Any pathology, can turn into cancer if it persists for a long time.

Allies story – PART IV

Medications, including ointments and tampons with sea buckthorn oil, do not treat cervical pathology itself (except for senile atrophy, where hormones are more effective). Treating HPV cervical pathology tests with these methods can lead to the progression of the tumour process. Any pathology, even the most harmless ectopia, can transform into cancer if it persists for a long time.

Chemical removal is possible only for ectopia or condylomas. Other pathological test processes are deeper and inaccessible to the penetration of acids from a chemical preparation; therefore, when using this method in women with deeper lesions of the cervix, changes often remain and progress. The most commonly used drug is Solkovagin. They sear the damaged area in several steps (several days).

Diathermocoagulation (Electrocoagulation)

Diathermocoagulation (electrocoagulation) is the main method of treating cervical pathology in antenatal clinics. It is the most painful and longest and causes the most complications.

HPV Doctors do not recommend it for nulliparous women because it causes scarring and narrowing of the cervical canal, which can lead to cervical rupture during childbirth. After diathermocoagulation (“cauterisation”), the cervix takes over a month to heal, so the next menstruation occurs before normal epithelium is formed. Released endometrial cells, in contact with the wound surface, can settle on it and contribute to the development of cervical endometriosis, a disease accompanied by pain and bleeding before menstruation and after sexual intercourse.

Cryotherapy (liquid nitrogen treatment): The penetration depth is sufficient for treating ectopia and condylomas. This more gentle method leaves almost no scars and is painless. However, it is not applicable for deeper or more serious damage.

Laser therapy

This refers to the surgical laser, the most preferred method of treatment. It removes tissue and stops bleeding. Moderately painful, it does not leave scars, is possible even for nulliparous women, has almost no complications, and allows damage to be removed under the control of a microscope to the required depth. Radio knife Device “Surgitron.”

Based on high energy radio waves. The advantage is that it does not burn but cuts off the damaged area; that is, it preserves it after removal and allows for histological examination, i.e. clarifies the diagnosis. It is an alternative to conventional surgery (scalpel). Removal with a scalpel This is the weapon of oncologists. If the biopsy shows cancer, it is advisable to continue treatment not with a gynaecologist but with an oncologist.

There is no need to fear this word; you must understand that he treats “his” pathology better than anyone else. The gloomy associations are because, as a rule, people who have been treated for a long time and unsuccessfully by doctors of other specialities turn to oncologists; they reach oncologists with an advanced stage of the disease. Cervical cancer is a disease that is completely curable in its early stages.

Post-Surgical Recommendations

After surgically removing cervical pathology, follow the same recommendations as after a biopsy: maintain a gentle regimen for a longer period—one month for laser surgery and six weeks for diathermocoagulation and cryotherapy. Do not lift weights, do not overheat (sauna), do not have sex. During this time, there will be moderate, first liquid, and then bloody and even bloody discharge, which should not cause concern – the wound after surgery is a burning surface.

You need to drink plenty of fluids and take care of yourself. The discharge smoothly transitions into the next menstruation; after the cessation of menstruation, you should appear for a follow-up examination. It is very important to carry out HPV tests and surgical treatment at the same time as the biopsy – on the 5-7th day of the menstrual cycle (usually the next month after the biopsy, taking into account the fact that the histology is ready no earlier than a week) – so that the wound surface has time to heal for the next menstruation.

Otherwise, if menstruation begins before the cervix has healed, it can lead to endometriosis, which manifests as bloody discharge before menstruation and during intimacy. Carrying out surgical manipulations with the cervix always allows you to avoid this, except with diathermocoagulation, where the healing period is 6 weeks – this is one of the disadvantages of the method, after which cervical endometriosis develops quite often.

Physiotherapy (Therapeutic Laser)

Physiotherapy (therapeutic laser) is a very fashionable treatment.

Today, everyone is treated with laser. It helps with ectopia and HPV inflammation (colpitis), as it has a bactericidal (killing bacteria) and anti-inflammatory effect. It is prescribed simultaneously or immediately after antibiotics. The laser is also good after surgical removal of cervical pathology for speedy wound healing.

Understanding Cervical Pathology

1. Cervical Erosion vs. Pathology

There is no erosion of the cervix—there is pathology. To decipher it, you need to undergo an examination and only then treat it. Any pathology of the cervix can be the beginning of a tumour process and, if it persists for a long time, turn into cervical cancer.

2. Symptoms and Regular Check-Ups

Pathology of the cervix may not manifest itself in any way. If you are concerned about discharge, especially bloody discharge, especially if it intensifies or appears after sexual intercourse, this is a signal to go to the doctor. If nothing worries you, visit the gynaecologist annually—or better yet, every six months. The doctor should perform a colposcopy and a cytological examination during each visit. There is no need to bring the disease to severe stages of development.

3. Treating Inflammation First

This can lead to the disappearance of ectopia, and most importantly, without this, it is impossible to correctly interpret the results of cytology and biopsy and perform surgery.

4. Removal, Regardless of Age or Childbirth

If there is a confirmed tested presence of HPV DNA pathology of the cervix, it is removed regardless of the woman’s age and the presence of childbirth in her life. Modern treatment methods make it possible to do this without consequences for future births. However, the doctor removes the pathology by any method at the beginning of the menstrual cycle, immediately after menstruation, so the wound has time to heal before the next menstruation.

5. Painless Removal Procedures

Removal of cervical pathology is a painless procedure. The sensations are reminiscent of those on the first day of menstruation. Unpleasant but tolerable compared to other operations.

6. Specialist Examination and Treatment

Moreover, it is necessary to be examined and treated by a qualified HPV specialist in cervical pathology—a gynaecologist. And in the presence of grade 3 dysplasia, it is better to see an oncologist. However, it is better to be overly cautious than under-treat.