Can cervical precancerous lesions be treated conservatively?

Cervical precancerous lesions can usually be treated conservatively. The main treatments for cervical precancerous lesions include drug therapy, physical therapy, photodynamic therapy, cryotherapy, and regular follow-up.

1. Drug treatment

Cervical precancerous lesions may be related to high-risk human papillomavirus infection, manifesting as abnormal vaginal bleeding, increased secretions and other symptoms. Patients can use recombinant human interferon α2b suppositories, Baofukang suppositories, compound seabuckthorn seed oil suppositories and other drugs to inhibit virus replication under the guidance of a doctor. Drug treatment is suitable for patients with mild lesions, and cervical cytology examinations need to be reviewed regularly during treatment.

2. Physical therapy

Cervical precancerous lesions may be related to persistent local inflammatory stimulation of the cervix, which usually manifests as contact bleeding, lumbosacral pain and other symptoms. Physical therapy methods such as laser and electrocautery can be used to destroy abnormal epithelial tissue. After treatment, the perineum needs to be kept clean and dry, and sexual intercourse is prohibited for 3 months.

3. Photodynamic therapy

Photodynamic therapy selectively kills diseased and injured cells by locally applying a photosensitizer and then irradiating a light source of a specific wavelength. This method causes less damage to normal tissue and is suitable for young patients who require preservation of reproductive function. Vaginal secretions may increase after treatment, which is a normal treatment reaction.

4. Cryotherapy

Cryotherapy uses ultra-low temperature to cause cervical lesions to necrosis and fall off to achieve the purpose of treatment. This method is easy to operate and has few complications. Watery vaginal discharge may occur after treatment. Strenuous exercise and heavy physical labor need to be avoided for 2 months after surgery.

5. Regular follow-up visits

Mild cervical precancerous lesions may be related to the natural clearance of human papillomavirus, and the progression of the disease can be observed through close follow-up in some cases. Follow-up includes cervical cytology, human papillomavirus testing and colposcopy. It is recommended to re-examine every 6 months. If two consecutive tests are normal, the follow-up interval can be extended.

Patients with cervical precancerous lesions should pay attention to maintaining a regular schedule and avoiding overexertion during conservative treatment. In your diet, you can increase your intake of vegetables and fruits rich in antioxidants such as broccoli, carrots, and tomatoes. Proper aerobic exercise such as brisk walking and yoga can help enhance immunity. During treatment, medication should be strictly followed as prescribed by the doctor and avoid making unauthorized adjustments to the treatment plan. At the same time, you need to pay attention to personal hygiene, choose cotton underwear with good breathability, and replace and disinfect them regularly.