Is it painful to treat cervical erosion by cauterization


On the question of whether it is painful to cauterize erosion of the cervix, there are completely opposite answers.

The elimination of pathology in this way refers to radical methods of treatment, and its consequences depend on many factors.

Pain syndrome is a rather sensitive complication that can scare a woman away from consent to the procedure.

The reasons for this phenomenon must be treated very carefully and objectively.

Essence of pathology

Cervical erosion is an ulcer-like defect on the mucous membrane. It is formed as a result of a sequential process of damage and exfoliation of the stratified squamous epithelium of the vaginal part of the cervix, followed by coating with a cylindrical epithelium characteristic of the cervical canal.

Visually, the defect looks like a red spot ranging in size from 2-3 mm to 2-3 cm.

This anomaly is found in almost a third of all women. In most cases, erosion does not manifest itself, and the degree of risk of complications depends on various factors..

A neglected disease can lead to the development of vaginitis, endometritis, cervicitis. The progression of pathology threatens female infertility.

Peculiarities of cauterization treatment

In cases where the area of ​​the shell with a substituted epithelium tends to grow further, treatmentto stop this process.

The most effective methods relate to operational methods and are conventionally combined into the cautery group. In fact, it is the destruction and removal of the altered tissue by exposure to extreme temperature (heating, evaporation, deep freezing).

  1. Thermal coagulation. Previously, it was carried out by direct cauterization, i.e. using a hot tool. Currently widely used various methods of electrocoagulation. It is possible to distinguish the diathermocoagulation, provided by the action of alternating current, and diathermo excision, which involves the use of spherical electrodes.
  2. Chemical coagulation. It is based on the application of a chemically active substance (acid, alkali, etc.) that can destroy or dissolve the affected tissue.
  3. Cryogenic destruction. The destruction of the focus is ensured by a sharp and deep freezing when exposed to liquid nitrogen.
  4. Radio wave destruction. Erosion is exposed to a “radio knife” - a narrowly directed wave with a radio frequency.
  5. Laser vaporization. By means of a laser beam, evaporation of the transformed epithelium is provided.

The choice of treatment depends on the size and type of pathology, the degree of its danger, the individual characteristics of the female body. Modern technologies will remove erosion effectively and safely.

The expediency and safety of cauterization can be judged by the numerous conclusions of experts.. For illustration, it is enough to cite the opinion of an experienced gynecologist.

Need for anesthesia

In most cases, during the procedure of cauterization with modern methods, anesthesia is not required.. The doctor can apply it in complicated operations, deep germination of the focus, excessive sensitivity of the female body.

The following types of anesthesia may be used.:

  1. General anesthesia. By intravenous injection, it is injected to completely eliminate pain for a certain period of time.
  2. Local anesthesia. It is provided by cutting off the area of ​​the operation with an anesthetic. Currently, local anesthesia can be carried out with a spray (aerosol).

Probability of pain

There are practically no pain sensations on the surface of the cervix uteri, which makes the organ insensitive to any influences, incl. thermal nature. At the same time, many nerve endings are located in the cervical canal, which are sensitive to any manipulation, even during the examination.

Thus, the most likely pain syndrome in areas close to the cervical canal, as well as in the case of tissue in the uterine or vaginal cavity. In addition, deep processing can cause such sensations in the cervix itself.

The likelihood of pain when cauterization erosion depends on the method used:

  1. Thermal coagulation causes tissue burn that does not do without an appropriate response of the body. Most women's cauterization concerns are associated with previous methods of thermal exposure, when the procedure caused severe pain. Modern electrocoagulation is not so terrible, but when a woman has a low pain threshold, the pain syndrome manifests itself. That is why this procedure is usually carried out using anesthesia. Similar risks exist with chemical coagulation, when potent substances cause a chemical burn.
  2. Cryodestruction due to rapid freezing does not cause pain during surgery, but certain painful sensations can appear after the procedure, as the injured tissues thaw. Most often, the procedure does not require anesthesia, but later it is possible to use painkillers.
  3. Radio wave destruction does not cause excessive thermal effects. Resonant wave destruction ensures the destruction of the structure of the affected tissues on a physical basis, which is extremely rarely caused by pain. There may be some unpleasant perception, but intense pains are impossible.
  4. Laser surgery is based on the vaporization mechanism. In this case, as a result of exposure, the cells evaporate, but the tissue is not burned, which cannot cause burns. This method is considered painless.

In addition to the operational impact itself, certain complications may appear from the use of anesthesia.. Intense headache can be a response to anesthesia.

Body recovery

With any method of cauterization, a wound of a different size is formed in the affected area.. For its scarring and full restoration of the surrounding tissue, a certain time is required, which is commonly called the recovery period.

During it, a gentle mode is provided - physical loads, sexual contacts, bathing procedures, etc. are excluded. The duration of the recovery period depends on the type of operation..

Thermal burns heal the longest — 2.5–3 months. The average time is 6-7 weeks..

What will help to get rid of pain after the procedure? First of all, a woman should strictly follow all medical recommendations and prescriptions..

In case of intense pain, pain medication should be taken (Spasmalgon, No-Spa, etc.). To eliminate the effects of burns, local therapy in the form of tampons soaked in drugs is recommended. A positive effect has sea buckthorn oil, Levomekol and other means prescribed by the gynecologist.

Personal hygiene plays an important role.. The addition of infection in the postoperative period causes an inflammatory response.

Conclusion and conclusions

Cauterization of cervical erosion is an effective way to treat pathology. Modern technologies allow for a painless process with full recovery within 1-2 months..

Possible pain when properly performed procedure can occur only in rare cases, but even then they are eliminated quite easily.

Cauterization is a fairly common method of treatment, although at times it causes censure. You can bring some feedback from women who have gone through this procedure:

What is cervical erosion?

There are several types of erosion:

  1. Congenital Formed in adolescents in the transition period as a result of hormonal disorders in the body. Has the appearance of a rounded inflamed formation. Able to self-heal during hormonal jumps or in the postpartum period. The risks of conversion to oncology are minor.
  2. True. Under the influence of infectious processes and hormonal jumps, an ulcer wound occurs on the wall (epithelium) of the vagina. It develops within one to two weeks and develops into the next type of erosion, called ectopia. Growing into oncological education is rare.
  3. Ectopia (false or pseudo-erosion). It has the appearance of a modified abnormal mucosa with a pronounced inflammatory process. Often occurs on the back of the lip near the external pharynx. May develop within months. It does not heal itself and requires treatment. With an atypical cell shape and the presence of papillomavirus (HPV) of types 16, 18, 31, 33, it can lead to cancer - cervical cancer.

Ectopia is the most common type of cervical erosion.

Ectopia is most common

Where does erosion come from? Symptoms and recognition.

Common causes of development of uterine cervix erosion:

  • Premature or late entry into sex life, occasional sex, often changing sexual partners.
  • Infection and inflammation in the genitals. For example, HPV, venereal diseases, vaginal dysbiosis.
  • Injuries and surgeries - abortion, cleaning, generic process.
  • Hormonal or immune failure - irregular menstrual cycle, endocrine disorders, weakening of the immune system.

Symptoms of erosion

Symptoms of cervical erosion are non-individual and suitable for many diseases. Correctly diagnose the disease can only doctor by visual inspection. If there are unreasonable bleeding and pain in the process or after intimacy and the presence of mucopurulent discharge from the genital tract (if erosion occurs along with inflammation, which complicates the situation), you should contact a specialist for an accurate diagnosis.

How to diagnose erosion

Cervical erosion is diagnosed by examinations: a visual examination of the gynecologist and a series of tests:

  • smear on microflora or tank sowing,
  • scraping the walls of the uterus to study cells for the establishment of inflammation or malignant neoplasm,
  • colposcopy - examination through a special microscope using contrast,
  • PCR - a study on the identification of infectious and sexually transmitted diseases, HPV,
  • biopsy - performed by separating the area of ​​the affected flesh to determine the histology (appointed in case of suspected cancer).

PCR - necessary analysis for the diagnosis of ectopia

What is the danger of cervical erosion?

The main danger of ignoring the disease is its degeneration into cervical cancer. The probability of such a development of events is 40-60%.

When identifying such signs, the patient is put on record at the oncology clinic, for timely diagnosis and prescribing a course of therapy.

If you recognize the disease in time, you can begin the course of procedures that will stop the development of the disease. One of the stages of this course is the appointment of cauterization.

Many patients are afraid of this prospect because of the possibility of pain. However, compared with chemotherapy, which is used in the treatment of oncology, cauterization does not have such serious consequences for the body.

Treatment methods for cervical erosion

The method of treatment of erosion depends on the size of the affected area. With a slight erosion, a specialist can offer a conservative treatment that does not have a negative impact, but takes a long time. Erosion implies the presence of infectious processes. Therefore, a course of anti-inflammatory and antibacterial drugs is prescribed and gynecological baths and treatment of the lesion area with medical tampons soaked with organic acetic and nitric acids are used. This method does not lead to scarring of tissues and is most acceptable for girls who have not given birth. A significant disadvantage of this treatment is the possibility of relapse.

If a conservative method of treatment does not work, as happens with large erosion, frequent exacerbation of the disease, then a surgical method or cauterization of erosion is prescribed. This method is mainly used to treat ectopia or pseudo-erosion.

Medicines able to cope with uncomplicated cases of erosion

When a surgical method is prescribed

By burning, erosive manifestations, inflammatory formations, cysts and precancerous neoplasms are treated. Also, these methods are shown in papillomas, as they increase the risk of developing oncology by 80%. By burning, they stop bleeding, both for no reason and caused by biopsy, polypectomy and conization of the cervix.

Performing an operation

It is carried out in outpatient polyclinic or hospital conditions under local anesthesia. During the manipulation, the patient is placed in the gynecological chair and the expander is inserted inside to open and examine the cervix. Using a tampon soaked in a saline solution, the cervix is ​​cleaned and an anesthetic is applied to detect an abnormal formation. Acetic acid is used to detect cancer and pre-cancerous cells, under the influence of which such tissues brighten.

Cauterization method is selected based on the experience of a specialist, available equipment and area of ​​injury.

Cauterization of erosion is carried out under local anesthesia.

Diathermocoagulation (DEK)

For cauterization using electric current. Shown to women who have given birth and do not plan pregnancy during the year. Conducted until the middle of the sexual cycle. With the help of electrical impulses directed to the area of ​​damage to the walls of the cervix, cauterization of tissues is carried out, which prevents the further development of erosion manifestations.

After manipulation on the tissues exposed, a crust of necrotic tissue (eschar) forms, which after some time begins to be rejected and replaced by healthy cells. The recovery process is completed in two months.

The advantages of the method include efficiency and accessibility, and disadvantages include pain, risk of bleeding, vasoconstriction and endometriosis, scarring at the site of exposure, reducing the elasticity of the cervical tissue and, as a result, difficulties in opening the birth canal during labor.

The procedure is contraindicated in unborn and pregnant women.


With this method, erosive ulcers are treated with liquid nitrogen. Under the influence of low temperatures, the liquid in the abnormal cells crystallizes and they die. Applying liquid nitrogen to the affected area is applied with a special device that allows you to accurately distribute the active substance and not to injure healthy tissue. After the procedure, puffiness of the site of exposure and extensive discharge from the genitals can occur.

Advantages: painless and bloodless surgery, the duration of the healing process is 1-1.5 months. The procedure does not involve scarring of tissues, therefore, it is recommended for girls who have not given birth.

Disadvantages: shortening of the cervix and incomplete healing is possible due to the fact that it is difficult to determine whether the entire affected area was treated. Cryodistruction is not used in cases of deep erosion and in cases of irregularly shaped ulcers - a nozzle with which liquid nitrogen is applied, of a standard size.

Cryodistructure - low-impact erosion treatment method


There are many reasons for the development of cervical erosion. The most likely of them are:

  • early or late onset of sexual activity
  • having episodic sex,
  • frequent change of sexual partners
  • infections, inflammation of cervical tissue, genital organs,
  • getting gynecological injuries
  • carrying out gynecological surgical operations,
  • erosion after childbirth,
  • hormonal disorders.

To recognize the presence of cervical erosion, you will need to visit a gynecologist. This is due to the fact that the symptoms of this pathology are similar to other diseases of the reproductive system. Symptoms of erosion include:

  • the presence of pain during sexual intercourse,
  • pain when urinating,
  • the presence of bleeding between periods,
  • the appearance of abundant whitish or purulent vaginal discharge.

If any of these symptoms appear, you need to see a doctor.which, based on the state of the epithelium on the cervix of the uterus, will make the correct diagnosis and prescribe the appropriate treatment.

Erosion Therapy

The method of treatment of cervical erosion is prescribed after receiving these analyzes, diagnosis and determining the stage of development of the pathology. Most often, therapy depends on the size of the affected area. When diagnosing small lesions, the doctor prescribes local and internal anti-inflammatory and bactericidal treatment.

If the affected area is extensive or there is a risk of transformation of unhealthy cells into malignant cells, cauterization is indicated.

The nature of pain during cauterization of erosion depends on the method chosen to combat the pathology. Some of these involve pain relief.

Среди возможных методов анестезии стоит отметить местную, заключающуюся в нанесении обезболивающего средства на пораженный участок и ткани, прилегающие к нему.

Когда назначается прижигание

Cauterization is most often treated with erosion, increasing the risk of developing oncological education, as well as pathologies affecting a vast area of ​​the cervix. This method is mainly used to treat women who have given birth, as the procedure reduces the likelihood of pregnancy.

Cauterization is best done when severe symptoms of the disease appear: severe pain during urination and sexual contact, as well as the ineffectiveness of conservative treatment. In this case, the operation can also be carried out for the treatment of unfertilization.

Types of cauterization

It is possible to burn the erosion of the cervix by performing various procedures. They are performed using electric current, liquid nitrogen, laser, radio waves, or chemicals.

Each of these procedures has its own advantages and disadvantages. Some of them are performed using anesthesia, while during others the woman will experience pain. Treatment methods differ and contraindications. Therefore, before you go to the operation, you must carefully examine the designated type of cautery erosion.

Laser cautery

One of the most effective ways to treat erosion is to cauterize it with a laser beam. Under its influence, the liquid evaporates from the affected cells, due to which the tissue gradually dries out. Dead cells are rejected for 1 week, and in their place healthy tissue is formed. Full recovery occurs in 1 month.

It is absolutely not painful to treat erosion with a laser, this method also eliminates the possibility of bleeding and scarring.

To burn in this way erosion can also give birth to girls. From the disadvantages of this procedure, it is distinguished by its high cost.

Radio wave therapy

This manipulation is carried out using radio waves. The affected area is affected by the radio wave, because of which liquid is evaporated from the cells, they are gradually destroyed and die. A woman recovers after 1 month.

The procedure is painless. Another advantage of the operation is that it does not provoke the formation of scars. Disadvantages - the high cost of the procedure, as well as the possibility of the appearance of brown discharge.


Non-extensive ulcers can be treated with chemicals. Under their influence, the affected cells die off. The procedure is carried out in several stages, that is, for complete cure will require several treatments.

Before applying the chemistry, the surface is dried. 2-3 minutes after the procedure, the remainder is removed from the area.

This operation is unpleasant because of a chemical burn on the treated place, and the patient feels pain during the action of the drug. Also, surface treatment with chemicals increases the risk of scarring.

Why pain occurs

Cauterization of cervical erosion only hurts when using certain treatments. These include chemocoagulation, diathermocoagulation. To alleviate the pain, the doctor performs anesthesia before the operation. Most often, the painful sensations occur as a result of the ingress of the active treatment agent onto healthy areas, therefore, taking into account the level of the patient's pain threshold, local or general anesthesia is used before treatment with chemicals and the use of electric current.

Recovery process

The duration of the restoration of the mucous membrane after cauterization of erosion is different for each method: basically it takes 1-2 months, while the death of the affected tissues occurs in the first week. To speed recovery, she is advised to follow a few tips:

  • until complete recovery is required to abandon sexual relationships,
  • during the recovery period, it is necessary to take prescribed antibacterial, anti-inflammatory, healing agents,
  • if necessary, the use of pain medication is allowed,
  • within 1 month it is forbidden to lift weights, play sports,
  • Do not overheat the body, take hot baths.

Also required to cure all infections, genital diseases. The girl should regularly visit the doctor to control the recovery process. In addition, prevention of relapse development should be carried out using erosion therapy methods to eliminate the possibility of repeated damage to the mucous membrane of the uterine surfaces.

What does “moxibustion” mean?

“Cauterization” is a collective concept for all methods of cervical therapy using both pharmacological preparations and physical factors (electric current, low temperatures, radio waves, laser radiation, argon).

The essence of using all the techniques used is to remove the modified area within healthy tissue.

Modern methods of cauterization of benign tumors of the cervix should meet the following requirements:

  • Elimination of the factors that led to the development of the disease,
  • Preventing the transition of detected changes to a complicated form,
  • Complete removal of the lesion,
  • The use of (if possible) sparing therapies, especially in non-pregnant women of young age,
  • Onconference. Excessive wait-and-see tactics can lead to the progression of pathology and the development of cancer,
  • High efficiency of treatment and minimal risk of relapses,
  • Good tolerability: no pain during the procedure and complications after manipulation.

Today, there are many treatments for cervical erosion, among which cryodestruction, as well as chemical, radio wave and laser destruction can be distinguished.

Is it necessary to treat erosion at all?

Of course, gynecologists are not supporters of the widespread and unjustified use of destructive (destructive) methods of influence on the cervical epithelium. But if observant expectant tactics can be used with ordinary uncomplicated ectopia (in many women, ectopia disappears after the first birth), then with complicated forms, it is impossible to cure cervical erosion without cauterization. A long wait can lead to the progression of the pathological process and even its transition to a malignant one.

Such conditions necessarily require treatment:

  • Complicated ectopia in combination with chronic cervicitis, endometritis,
  • Ectropion,
  • Leukoplakia and dysplasia,
  • Cicatricial deformity of the neck due to its trauma during childbirth or abortion.

There is only one condition of the cervix that does not require radical treatment. This ectopia - congenital and uncomplicated. In this case, observation with cytological and colposcopic control 1 time in 6 months is recommended.

Ectopia (pseudo-erosion) is a frequent gynecological phenomenon affecting the mucous epithelium of the cervix and the cervical canal. As a rule, it does not require treatment, but observation.

Methods of treatment of background diseases of the neck

When a doctor chooses a cautery method, it takes into account many factors: the woman’s age and general condition, her child-bearing history and the desire to have children after treatment, cytological diagnosis, colposcopic picture, and the area of ​​the lesion.

To eliminate pathological changes in the cervix, there are two methods of cauterization - drug (or chemical coagulation) and destructive.

The oldest method of treatment, drug therapy, is local application of drugs that have cauterizing properties or improve tissue regeneration. The basis of the method of pharmacological cauterization is the phenomenon of chemical coagulation of biological tissues. This method is easy to use and attracts with its accessibility, but it has low efficiency, because only the surface layer of the epithelium is cauterized during the procedure. It does not affect the deeper layers of cells, which is the cause of frequent recurrences of the disease.

Common destructive methods of cervical pathology treatment are:

  • Diathermoelectrocoagulation,
  • Cryodestruction,
  • Laser treatment,
  • Radio wave surgery,
  • Cauterization with argon.

Not all destructive methods of treatment are ideal. Each of them has its advantages and disadvantages, indications and contraindications, different effectiveness and frequency of use in practice.

Consider each of these methods and identify their positive and negative aspects.

Diathermoelectrocoagulation (DEC)

With this method for the destruction of the pathological focus is used electric current. This is a fairly common but outdated method. Known since 1926. This method of cauterization is widely used to treat pathological conditions of the cervix throughout the past century and in the early 2000s. It is used to this day, but much less often.

It should be noted that now the indication for DEC is only cervical dysplasia. But even in this case, the doctor may suggest other sparing methods of exposure (if available, technical possibilities). For the treatment of all other background diseases, it is better to use other types of cautery.

The method of diatermoelektrokoagulyatsii can be used in the treatment of dysplasia, if there is no possibility of using other methods.

  • Availability,
  • Ease of use
  • Minimum economic costs.

The method, however, is not perfect. Later it turned out that the frequency of complications in its use is quite high.

Disadvantages and complications:

  • Slow healing
  • The damaging effects on muscle fibers, blood vessels and nerve endings, leading to scarring,
  • Bleeding during the scab rejection,
  • Abundant and prolonged discharge from the genital tract,
  • Damage to healthy tissue
  • Possible violation of menstrual and reproductive function.

For women who have not given birth, this kind of cautery is not suitable, since its use leads to the formation of connective tissue scars in the cervix and creates a mechanical obstacle to the penetration of spermatozoa into the uterus. Because of this, problems may arise with conception, and the woman will have to be examined and treated for infertility.

If DEK was made earlier and the pregnancy came without any problems, then delivery through the birth canal is not contraindicated. But pregnant women with a history of diathermocoagulation are considered to be at high risk for birth trauma, which is explained by the presence of coarse scars on the neck.

After erosion, many women want to preserve the ability to bear children. Therefore, other methods have been developed that do not have a traumatic effect on the cervix.


The basis of this method is the use of low temperatures. Most often, the cautery procedure is carried out with liquid nitrogen, the boiling point of which is -196 ° C. Nitrous oxide or carbon dioxide can also be used as a cooling agent. A low temperature (-20 ° C) is created in the impact zone, erythema (redness) occurs after thawing, and after repeated freezing, a site of aseptic necrosis (tissue necrosis). The eschar falls away on the 10-14th day. After 8 weeks, the cervix is ​​completely covered by the "correct" stratified squamous epithelium.

When cryodestruction with the help of low temperatures is the impact on the affected area of ​​the cervix, resulting in abnormal cells die and rejected, and then replaced with healthy tissues.

  • The procedure is painless and bloodless,
  • Practically does not lead to the development of cicatricial stenosis and stenosis of the cervical canal,
  • It does not adversely affect the fertility of the woman or the process of cervical dilatation during labor.

  • The inability to accurately control the depth of exposure,
  • Abundant and prolonged watery discharge after the procedure, which impairs the quality of life of patients in the postoperative period.

Laser treatment

Laser destruction is a relatively new type of treatment based on the use of high-energy lasers. During cauterization using a laser beam, energy is released and the tissue is evaporated over a clearly limited area and depth.

The eschar is formed on the 2nd day, its rejection begins on the 4-5th day, and the epithelialization is completed by the 22nd-27th day. The healing rate depends on the extent of the pathological process.

Distinguish laser vaporization and laser conization. If during vaporization, a thermal effect of the laser beam on the pathological area and “evaporation” of the altered cells occurs, then during conization the beam plays the role of a scalpel, resets a fragment of the affected tissue in the form of a cone. At the same time, under the influence of the beam, coagulation of vessels and nerve endings occurs, therefore, with this manipulation, there is no bleeding and pain.

  • Laser tissue incision is virtually bloodless and painless,
  • Short healing times for laser wounds,
  • There is no copious secretion and secretion from the genital tract,
  • Damage to healthy tissue is minimized,
  • Scar formation and narrowing of the cervical canal,
  • Complications are rare.

  • It is difficult to reach the desired depth of necrosis,
  • With a large lesion area, repeated manipulation is required,
  • The dependence of the effectiveness of the procedure on the volume of the pathological area,
  • Expensive equipment
  • The need for an equipped office and a trained specialist.

Radio wave surgery

Radio wave therapy is the most advanced treatment method available today. Practitioners' interest in this method of cauterization has increased in recent years, probably because it combines a sparing effect and minimal risk of complications during and after the procedure. Most often, the Surgitron and Fotek devices are used to cauterize with radio waves.

The procedure of treatment with radio waves is carried out by radio-knife, which allows to make a contactless incision and coagulation of soft tissues.

  • Reliably allows you to accelerate the regeneration (healing) of the wound surface,
  • Painless and bloodless procedure,
  • After the operation, there are no scars or scars on the cervix,
  • It is recommended for the treatment of erosion and other background processes of the cervix of uterus women, as well as patients planning pregnancy in the near future.

  • The relative high cost of the method.

Argon plasma coagulation

Among all the other methods, one should single out such a relatively young technology as the destruction of erosion by argon. This method of cauterization is not fundamentally different from laser coagulation or radio wave surgery. It is also painless, effective and does not leave scars, but has several advantages.

  • Immediately before exposure to the cervical epithelium, the effect of drying of the surgical field is achieved, which makes the damaging effect on the thin and tender epithelium minimal,
  • A mild effect on the mucous membrane of the cervix, in which a gentle burn film is formed and no charring of tissues occurs,
  • Significantly shorter epithelialization periods than with other methods (the only thing that the differences haven’t been proved with is a carbon dioxide laser).

Do I need preparation for cauterization of erosion?

Cauterization of the cervix by any method of physical destruction requires a mandatory examination, which includes:

  • Inspection of the neck in the mirrors,
  • Swabs on oncocytology and vaginal microflora,
  • Colposcopy with targeted biopsy of the cervix and histological examination of biopsy,
  • Determination of hormonal status (according to indications)
  • A study on sexually transmitted infections, HIV, hepatitis and syphilis,
  • Blood and urine tests.

Cytological examination may not reveal atypical cells, if conditionally pathogenic and pathogenic microflora prevails in the vagina. Therefore, it is necessary to take a smear on the vaginal flora and, when inflammation is detected, the vagina is reorganized, and then a repeated cytological examination is performed.

The complex of various diagnostic methods is aimed at identifying concomitant pathological processes in the female's reproductive system, and also helps the doctor orient with methods of treating cervical erosion.

In addition to an in-depth survey, preparation for the procedure includes the following recommendations and limitations:

  • Observe sexual peace the day before,
  • Eliminate douching,
  • In the evening before the manipulation - a light dinner, on the day of the operation - do not eat,
  • Do not drink alcohol,
  • Do not take blood-thinning drugs, so as not to provoke bleeding,
  • Do not worry, take sedatives at night before surgery (valerian, motherwort or novopassit).

What method of radical therapy is preferable?

For the treatment of cervical erosion and other background diseases, laser, cryosurgery, and radio waves are more commonly used, that is, those methods that will ensure the destruction of the pathological focus within healthy tissue will not cause stenosis of the cervical canal and will not leave scars. This is especially true for women who are still planning to give birth after cauterization.

In the case of treatment of cervical pathology (in particular, precancerous diseases) in women who have given birth and are not planning to motherhood, DEK and laser conization are used.

Как выглядит шейка матки после прижигания?

На фото показан вид шейки матки до, в момент и после прижигания эрозии радиоволновым методом.

Радиоволновая коагуляция — высокоэффективный метод лечения эрозии шейки матки. Полное заживление наступает через 30-40 дней после процедуры.

Что волнует женщину перед процедурой?

Для опытного специалиста прижигание шейки – процедура несложная. But for a woman it is a serious manipulation, and it is quite natural that she is worried. In addition, she is interested in what can and cannot be done before the operation and after it, how the rehabilitation period goes, whether neck treatment is necessary after cauterization and much more. So, what questions most often disturb the patient?

Cauterization of the cervix - does it hurt?

Perhaps this is the most common question. Fearing painful sensations, many women delay treatment, which is completely in vain. There are very few nerve endings on the neck, so all her diseases are asymptomatic, and her manipulations are practically painless. Sometimes during the procedure, the woman may feel weak nagging pains in the lower abdomen. It is absolutely not dangerous. In addition, if the doctor notices fear or anxiety in the patient, he may suggest local anesthesia.

When can I plan a pregnancy after cauterization?

If after treatment a woman is going to give birth, then the main thing is to correctly determine the choice of the cautery method and use the more benign method.

For complete healing and restoration of the neck will take 1-2 months. That is how much time you need to wait before planning a pregnancy. Before conceiving, experts recommend waiting for the restoration of the menstrual cycle and undergoing a control examination by a gynecologist.

Can erosion recur?

Yes, relapse is possible. He can be triggered by abortions, cervical injuries in childbirth, and rough, inept douching. The reappearance of erosion is due to chronic infection of the cervical canal, when the complete restoration of the epithelium is delayed. Therefore, in the period of healing in order to prevent inflammation of the cervix, it is possible to use vaginal tablets "Terzhinan" and other local antiseptics one month after cauterization.

The vaginal pills “Verzhinan” have antibacterial and anti-inflammatory effects and are used during the rehabilitation period after cauterization of cervical erosion.

When can you have sex again after cauterization of the cervix?

After cauterization, sexual rest is recommended in order to avoid excessive traumatization of the cervix, not to tear the crust off the healing wound and prevent inflammation. Sex after erosion treatment is allowed in 1-2 months. But in any case, before resuming sex life, you need to see a doctor and make sure that the cervix has fully recovered.

Discharge after cauterization - is this normal?

For the recovery period after cauterization with current and liquid nitrogen, abundant watery discharges are characteristic, which is considered a peculiar disadvantage of these methods. Slight bloody, blood-like or pinkish discharge from the genital tract is also permissible. This is physiological.

The reason for alarm is a heavy discharge with blood, much higher than the volume of blood loss that a woman loses during menstruation, and does not stop for a long time.

When can you play sports?

If a woman is a professional athlete, then she can return to sports activities a week after cauterization, so as not to lose her athletic form. But training should not be too intense.

In all other cases, fitness, shaping, dancing and other types of activity associated with physical activity, it is recommended to resume a month after cauterization.

Can I drink alcohol and smoke after burning?

It should be said that smoking causes a spasm of blood vessels, and alcohol - their expansion, which ultimately can cause bleeding. Therefore, the first two months of them is better to abstain.

Drinking alcohol and smoking can cause bleeding.

Does the nature of menstruation change?

That happens. The first after cauterization period are abundant, with small clots. This is considered a variant of the norm.

Menstruation may come either ahead of time, or after some delay. This is the result of the body’s stress response to manipulation.

After DEC, if there is a narrowing of the cervical canal, menstruation may be scarce.

Complications after manipulation

  • Smell. The appearance of an unpleasant odor is not the norm and indicates either a violation of the rules of intimate hygiene, or the accession of infection. If the first is easy to eliminate, then the second requires treatment,
  • Purulent discharge. Greenish discharge, sometimes accompanied by itching, is a sign of inflammation. In this case, you need to visit a doctor and pass a smear to identify pathogenic microflora of the vagina,
  • Bleeding. The cause of bleeding can be either rejection of a scab, or "denudation" of blood vessels. This complication is most often characteristic of DEC. In any case, the true cause of bleeding can only be determined by the doctor after a gynecological examination.
  • Temperature and pain in the abdomen. Normally, after cauterization, there should be no fever or lower abdominal pain. In such a situation, it is necessary to consult a doctor to eliminate inflammation.

If after burning, an unpleasant smell and purulent discharge, itching, bleeding from the genital tract, pain in the lower abdomen and fever appear, do not postpone the visit to the doctor. All of the above clearly indicates the accession of the inflammatory process and suggests that without medical care can not do.

Pay or not pay for the service?

Most women, not wanting to stand in lines, prefer private clinics. Saving their time, they are willing to pay for the cautery procedure.

The cost of cauterizing erosion is made up of many factors, and it is difficult to name any specific cost of the procedure. This will depend on the status of the clinic, the chosen method of treatment and the place of residence.

Of course, in Moscow the cost of the service will be much higher than, for example, in the regional center or a small town. In addition, in a private clinic, you will need to additionally pay for a consultation with a doctor, as well as examinations and tests that are necessary before surgery.

In public hospitals operating under the health insurance system, erosion treatment is provided free of charge.

The choice is for the woman.

“I want to talk about my experiences. After the wedding, my husband and I began to plan a pregnancy. When I visited the gynecologist, I was very scared and upset. It turned out that I have erosion. Moreover, after passing all the tests, it turned out that this is not just erosion, but leukoplakia, and there is an inflammatory process. How so? There is only one sexual partner, and I have never had female problems. The doctor reassured, said that everything is fixable. In general, at first I was treated with inflammation, and then on the 7th day of the cycle, they prescribed a cauterization of the radio wave on the Surgitron apparatus. The gynecologist said that this is a gentle method that does not form scars and scars, suitable for those who have not given birth.

On the day of cauterization, I was a bit of a coward, because I learned that there would be no anesthesia. It turned out in vain afraid. Everything went in one minute and was almost painless (I felt only a slight squeezing in the lower abdomen).

The doctor warned that there may be discharge like water, and in ten days there will be spotting (this is when the crust begins to fall off). Allocations were, but very scanty, enough daily pads.

To control was invited after 1 month. They said that all is well, the scab is wealthy. After 3 months, I learned that I was pregnant. Bore herself. The neck has opened without problems. There were not even gaps.

My advice to coworkers: do not be afraid. Treat your erosion on time! ”

Alina, 22 years old, Altai Territory

If you are told that your erosion needs to be cauterized, do not be afraid and do not delay your visit to the doctor. As can be seen from the above, there are several methods of treatment. It is only necessary to competently approach the choice of the method of cauterization that is suitable for you.

Natalia Evgenievna Pokhodilova

Psychologist, Kinesiologist Online consultant. Specialist from the website

They made me cryo, liquid nitrogen. It hurt, but you can tolerate it. This procedure does not last long. Do not worry, tune. Everything will be fine.

But I almost did not hurt much, rather unpleasant. And not for long. Burn, do not tighten and do not be afraid. Only then strictly observe the ban on sexual contact exactly the term, as the doctor says.

I did cryo too, but it is not painful. Only then weakness ..

I was made with nitrogen. NOT painful, but unpleasant, in time - well, 10-15 minutes. Not more. Pulling the uterus as during menstruation.

I did a cryo. With anesthesia. A bit unpleasant, no more.

It hurt and then about 2 hours after it hurt (it was burned with current). Be patient, the procedure lasts 20 minutes, it all depends on the volume of the affected surface.

Related topics

I did the current. to be honest, at first I jumped in surprise. I thought that it would not hurt at all. but it was quite sensitive. although I will not say that it really hurts, it is rather unpleasant. in short, you can tolerate. :) then put a tampon (with hydrogen peroxide, sort of) and told to stomp home. they say you take it home. damn, so fast from the LCD to the house, I have not run! :)) very tweaked. then there was a clear discharge for a couple of weeks. everything healed well, and no trace was left. almost 10 years have passed since then.

I was burned with salkovagin 3 times. The pain depends on the magnitude of the erosion: when the big one hurts, and when the little one doesn't. But cauterization lasts 3-5 minutes. the whole stomach hurts, but the pain passes in 20 minutes. And if the little one doesn’t hurt at all.

they made a radio wave. it was very painful.

The modern method is considered painless though. Thank God - in time, severe pain - just a few seconds, the rest of the time it does not hurt. then nothing hurt at all.

I was burned with electric current, not only as our mothers, but some modern method, such as electrocoagulation (I could be wrong). burned with local anesthesia (injection of ultracain in the neck). The prick is not pleasant, then I did not feel anything. Well, yes, 10-15 minutes took. then went to work.

Did you have a biopsy? almost the same.

I laser burned. Personally, I had the feeling that a hot iron was burning. But others who were with me the same procedure that day, said that they did not feel anything. Then the whole evening my belly ached. I'm generally very sensitive. a couple of days ago, ultrasound did, so I almost howled. I do not even know now who is worse than a gynecologist or a dentist?

Did cryo, nebolno. But then immediately terrible weakness, almost to fainting. And the belly pulled. I barely got to the house by taxi. Tracked the whole evening.

Girls, and how much is it worth now, and where is it better to do?

Burned shock. By the time of 15 minutes. It does not hurt, slightly unpleasant. And then in the stomach for about 2 hours like during menstruation.

In usual consultations they cauterize with electricity, it doesn’t hurt at all, it can be a little unpleasant and that’s all. But then you can not lift weights and observe purity so that blood does not start.

They did cryodestruction - it did not help. As it turned out, this method was for those who didn’t give birth. And those who give birth only electrocoagulation will save. It was quite nebolno, a little unpleasant and smelled of meat (almost vomited!), And then put the tampons with medicine in the clinic for 10 days and everything was ok.

Just from the LCD. Burned shock with anesthesia. Whether anesthesia did not work, or something - in short, it was painful. 4 months ago there were childbirth, the birth pain was already forgotten - I remembered the cauterization operation. Now the stomach pulls like when there is not strong contractions. Maybe I was so unlucky, but I'd rather go to paid and make a laser. I did not know simply what such exists. If possible - do not cauterize the current.

Tomorrow I will have to go through this procedure, cauterize it with current, I'm afraid terribly, my hands are trembling. Been reading reviews. who is sick, who is not. I have a very large erosion. would live till tomorrow (((

girls i have big erosion. Does it hurt liquid nitrogen? I was told to take lidocoin

Here is a damn girl, I'm afraid. I have to take tests tomorrow. Then it seems to be cauterized. och I'm afraid

did a biopsy a week ago it was sooo hurt! God forbid they say cauterize .. aa bos .. erosion is very large, one hundred percent will be hellish pain. (((((((((

God ((I also have to go through this procedure soon. Terribly terrible. Painful defect high. All friends burned to whom they say they terribly hurt. Mother (((((((((((((

My girls had a big. They burned with liquid nitrogen. dispelled by the icebreaker..norms everything went away .. don’t be afraid. It’s not as painful as it’s described

And today they made me a colposcopy, lay on a chair and waited for everything when it was painful, but in vain, as usual, they gave directions to a cryodestruction to a paid clinic. I read everything in the forums, now with the record I pull! Stttrrrhrashshshshno))))))))) )

Big iroziya but shallow cauterize will shock please tell me it hurts?

Well, scared me all the same reviews a couple of hours ago! Half an hour ago came from the doctor! Everything is OK, though I asked for pain relief (in my opinion, I splashed ice-breaker). I was more afraid and asked her for a long time to hurt or not. In short, the sensation during cauterization is simply warm, and then as during menstruation, but it literally reached home for a while, but now everything is fine, well, except that it is impossible to lift anything heavy and do something else))).


I was burned with salkovagin 3 times. The pain depends on the magnitude of the erosion: when the big one hurts, and when the little one doesn't. But cauterization lasts 3-5 minutes. the whole stomach hurts, but the pain passes in 20 minutes. And if the little one doesn’t hurt at all.

tomorrow to cauterize. friends say, it does not hurt. but after reading here the review already now all shaking)))) would not have read it better !!

Girls! Tell me please, is it painful to cauterize erosion at all? And how long does this procedure last?

And after a mini abortion on a living one, after a puncture of the ovary and after giving birth, I’m not afraid of anything, I’m just worried about dumb, today I’ll go to burn erosion on my little one. But in general I think that every sensation is different. For example, I have a friend to tear her teeth out living says not painful, but from cauterization of a little erosion, she screamed at all like mad.

and it happens that erosion does not need to cauterize.

Prompt, anesthesia should be set. The doctor told me that it was necessary. but how can I not believe it.

Do not be afraid! I was burned with electric current, there were sensations, as during normal menstruation, an unpleasantly low abdomen, a nagging pain. But only this nagging has to endure for about 15 minutes. And then there was the same feeling as during a menstrual period. somewhere with a watch. Why anesthesia?

Do not be afraid! I was burned with electric current, there were sensations, as during normal menstruation, an unpleasantly low abdomen, a nagging pain. But only this nagging has to endure for about 15 minutes. And then there was the same feeling as during a menstrual period. somewhere with a watch. Why anesthesia?

I was done with liquid nitrogen, everything went well and quickly, a little bit like during menstruation, my stomach pulled and the heat to my face might come up as if the face was burning and it all passes quickly, no big deal, everyone is alive and well!

Today, they burned with a shock and pshikali icebreaker chtol. painfully but tolerant). 1 minute in time took, no more for sure. Even I can have seconds 20), because she nozzles il wavelength changed, well, even did in general)). In general, as in menstruation is real. with painful menses. Well, I talked to her, could not restrain herself)). Then the temperature rose sharply for about 15 minutes, stars in the eyes, almost fainted, did not fall)), well, it was unrealistic to sleep. I do not want this anymore)). A biopsy if something is more painful))

I'm going to burn it in a week, but I don’t know what it is, the doctor didn’t say, and indeed it’s somehow uneven or embittered, but I don’t have much to say, it’s not painful for me, I’m worried about something.

Ahhh Girls pancake I'm afraid, the doctor prescribed pills and said after weeks 2 erosion, scary so terribly, not yet giving birth! ((((

Nenad nothing cauterize ladies. A great way to cure this Malka (mineral water) from natural sources. Verified In this way, they are often treated in praphilactoria in the Far-East. My friend had erosion with a five-kopeck maneta. big enough by today's standards. she was immediately offered by the doctors all the bonals that were offered to you. mislead you, it's not their fault, it's their job. She did not lead and decided to try this method, with the help of an enema and a couple of liters and a little patience, she cured herself at home. without any residual effects and complications. Doctors gasped when she came to the reception. as if nothing and nebylo still nothing disturbs. I myself am now going to start the procedure of this type at home. This is especially true for those who have not yet given up. The only disadvantage of course is where I can get this water, of course, it's easier for me to speak with my bell tower, since I live a few kilometers from mineral springs (in Kamchatka), but I think this is not the only place where you can get water. I hope at least someone has blinked. Be healthy.

tell me a little erosion, whether it is painful to burn and how much time.

Similarly, it would be better if I didn’t read (((((After a month I have to burn it with a current) ((After giving birth, I start typing from the gynecologic office for 2 meters (I understand that I don’t get frost, it's not a cold, all the same. If I survive, I'll report how it went ) By the way, about cauterization with Solkovagin for those who did not give birth: (friends told) the procedure does not last long, unpleasantly, the stomach pulls, as during menstruation, and the discomfort is some time after. In general, there’s nothing to worry about. (Of those that found: 60% confirm that HURT, 40% (approximately) that is simply not pleasant a.) It is encouraging, is not it.

Recently came from the LCD, burned erosion. I am 25 years old, have a child, took off a spiral, and reshape erosion. I can say this: I didn’t hurt the erosion completely. Burned me with a laser. They didn’t even have anaesthetized. It is certainly unpleasant when mirrors are inserted, but it is terpine. They burned for less than a minute. There was no strong smell of burning (as many say). Even the lower abdomen did not pull at all, and now nothing hurts. I was very afraid, I tuned myself for a long time, I worried (because I was afraid of pain), but even me it didn't hurt. They say that it is more painful to take a biopsy, but I also endured a biopsy well, but it was a little painful, then tolerable. but there was no severe pain either. Maybe I have such a pain defect. Well it vryat. So do not cheat yourself, and do not even worry, it is absolutely NOT SICK! Yes, and yet, do not read the comments before going to the LCD, it is nothing.

Did anyone treat iroziya with folk recipes?

burned erosion laser. painfully. the gynecologist made remarks, I said well, the pain was unbearable, I asked why the pain reliever does not work. After 2-3 minutes, the pain became less felt. The procedure is not pleasant, of course. but you should not be afraid, you need to treat, do not run!

It is ABSOLUTELY NOT SICK TO BURN. I was done with a painkiller ultracoin (in my opinion). Although the erosion was a big procedure that did not last long, at least 5 minutes from the power. The feeling of warmth at the moments of touching the device and sipping (like during menstruation) 2 hours after the procedure and that's it!) cure: at least not effective, and there you can do some harm. Yes, and why torture yourself with unpleasant procedures for a long time, if you can be patient for a few minutes and forget the word "erosion" forever.

I got a laser burned three days ago. Erosion is small. At first it was very painful when the doctor inserted the mirrors (or something else .. xs .. I didn’t look) when I started cauterizing it was very unpleasant, but tolerable, as with monthly painful only several times stronger. The procedure lasted just 2-3 minutes. I barely got to the house — my entire stomach ached terribly and the pain continued for almost the whole day. And a strong weakness.
Half a year ago, a friend did cauterization, said unpleasant during the procedure, then weakness and that was all. Apparently all this is purely individual.
And now I'm afraid, as if it did not affect the birth ..

Hello everyone just came from a consultation. Caught erosion with a laser. The reviews went with caution. Everything turned out to be quite good. I waited for the pain, but the biopsy was not very painful before the doctor chopped off the scar very quickly after the biopsy! do not be afraid, if I was in a hurry under mistakes with errors!

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How painful is it to cauterize erosion and the effects of the intervention

The sensations of the patients during and after the procedure are determined by the chosen method and the experience of the specialist. During chemical coagulation and diathermocoagulation, local or general anesthesia is used, therefore during the operation the pain sensations are practically excluded.

The effects of cauterization depend on how high the pain threshold is, on the diameter of the affected area, and on associated diseases.

After the procedure, there is a manifestation of pulling pain in the abdomen. In such cases, pain medication is prescribed. On the day of the procedure, it is recommended to postpone all the cases, and after the intervention, have a good rest.

Transparent yellowish or whitish discharge with a slight unpleasant odor may be disturbing. These are normal manifestations and should not cause concern. They stop after full recovery.

Blood and bloody discharge are also possible. This occurs when healthy tissues are injured during the operation. With little secretion and no discomfort, there is no cause for concern. The discharge will stop in a few days. And with heavy bleeding, you should consult a doctor.

Due to surgery, the menstrual cycle may be disturbed, scars and scars may form and the cervix may narrow. This can make pregnancy difficult, making it difficult for sperm to enter. Increased risk of miscarriage.

Negative effects are more often observed when electrocoagulation is used to remove part of the flesh. With radio wave and laser coagulation, side effects can be avoided.

Any intervention in the body leads to certain disruptions. It will take some time for the mechanism of the organs to return to normal.

The effects of erosion can manifest as lower abdominal pain.

Honey candles and douching

The solution for douching is prepared by dilution of honey (20 g) in a glass (250 g) of boiled water. Douching is carried out 2 times a day.

For candles, you need to melt the honey (100 g), propolis (5 g) and butter (150 g). The mixture is cooled and form elliptical candles and determined to be stored in the refrigerator.

Apply homemade candles without the consent of the doctor can not.

Tincture of calendula

Applied as a syringe to achieve anti-inflammatory, bactericidal and healing effects.

Calendula flowers pour boiling water (20 grams per 500 ml), insist one hour and filter. Douching performed 2 times a day. The course of treatment is 3 weeks.

Calendula flowers have anti-inflammatory effects.

Sea buckthorn oil

A cotton-gauze pad is impregnated with an agent and placed in the vagina overnight.

Sea buckthorn has a softening and healing effect, is able to restore the vaginal microflora and prevent the development of cancer.

Resorting to traditional medicine, it should be noted that such methods can have an effect only at the beginning of the development of the disease, and can also accelerate the erosion process.

Before using folk remedies, you should consult with your doctor, pass the necessary tests and follow the doctor's recommendations. It is most advisable to apply popular treatment in conjunction with medication.

The question of whether it is painful to treat erosion with cauterization cannot be answered unambiguously. The procedure and outcome of the procedure depends on the erosion stage, the state of the reproductive organs, the surgical method chosen and the experience of the specialist.

When asked to treat or not to treat erosion, the answer is unequivocal - be sure to heal. There is no need to hesitate. At the beginning of the development of the disease is well amenable to drug treatment without resorting to surgery. Otherwise, the disease will capture new and new cells, which increases the risk of cancer.

Cauterize erosion is not scary. During the procedure, the patient usually does not feel pain. There are completely painless methods of intervention, and painful conduct under local or general anesthesia. Many manipulations take place without consequences for the woman’s body, not including the postoperative period. And the most modern methods of cauterization do not even leave scars, which does not entail complications during childbirth.

In order to avoid surgery, it is necessary to undergo a regular examination by a specialist and start treatment of any diagnosed abnormalities in a timely manner.


Diathermoxcision occurs when exposed to a spherical electrodewhich is superimposed on the identified atypical lesion. Then coagulation of this site is carried out.

Indications for such manipulations are the presence of deep and extensive lesions. Sometimes it is the only effective method for combating multiple recurrent forms of erosion.

Excision is performed using local anesthesia., the presence of which allows the affected tissue site during surgery to undergo a thorough histological examination.

The advantages of the method are:

  • minimal blood loss
  • painless procedure.

Radio wave method

How to erode cervical erosion by radio waves and does it hurt?

The radio wave method is contactless. and non-drug treatment of erosion.

Unlike other methods, this technique is the most gentle.

Removal is performed using the Surigon apparatus, which is often used to eliminate a large range of gynecological problems.

During manipulations a small short tingling is possible. and the presence of an unpleasant odor.

  • from which there is cervical erosion in unborn,
  • the danger of cervical erosion in such girls
  • can cervical erosion pass after childbirth,
  • how to get pregnant with cervical erosion,
  • and how the erosion of the cervix affects pregnancy.

Laser vaporization

Full evaporation of the source of erosion is the main advantage of this method., which guarantees the rapid rejection of the pathological film and the healing of tissues.

Laser vaporization is performed at the beginning of the cycle, without anesthesia and lasts on average from 20 to 40 minutes.

The actions of the laser are directed exclusively to areas damaged by erosion.

The treated area is protected by a coagulative film that prevents bleeding and prevents the occurrence of inflammatory processes.

Due to the rapid impact laser vaporization procedure is absolutely painless.

Chemical method

What sensations can occur when cauterizing cervical erosion in this way?

Chemical cauterization of erosion is the least effective and outdated method of dealing with erosion. It is carried out with the help of drugs Solkovagin and Vagotila, and today is appointed quite rarely.

The manipulation itself occurs during colposcopy, which helps to apply the medicine to the focus with maximum precision.

During the procedure, the surface layer is destroyed and, a few days later, the layer of dead cells is rejected, contributing to the formation of new healthy tissues.

Recovery period after surgery

Wound healing after erosion is a rather long recovery process.

The natural reaction of the body to cauterization is the presence of pulling pain in the lower abdomen, which lasts several days after the manipulation.

To remove the symptoms, it is enough to take painkillers. - Spazmalgon, No-silo or others.

Blood swelling is the norm after removal of the pathological focus.

In very rare cases, a wound after cauterization is inflamed, which signals immediate treatment because of the possibility of a relapse.

They are recognized not only painless, but also as safe and effective as possible.

General information about the disease

What is pathology? With the development of cervical erosion, the integrity of its mucous membrane is disturbed. When examining the vaginal area of ​​the uterus the doctor can see minor defects of the mucous membrane - ulcers, the number and size of which depend on the extent of the pathological process.

Their formation is due to damage and squandering of flat epithelial cells with sequential replacement of a cylindrical type by cells that is present in the cervical canal. Pathology often does not manifest itself and is asymptomatic, but as it progresses, a woman may have various complications, giving a pronounced clinical picture.

Types of erosion, its symptoms, signs, complications

Cervical erosion is divided into several types:

  • Congenital, due to the displacement of the cervical cylindrical epithelium. At the end of puberty, self-healing.
  • True, when, as a result of infection or hormonal abnormalities, one or more sores appear in the cervical area of ​​the uterus.
  • Pseudo-erosion or ectopia, which develops after true erosion and proceeds in a latent form, but manifests itself as a result of the development of complications.

The insidiousness of the disease lies in the fact that its detection more often occurs during examination, when a woman is already making complaints, which means that it was not possible to observe the development of the process in dynamics.

Signs of erosion are few, but with the progression of the process, the following symptoms are observed:

  • the appearance of foul-smelling discharge,
  • the occurrence of pain during intimacy,
  • vaginal discomfort, increased whiter volume,
  • menstrual disorders,
  • the appearance of purulent discharge, fever (in advanced stages).

What is the danger of erosion

  • Damage to the mucous epithelium of the cervix, which is not delayed for a long time, leads to a decrease in local tissue immunity, an extensive growth of erosion can adversely affect the state of general immunity.
  • Erosion-ulcers are the gateway for penetration of sexually transmitted infectious agents.
  • The mucous with defects is vulnerable to the development of inflammation, the defeat of a fungal infection.
  • Without treatment, erosion can provoke stenosis of the cervical canal, which significantly narrows its lumen and makes it impossible to penetrate into the seminal fluid, which means that the fertilization process will be problematic. Therefore, erosion is considered one of the possible causes of infertility.
  • Defects of the cervical mucosa may adversely affect the process of gestation, and in the process of delivery, the neck area weakened by the pathological process is more at risk of rupture of its tissues.
  • With the development of erosive damage to the lining of the cervix of the uterus, the risk of dysplasia increases with the appearance of atypical cells, which can eventually lead to uterine oncopathology.

The complications of erosion include: vaginitis, cervicitis, endometritis, dysplasia. Therefore, cervical erosion detected in the patient is necessarily treated. Which method will be chosen depends on the degree of tissue damage and the general health of the woman.

How to treat erosion

What to do in case of detection of the disease? How to eliminate defects of the cervix, it hurts? Many women, in whom the disease was detected at an early stage, try to avoid radical methods of treatment, considering that it is very painful, therefore, they agree to conservative methods of therapy. They can help when the area of ​​the mucosal lesion is very small and does not capture the deep layers of tissue. When observing it in dynamics, there was no tendency to increase its size, and the course was not complicated by the presence of a strong inflammatory process or the presence of an infection.

Conservative therapy

Recovery can be achieved through the use of antibacterial, anti-inflammatory, antiviral, hormonal drugs. The treatment is carried out with candles, tampons soaked in therapeutic solutions. The area of ​​the lesion is smeared with special ointments, perform sedentary baths that promote healing of tissues.

There is no unified treatment regimen, for each patient the set of therapeutic manipulations is individual and is chosen by the attending gynecologist. Inside prescribing receive Acyclovir, Diflucan, Metronidazole, vaginal candles Hexicon, Depantol. Drug treatment can be supplemented with folk remedies: tampons with sea buckthorn oil, candles with honey and propolis, douching soda solution.

Methods of radical therapy

If the gynecologist found that the affected areas of the cervical mucosa with replaced epithelial cells have a tendency to further growth, the woman is offered treatment with surgical techniques. They use the cautery method as a method of destruction of the affected tissues, contributing to the removal of pathological lesions on the neck.

Does it hurt to burn cervical erosion, and which method is the most reliable and effective?

Modern medical technologies make it possible to perform cauterization by the effect of extreme temperatures on the affected tissues: by heating, evaporation, deep freezing. Unlike conservative therapy, one of the drawbacks of which is the threat of relapse, the cautery method is highly effective and allows you to fully recover from the pathology.

Estimation of the probability of pain

Many patients who are recommended surgical method of treatment, convinced that it is very painful to cauterize erosion. How true is this?

It is worth noting that there are very few pain receptors in the surface areas of the cervix, so they are not sensitive to various influences, including thermal ones. However, a lot of nerve endings are present in the area of ​​the cervix, this explains the specific reaction in this area to the manipulation performed even during the examination. Therefore, the most likely is the occurrence of pain in the area of ​​areas as close as possible to the cervical canal, as well as with deep damage to the cervical tissue.

Each woman has an individual pain threshold, therefore, what may seem discomfort to some may cause intense pain in others. For patients with high susceptibility, anesthesia is used during cauterization of erosion.

Cauterization of cervical erosion in some cases, taking into account modern technologies, does not require anesthesia. The doctor decides whether it is necessary to administer anesthesia if the patient has lesions in the deeper layers of the cervical tissue, if its vast area is inevitable, if the ulcers are close to the cervical canal.

  • In some cases, due to the increased sensitivity of the body, it is necessary to administer general anesthesia by intravenous injection. For a specific period of time, the appearance of pain is completely excluded.
  • Local anesthesia is achieved by introducing anesthetic into the problem area. Recently, for these purposes often use a special aerosol (spray).