How to treat chronic cervicitis with squamous metaplasia

Chronic cervicitis with squamous metaplasia can be intervened through drug treatment, physical therapy, surgical treatment, etc. The specific decision should be based on the severity of the disease and the individual situation of the patient. Chronic cervicitis with squamous metaplasia may be related to pathogen infection, abnormal hormone levels, local irritation and other factors. It usually presents with symptoms such as increased leucorrhea, contact bleeding, and lower abdominal distension.

1. Drug treatment

For chronic cervicitis caused by pathogenic infection, anti-infective drugs can be used as directed by the doctor. In case of bacterial infection, metronidazole vaginal effervescent tablets can be used to inhibit the reproduction of anaerobic bacteria. ； Azithromycin dispersible tablets can be used to interfere with pathogen protein synthesis in mycoplasma infections ； When combined with fungal infection, clotrimazole vaginal tablets can be used to destroy the fungal cell membrane. During drug treatment, regular review is required to evaluate the efficacy and adjust the plan.

2. Physical therapy

Physical therapy is suitable for moderate to severe cervical lesions. It uses freezing, laser or microwave to promote necrosis and shedding of the diseased tissue. Cryotherapy uses liquid nitrogen to lower the local temperature to minus 60 degrees Celsius ； Laser therapy uses carbon dioxide laser to vaporize abnormal epithelium ； Microwave therapy produces a thermal effect through high-frequency electromagnetic waves. Vaginal discharge may occur after physical therapy, and the perineum needs to be kept clean to avoid infection.

3. Surgical treatment

For those who are unresponsive to drug treatment or have precancerous lesions, cervical conization or circular electroresection may be considered. Cervical conization removes cervical transformation zone tissue with a cold knife ； Loop resection uses high-frequency waves to remove diseased areas. Postoperative pathological examination is required to confirm the diagnosis, and regular follow-up with cervical cytology and HPV testing is required to monitor recurrence.

4. Traditional Chinese Medicine Conditioning

Traditional Chinese medicine believes that this disease is related to dampness and heat, as well as spleen and kidney deficiency. Baofukang Suppository, which has the effect of clearing away heat and detoxifying, or Fuke Qianjin Capsule, which can nourish the spleen and kidneys, can be used in combination. For traditional Chinese medicine fumigation and washing, you can use decoctions such as Sophora flavescens and Cortex Phellodendron for sitz baths to improve local microcirculation. TCM conditioning requires syndrome differentiation and treatment, and self-medication should be avoided.

5. Daily care

Keep your vulva clean and dry and avoid using harsh lotions. During treatment, sexual intercourse and bathing are prohibited to reduce mechanical stimulation of the cervix. Eat a reasonable diet to increase the intake of high-quality protein, and supplement with appropriate amounts of vitamin C to enhance immunity. Keep a regular schedule to avoid staying up late, and exercise moderately to promote pelvic blood circulation.

Patients with chronic cervicitis and squamous metaplasia should undergo gynecological examination every 3-6 months, including cervical TCT and HPV testing. If you experience abnormal vaginal bleeding or increased discharge, you need to seek medical attention promptly. Avoid local moisture caused by long-term use of panty liners and choose breathable cotton underwear. Pay attention to hygiene protection when having sex to reduce the risk of pathogen transmission. Maintain an optimistic attitude to avoid anxiety affecting endocrine balance.