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Visiting Department: Reproductive HealthGeneral treatment of cervical infertility
Western medicine treatment of cervical infertility
1. Physical therapy
There are three main methods: electrocautery, laser and freezing. When choosing the treatment method of cervical infertility, it should be considered according to the specific situation of patients. If there is a fertility requirement, it is best to use cryotherapy instead of electrocautery or laser treatment, so as not to cause cervical scar atrophy, cause cervical stenosis, and affect pregnancy and normal delivery in the future.
2. Drug treatment
The appearance of cervix is normal, but there is chronic purulent discharge in cervical canal, so culture and drug sensitivity test should be carried out. Systemic treatment of anti-infective drugs for cervical infertility, oral or infusion, with local medication is appropriate, because vaginal medication often has little effect on deep cervical endometrial infection. Low-PH water-soluble vaginal cream is also helpful for treatment. At the same time of low-dose estrogen and antibiotic treatment, lavage vagina with 0.1%-0.5% acetic acid solution every night can enhance the effect. Corrosive drugs, such as 2.5% potassium dichromate, 30% silver nitrate or silver nitrate rod, can be applied locally to cervical erosion, once a week, and 4-6 times are a course of treatment.
3. Surgical treatment
Cervical cone resection can be performed as appropriate for patients with cervical infertility who are not cured repeatedly and still have fertility requirements, which is mainly suitable for cervical hypertrophy, wide erosion area, deep lesions, or those whose cervical canal is also involved. The excision range should be 1-2mm outside the erosion surface, and the depth should be about 2cm. The erosion part of the cervix should be made as a cone bottom, and the tip should point to the cone tissue in the cervical canal. If the wound can be sutured immediately, the scar after healing will be smaller and the chance of postoperative bleeding will be less. The disadvantage of cervical conization is that although the lesion has been removed, it can also destroy a large number of cervical glands and affect the secretory function in the future. If the excision is too deep, the uterus shortens or damages the internal cervix after healing, it can affect pregnancy, or abortion or premature delivery are easy to occur after pregnancy. Therefore, for patients with cervical infertility, this operation should be done with caution.
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