Is moderate cervicitis incurable in TCT?

TCT examination shows that moderate cervicitis can be treated, and most patients can achieve good results through standardized treatment. Moderate cervicitis is usually caused by pathogenic infection, local irritation and other factors, and can be intervened by drug treatment, physical therapy and other methods.

1. Drug treatment

For bacterial cervicitis, you can use anti-metritis tablets to eliminate inflammation as directed by your doctor, or use Baofukang suppository to improve local congestion. Moderate cervicitis caused by Neisseria gonorrhoeae infection requires anti-infective treatment with cefixime dispersible tablets, and azithromycin tablets can be used for patients with mycoplasma infection. Gastrointestinal discomfort or increased vaginal secretions may occur during medication, and TCT needs to be reviewed to confirm efficacy.

2. Physical therapy

Low-temperature plasma ablation is suitable for patients with cervical hypertrophy and promotes mucosal regeneration through low-temperature thermal effects. Laser treatment is suitable for erosive lesions that are unresponsive to medical treatment, and a small amount of bleeding may occur after surgery. Both physical therapies need to avoid the menstrual period, and HPV and TCT will be reviewed 2 months after treatment.

3. Immune regulation

When combined with HPV infection, interferon suppositories can be used to enhance local immunity, or oral administration of Pidotimod granules can be used to regulate systemic immune function. It is necessary to monitor changes in body temperature during use and avoid using it in combination with other immunosuppressants. Cervical epithelial repair should be evaluated after 3 months of continuous medication.

4. Daily care

During treatment, choose pure cotton underwear and change it daily, and avoid using alkaline lotions to rinse the vagina. Condoms should be used throughout sex to reduce mechanical stimulation caused by friction. Change sanitary napkins frequently during menstruation to keep the perineum dry and breathable.

5. Regular review

TCT needs to be reviewed 3 months after treatment to observe cytological changes, and HPV testing needs to be done 6 months later. Patients with persistent infection require colposcopy evaluation and, if necessary, cervical biopsy. Have a gynecological examination and secretion testing at least once a year.

Patients with moderate cervicitis should avoid eating spicy and irritating foods, and can supplement carrots, pumpkins, etc. that are rich in vitamin A in appropriate amounts to promote mucosal repair. Make sure to drink more than 1500ml of water every day and avoid sitting for more than 2 hours. If abnormal bleeding or abdominal pain worsens during treatment, timely follow-up is required, and drug treatment options are preferred for nulliparous women. Long-term management requires the establishment of a standardized follow-up plan, combined with cervical cancer screening to simultaneously monitor the disease progress.