What should you do if you have chronic cervicitis?

Chronic cervicitis can be treated by keeping the vulva clean, avoiding unclean sex, using medications as directed by the doctor, physical therapy, and regular review. Chronic cervicitis is usually caused by pathogenic infection, mechanical injury, chemical stimulation, abnormal hormone levels, low immunity and other reasons.

1. Keep the vulva clean

Wash your vulva daily with warm water and avoid using harsh lotions. Choose breathable cotton underwear and wash it frequently. During menstruation, you need to change sanitary napkins in time. Wipe from front to back when cleaning to prevent intestinal bacteria from contaminating the vagina. Excessive cleaning may destroy the normal flora balance and increase the risk of infection.

2. Avoid unclean sex

Keeping sexual partners regular and using condoms can reduce the risk of spreading pathogens. Pay attention to cleanliness before and after sexual intercourse, and avoid having sex during menstruation. When sexual partners are frequently changed or there are multiple sexual partners, repeated irritation of the cervix may lead to lingering inflammation. If necessary, both parties should undergo examination and treatment together.

3. Use medications as directed by your doctor

For bacterial infections, you can use metronidazole vaginal effervescent tablets, clindamycin phosphate vaginal suppositories or levofloxacin tablets as directed by your doctor. Fungal infections require clotrimazole vaginal tablets or miconazole nitrate suppositories. When combined with viral infection, interferon suppositories and other drugs may be required. It is strictly prohibited to purchase antibiotics by yourself.

4. Physical therapy

For chronic cervicitis that is unresponsive to drug treatment, physical therapy such as laser, freezing or microwave can be used. Laser treatment uses high temperature to vaporize diseased tissue, and cryotherapy uses low temperature to cause cells to die and fall off. Treatment needs to avoid the menstrual period, and bathing and sexual intercourse are prohibited within 2 months after the operation. Reactions such as vaginal discharge may occur.

5. Regular review

Cervical TCT and HPV testing need to be reviewed 3-6 months after treatment to evaluate the efficacy and rule out the possibility of cancer. Persistent cervicitis may progress to cervical intraepithelial neoplasia. If the reexamination shows that the disease has not healed, the treatment plan needs to be adjusted, and if necessary, surgical intervention such as cervical conization should be performed.

Patients with chronic cervicitis should avoid local moisture caused by long-term use of panty liners and reduce the intake of spicy and irritating foods. Moderate exercise can help strengthen your immunity, but you need to avoid activities that put pressure on the perineum, such as cycling. If abnormalities such as bleeding in the intercourse or smelly secretions occur, you should seek medical treatment promptly. During the treatment period, strictly follow the doctor's instructions and complete the entire course of treatment to prevent recurrence. Annual gynecological examinations are important for early detection of cervical lesions.