What should I do if my cervix becomes diseased after cervical conization?

Reoccurrence of lesions after cervical conization can be treated through re-conization, laser treatment, cryotherapy, drug treatment, regular follow-up, etc. The recurrence of cervical lesions may be related to factors such as incomplete surgical resection, persistent high-risk human papillomavirus infection, low immunity, bad living habits, and lack of standardized follow-up.

1. Reconization

For recurrent patients with larger lesions or higher pathological grades, cold knife conization or electrocirculation resection can be used for secondary treatment. Surgery requires complete resection of the transformation zone and diseased tissue, and postoperative pathological examination confirms negative margins. This method is suitable for patients with grade 2-3 cervical intraepithelial neoplasia, which may be accompanied by symptoms of abnormal vaginal bleeding or increased secretions. After surgery, it is necessary to use Baofukang suppository, recombinant human interferon α2b suppository and other drugs for auxiliary treatment.

2. Laser treatment

Carbon dioxide laser vaporization is suitable for localized low-grade lesions and promotes the regeneration of normal squamous epithelium through precise vaporization of abnormal epithelial tissue. There may be a slight burning sensation during the treatment, and light yellow watery discharge may occur after the procedure. It is necessary to avoid sexual intercourse within 2 months after treatment, and use anti-HPV biological protein dressings to assist in eliminating the virus.

3. Cryotherapy

Liquid nitrogen freezing destroys diseased cells at low temperature and is suitable for grade 1-2 lesions that are completely visible in the cervical transformation zone. There may be a feeling of distension in the lower abdomen during treatment, and there will be a large amount of watery discharge 2-3 weeks after the operation. Xinfuning suppositories need to be used in combination to inhibit virus replication. Bath bathing and swimming are prohibited during treatment to avoid secondary infection.

4. Drug treatment

For persistent infections caused by abnormal immune function, transfer factor capsules can be used to regulate immunity according to the doctor's advice, combined with topical interferon gel. When combined with bacterial vaginosis, metronidazole vaginal effervescent tablets need to be used in combination, and liver and kidney function need to be monitored during treatment. Drug regimens are more effective against persistent high-risk HPV infections.

5. Regular follow-up visits

All patients after treatment require strict follow-up, with TCT combined with HPV testing every 3 months within 6 months after surgery, and re-examination every 6 months after 1 year. Abnormalities above ASC-US found during follow-up require immediate colposcopy evaluation. It is recommended that spouses be tested for HPV at the same time to avoid cross-infection leading to repeated relapses.

After surgery, you need to keep your vulva clean and dry, choose pure cotton breathable underwear and change it daily. Increase the intake of high-quality protein and dark vegetables in the diet, and appropriately supplement selenium and vitamin E. Strictly quit smoking and limit alcohol intake, and avoid staying up late and other behaviors that lower your immunity. Condoms should be used throughout sexual life, and swimming and bathing are prohibited within 3 months after treatment. If abnormal bleeding or increased discharge occurs, you need to return to the hospital for examination in time. Regular gynecological review is a key measure to prevent malignant transformation.