Is surgery necessary for third degree cervical erosion?

Third-grade cervical erosion usually does not require surgical treatment and can be improved through medication and physical therapy. However, if it is accompanied by cervical intraepithelial neoplasia or high-risk HPV infection, surgical intervention needs to be considered. Third-degree cervical erosion may be caused by abnormal hormone levels, chronic inflammatory stimulation, multiple childbirth injuries, etc. The main clinical manifestations are increased secretions, contact bleeding and other symptoms.

The pathological essence of third-degree cervical erosion is that the cervical columnar epithelium migrates to a larger extent, which is a physiological change and not a real disease. For asymptomatic patients, if there is no HPV infection or abnormal cytology, only regular cervical TCT and HPV testing are required, and no special treatment is required. If combined with bacterial vaginosis, cervicitis and other infections, you can use Baofukang suppository, Xiaomi suppository, anti-metritis tablets and other drugs to control inflammation as directed by your doctor. Physical therapy is suitable for those with obvious symptoms, such as laser, freezing or microwave therapy, which achieves epithelial repair by promoting squamous metaplasia of columnar epithelium.

When cervical erosion is combined with high-grade cervical intraepithelial neoplasia, cervical conization or LEEP surgery must be selected according to the degree of the disease to block the risk of cancer. If the test finds persistent high-risk HPV infection, especially if type 16 or 18 is positive, cervical conization may be required to remove the lesions even if the cytology is normal. You need to avoid sexual intercourse for 1-2 months after surgery, and review HPV and TCT every six months to monitor the progress of the disease.

Pay attention to perineal cleaning every day, avoid using irritating lotions, and choose pure cotton breathable underwear. Use sanitary pads less frequently to avoid bacterial growth. It is recommended to use condoms during intercourse to reduce the risk of cross-infection and to control the frequency of sexual intercourse. An appropriate amount of vitamin C and selenium can be supplemented in the diet to help enhance the ability of mucous membrane repair. If there is odor in secretions, abnormal bleeding, or a feeling of bloating in the lower abdomen, you should seek medical attention promptly to evaluate changes in your condition.