleeding.
You should not use any folk remedies to accelerate the healing of the treated surface. Especially it concerns douching with various solutions. In this way, it is possible to carry an infection, cause a burn or injury, promote the development of bleeding, etc. Any manipulation is possible only after consulting with your doctor.
Compliance with these simple recommendations will avoid complications and recover in the shortest possible time. Erosion is a very common problem among women. Most of them successfully underwent the cautery procedure and forgot about the cervical defect forever. Therefore, if the doctor recommends to go for such treatment, you should not refuse it. The main thing is to make the right choice of cautery method.
Article author: Lapikova Valentina Vladimirovna | Gynecologist, fertility specialist
Education: The diploma “Obstetrics and Gynecology” was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013, graduate school in NIMU named after. N.I. Pirogov.
On examination, the doctor necessarily notices erosion, but colposcopy is used to determine the type of epithelial cells and whether they have atypical changes. During the procedure, the affected area is viewed under an increase of 30-40 times. In short, colposcopy is needed to determine the benign or malignant course of erosion. If a cancer process is excluded, cauterization is prescribed.
When burned erosion
Before treatment, a woman asks a question - when to carry out cauterization, before or after menstruation? Erosion is cauterized during menstruation, for 2-3 days. At this time, the gynecologist can see all the altered cells, so it is easier for the doctor to avoid injury to healthy tissues. When it is better to perform the operation, and on what day of the cycle to deliver it, is determined depending on the abundance and duration of menstruation.
It is important that the neck is open, and its tissues are softened. Sometimes erosion need to cauterize a few days after menstruation. Ideally, the stupas should fall off before the next menstruation, so that healthy tissues remain at the site of the surgical exposure. Manipulation is shown on day 2 after the end of menstruation. The time of operation is chosen strictly individually.
Methods for cauterization erosion
Cauterization is a symbol of groups of methods. Treatment is immediate and non-contact, when diseased cells are destroyed at a distance. After the procedure, the pathological cells die off, a scab appears in their place, then it disappears, leaving behind a healthy area. Below we consider the types of cautery in more detail. To cauterize erosion properly, it is important to consider all the nuances of the procedure.
Electrocoagulation of cervical erosion is a traumatic method involving the treatment of the affected area with an electric current. The procedure takes about half an hour and is performed under local anesthesia. This technique has been used for a long time; it causes tissue breakdown under the influence of heat.
Rehabilitation takes 1-3 months, but after healing, scars remain. Sometimes a woman experiences pain during rehabilitation. If the operation is prescribed in the first phase of the cycle, healing will be faster. Cauterization of erosion by current is not recommended for nulliparous girls, since electric impact does not guarantee the absence of scars.
During the operation, cauterization of (non-contact) pathogenic cells by a laser beam occurs. Treatment is prescribed for 5-6 days of the cycle, and the procedure itself lasts no more than 30 minutes. The device (colposcope) does not touch healthy cells, the whole process is controlled, the elasticity of the tissues is not disturbed. The safe and painless technique is relevant for girls who are planning to give birth.
Scars, scars and bleeding do not occur. Healing is quick and almost asymptomatic. Cauterization of cervical erosion with a laser reduces inflammation, restores tissue, improves blood circulation. The risk of recurrence is minimal, after treatment, you can not go to the pool, live sexually and physically load.
This treatment is used for minor injuries. Chemicals do not leave scars and do not cause bleeding. Most often appointed cauterization erosion Surgitron and Solkovagin. A mixture of both means is applied to the affected area under the supervision of a colposcope. Acids destroy pathogenic cells, they are rejected, and in their place there is healthy tissue. Therapy is cheap, sparing, suitable for girls who do not give birth.
Argon plasma ablation
Argon is applied to cauterization, which acts on the epithelium from a distance of 0.5 cm. Electromagnetic waves heat up and evaporate abnormal cells, and healthy tissues are formed in their place. At the place of processing the scab does not appear, a thin crust appears. Due to this, the healing process is fast, and the cauterization of erosion by argon is painless.
How much does it cost to cauterize cervical erosion
The cost of treatment depends on many factors - the selected clinic, the availability of research, the type of therapy, etc. It is difficult to call specific figures, therefore we will give approximate prices for cauterization of cervical erosion, starting from the treatment method:
- Radio waves - from 3 to 7 thousand rubles.
- Laser - 4-8 thousand.
- Electric current - up to 3 thousand.
- Chemical coagulation - about 800 rubles.
Moscow is rich in various clinics where a woman can safely, without queues, undergo treatment, of course, for a fee. Private clinics do not provide for insurance, so you have to pay for everything - from consultation, ending with cauterization.
Recovery from cautery takes 4 weeks to 3 months, depending on the method chosen. Gentle effect does not cause much injury, so full recovery comes faster:
- Diathermocoagulation - up to 2 months. During this period, the cycle gets off, there are unusual discharge, sometimes with blood,
- Radio waves - after the manipulation of the wound heals for 1-2 months. The discharge is insignificant, sometimes there is a pulling pain in the lower abdomen,
- Laser - recovery takes 27-30 days. The method is progressive, safe, low-impact.
- Cryodestruction - rehabilitation lasts 1.5-2 months.
- Chemical coagulation - healing occurs in 3-4 weeks.
- EMA - epithelialization lasts 45 days.
During the healing period, one should not bathe in ponds, bath, overwork, lift weights, go to saunas, live sex life, etc. More information about the contraindications can be found below in the article.
Sex after cauterization of erosion
Sex life is strictly prohibited until full recovery. Doctors prohibit sex until the tissue is fully tightened, to avoid infection. Sexual rest should last at least a month. During this period, the area is fully restored. If you break the rule, the crust can peel off, and the process will take a long time.
Anal and oral sex is allowed, since no contact with the wound occurs. Before you begin to actively engage in sex, a woman must consult a gynecologist in order to rule out complications.
Usually, a rise in temperature is a normal reaction of the body. If she is worried on the first day, you should not take any medicine. In cases where the temperature lasts 5-10 days, inflammation may develop. Any changes should be discussed with your doctor, especially if the increase occurs to critical numbers.
Monthly after cauterization of erosion
Often monthly come on time, sometimes they linger a little, this is the norm. After cauterization, the nature of menstruation changes, that is, it will become what it was before the onset of the pathology. Painful, scanty periods with pieces of blood - the normal effects of cervical changes.
After healing, the cycle should be normalized, if there is no monthly more than two months, this may indicate any violations. The accumulated blood causes severe inflammation, so the delay in menstruation is necessarily discussed with the gynecologist.
Unpleasant smell after the intervention
Unpleasant smell is not a normal course of recovery. It indicates improper or irregular personal hygiene of the genitals. If the patient follows all the recommendations of the doctor, properly caring for herself, and the smell does not pass, the infection most likely joined. In this case, a smear is taken to confirm infection. Purulent, yellowish discharge with an unpleasant smell is a sign of inflammation.
What not to do after the cautery procedure
In order for healing to proceed normally, it is important to follow these guidelines:
- Do not use tampons.
- It is forbidden to have sex.
- Do not abuse drugs, oral contraceptives.
- It is not recommended to swim in ponds, the sea, in the bath, etc.
- No need to engage in heavy sports, bodybuilding.
- It is impossible to lift weights, more than 2 kg.
All these restrictions allow you to avoid infection and inflammation, the doctor will tell you more about all the nuances.
Duration of healing erosion
How much erosion heals cannot be unequivocally stated; recovery times depend on the method chosen. The shortest healing process is observed after chemical coagulation - about 3 weeks. When diathermocoagulation rehabilitation period increases significantly and is 2.5-3 months. The average period is 5-8 weeks, provided that the woman complies with all the recommendations.
Can the disease reappear
Modern methods effectively treat pathology, but it can appear again. The reasons are many, although it rarely happens.
Relapse is possible with any negative factors, for example:
- Genital infection, douching with improper solutions, trauma during childbirth, abortion, etc.
- Incomplete elimination of the focus, when the “root” of pathology is not eliminated,
- Too intense sexual intercourse.
After cauterization, erosion develops rarely again, but there are still risks, so it is advisable to visit the gynecologist more often.
Can I give birth after cauterization
Deliveries before and after coagulation are possible, because the methods today are not aggressive. After treatment, scarring rarely occurs, the uterus is not deformed, so it is allowed to give birth. If before therapy was possible only with electric current, now the doctor completely controls the depth and area of cauterization so that scars do not occur and it was easier to get pregnant. Fertilization is much more dangerous with existing erosion, especially with inflammation.
2 years ago, I burned it with a current, this procedure is free in our clinic. The disadvantages can be attributed not intense pain and a strong unpleasant smell. Burning in my case lasted only 3 minutes, then I was informed about contraindications and appointed candles "Depantol". The smell tormented for 3 days, then disappeared, thank God, there was no infection.
Veronica, 30 years old
I was burned by radio waves, because at that time I was not giving birth. The procedure is fast, just 10 minutes. No pain, easy discomfort. On the first day, I pulled the lower abdomen, then the pain went away. A year later I became pregnant, the delivery was successful, thanks to my gynecologist!
Burned with a laser, everything went fine, just worried in vain. The method, though expensive, is very good. I did not feel pain, the next day I was slightly pulling my stomach. Remarkably, there is no nasty smell after cauterization.
Is a procedure always necessary?
Before cauterization of cervical erosion, the need for a procedure is always evaluated. WHO recommends such treatment only if there is a certain, rather narrow spectrum of indications - an ulcer that is not amenable to conservative therapy, cervical deformity and dysplasia of 2-4 degrees with any type of erosion.
Before cauterization occurs, the doctor assesses the condition of the affected area and determines the type of erosion. In most cases, at the first stage, anti-inflammatory therapy is prescribed and dynamic monitoring of the dysplastic mucous process is conducted.
In countries of the former USSR, cauterization is not always carried out according to indications. Any unusual or intensifying discharge, the desire of the patient often serve as the basis for the operation.
To carry out the procedure without negative consequences and not to provoke various complications, for example, an inflammatory process or a relapse of erosion, it is necessary to pass a full range of tests before cauterization:
- for HIV, syphilis,
- general and biochemical blood test, urinalysis,
- detection of all types of hepatitis, urogenital infections and human papillomavirus (most commonly used PCR analysis),
- Papanicolaou test (oncocytology smear),
- smear on the determination of the composition of the flora,
- colposcopy and in case of suspected malignant tissue degeneration - a biopsy.
If any infection or inflammation is detected, a comprehensive treatment is necessary before undergoing the procedure. Only after the healing of the tissue occurs, the focus of inflammation will disappear and the tests will show the norm, will the woman be sent for cauterization.
Removal of the damaged area of the epithelium with electric DEC is a more modern and safe method. Non-healing epithelium tissue is treated with laser beams under local or general anesthesia or without the use of anesthetics. The beam is directed strictly to the damaged area, the cells evaporate, small capillaries are sealed, so there are practically no bleeding and the risk of developing bacterial infections is reduced.
The laser effect stimulates the regenerating processes, so the affected place is restored in just 3-5 weeks.
Treatment with a laser does not give negative consequences, in rare cases, scar tissue can form. This is due to low qualification of a specialist or a large damage zone.
Chemical coagulation of cervical erosion is carried out with the help of two drugs - Vagotil and Solkovagin. These two tools are mixed, in the future, with a solution, the area damaged by erosion is cauterized. The method of colposcopy is used, which allows an impact on the ulcerative defect.
In essence, chemical cauterization is a chemical burn of a tissue. It not only removes damaged cells, but also contributes to the regeneration process, with the result that a healthy epithelium quickly appears.
Burning is carried out at a depth of 2.5 mm, after a few days there is a complete rejection of the burned tissue, but the complete restoration of the epithelium is long. Within 10 days after the procedure, the eschar will die away - dead epithelium cells. Sometimes it may require additional treatment of the burned area, for which women are assigned immunostimulating, anti-inflammatory, healing candles.
After treating the vaginal mucous tissue with chemical composition, complications rarely occur - inflammatory processes, epithelization of tissues, difficulties with further conception, burn of healthy tissues and their subsequent scarring. Because of this, chemical treatment is rarely used in non-deliverable women.
There are several effective methods of treatment that are related to the so-called cauterization. All of them are used in the treatment of pseudo-erosion - epithelium defects resulting from the replacement of normal cells with cylindrical cells, which are more characteristic of the cervical canal. Congenital and true erosion is not treated in this way.
There are the following types of cauterization of cervical erosion:
Diathermocoagulation - elimination of ulcers with the help of electric current supplied to a special loop. Quite a traumatic method, fraught with some complications like scars.
- Cryodestruction is a method of treating cervical erosion by freezing damaged epithelium areas with liquid nitrogen.
- Laser moxibustion is a high-tech way. With the help of a special laser, the damaged cells are evaporated. The method has many advantages, such as painlessness and a low probability of complications, but it is quite expensive.
- Radio wave coagulation - burning with radio waves. Contactless treatment, which is considered one of the most promising.
- Argon plasma ablation is the removal of erosion with the help of special devices producing a plasma argon beam acting on the damaged epithelium.
- Electroconization - a way to combat pathology in the advanced stage. The consequences after cauterization of erosion of the cervix by this method can be quite serious, because it involves the removal of deep layers of the epithelium. Thus further dysplasia stops.
- Ultrasonic cauterization.
- Chemical - a method consisting in the use of a specialized drug that causes the death of damaged tissue. Soon new normal cells appear in their place.
Preparation for the procedure
Preparation for cauterization of erosion of the cervix involves a medical examination. The list of required studies includes:
HIV and viral hepatitis testing
- general blood analysis,
- blood biochemistry
- general urine analysis,
- analysis of urogenital infections,
- smear on oncology and flora,
- extended colposcopy.
If tests before cauterization of erosion of the cervix did not reveal any abnormalities that are contraindicated, the specialist may refer the woman to the cautery procedure.
Although modern treatment technologies can effectively deal with the problem, the consequences after cauterization of cervical erosion are sometimes quite serious. In order for a woman to experience a minimum of discomfort after erosion treatment, it is very important to choose a method of therapy individually, taking into account all the features of the pathological process.
The immediate undesirable effects of cauterization of erosion include:
- aggravation or onset of inflammation of the genitourinary system,
- uterine bleeding of varying severity (this does not include non-abundant discharge),
- delayed menstruation after cauterization of cervical erosion.
Other possible complications of treatment include:
- scarring or complete stenosis of the cervical canal,
- the spread of the scar to the underlying layers of the uterus,
- re-formation of erosion,
- the occurrence of endometriosis.
Causes of cauterization of erosion include pulling pain in the lower abdomen and characteristic bleeding. They are not considered complications, but can be a cause for concern in some women.
Do not worry - the discharge and pain arise from the fact that the tissues of the uterus were damaged, which must be quickly restored. The burned glands begin to intensively produce mucus until the epithelium returns to its normal state.
Since cauterization is an invasive method of treatment that is stressful for the female body, it is necessary to know how to quickly deal with its effects.
What can not be done after the operation? In order to restore the damaged tissue with maximum speed, try to ensure that the reproductive system is at rest. Sex after cauterization of erosion of the cervix may interfere with the restoration of the epithelium, so it is worthwhile to delay intimate intimacy for about a month.
Provide rest for other organs. Do not expose the body to intense physical exertion. Weight lifting and other actions that require considerable effort can delay the recovery process.
Help the body to protect against inflammation. Do not swim in open ponds and public baths. There you can easily catch an infection that attaches to the damaged epithelium and causes an inflammatory reaction.
You can accelerate the growth of new tissues with the help of adjuvant therapy. To do this, use Levomekol or sea buckthorn oil. They soften the formed scab and contribute to its discharge.
If you were planning to conceive a child, postpone the pregnancy for about a month. When the first menstruation after cauterization of cervical erosion, will be held by a gynecologist. This will help to ensure complete tissue repair and the absence of complications that may interfere with the normal course of pregnancy.
Follow the rules of intimate hygiene. Sanitary pads should be changed at least once in 3 hours to prevent the multiplication of pathological microflora. Remember that the use of tampons is not recommended.
Restoration of the epithelium is also delayed when exposed to alcohol and tobacco. Give up bad habits for at least one month. This will help restore tissue and improve the overall condition of the body.
Since the effects can be quite serious when cauterizing erosions of the cervix, it is worthwhile to undergo an additional pelvic exam a month and a half after the procedure. Your doctor will determine how successful the treatment has been and give you further recommendations.
Now you know how to cauterize erosion of the cervix and how to protect yourself from the consequences of this manipulation. If you encounter this problem in life, do not panic. Erosion treatment is a common thing for an experienced doctor. In all follow the advice of a gynecologist, and soon you will return the state of your reproductive system to normal.