What's going on with chronic cervicitis?

Chronic cervicitis may be caused by pathogenic infection, mechanical injury, chemical stimulation, abnormal hormone levels, low immunity, etc., and can be treated with drug therapy, physical therapy, surgery, etc.

1. Pathogen infection

Chronic cervicitis is mostly related to pathogenic infection. Common pathogens include Neisseria gonorrhoeae, Chlamydia trachomatis, herpes simplex virus, etc. These pathogens can be transmitted through sexual contact, and infection may lead to congestion and edema of the cervical mucosa, as well as symptoms such as increased leucorrhea and abnormal color. Treatment requires the use of anti-infective drugs as directed by the doctor, such as azithromycin tablets, doxycycline hydrochloride tablets, metronidazole vaginal effervescent tablets, etc. At the same time, unclean sex should be avoided, and sexual partners should be treated simultaneously.

2. Mechanical damage

Multiple induced abortions, childbirth injuries, or gynecological surgeries may cause damage to cervical tissue and a decrease in local defense function, thereby triggering chronic inflammation. Patients may experience symptoms such as contact bleeding and lumbosacral pain. For mild injuries, local application of recombinant human interferon α2b plugs can be used to promote repair. In severe cases, surgical treatment such as cervical conization may be required. Daily operations on the uterine cavity should be reduced and attention should be paid to perineal cleaning.

3. Chemical stimulation

Long-term use of high-concentration vaginal washes, allergies to condom lubricants, or improper vaginal medication may damage the local microenvironment of the cervix and lead to chemical inflammation. Typical symptoms include vulva itching, burning sensation, and leucorrhea that looks like tofu. Treatment requires stopping irritants, using lactobacillus vaginal capsules to regulate the flora, and combining it with Sophora flavescens gel for local anti-inflammation. You should choose cleaning products with appropriate pH value every day and avoid vaginal douching.

4. Abnormal hormone levels

Declining estrogen levels may thin the cervical mucosa and weaken its defenses, which is common in perimenopausal women. Patients may present with vaginal dryness, pain during intercourse, and are easily complicated by atrophic vaginitis. Treatment can include short-term use of estriol cream for topical estrogen supplementation and Baofukang suppository to improve symptoms. Breast glands and endometrium need to be reviewed regularly to be alert to the potential risks of hormone replacement therapy.

5. Low immunity

Patients with diabetes, HIV infection, or long-term use of immunosuppressants are prone to persistent cervical inflammation due to impaired immune function. Such patients are prone to relapse and may be complicated by HPV infection. Treatment requires controlling underlying diseases and enhancing immunity, and can be combined with anti-mongyan tablets and Pidumod oral liquid. It is recommended to undergo annual cervical cancer screening and receive HPV vaccine to prevent secondary infections.

Patients with chronic cervicitis should avoid spicy and irritating foods and take appropriate amounts of vitamin C and protein to enhance their resistance. Choose breathable cotton underwear to avoid sitting in wet environments for long periods of time. Sexual intercourse is prohibited during treatment, and cervical TCT and HPV testing are reviewed regularly. If you have abnormal vaginal bleeding or severe pelvic pain, you need to seek medical treatment promptly to rule out the possibility of cervical cancer. Maintaining a regular schedule and exercising moderately can help with recovery.