What does the scab look like after cauterization of erosion. Eschar after conization of the cervix. A special place is occupied by the procedure of conization in the life of nulliparous women.

After cauterization of erosion, the discharge depends on the type of treatment, and can last up to four weeks.

Hardware treatment of cervical erosion is carried out only when conservative treatment has not brought results. Cauterization of the erosion zone destroys the pathological epithelium and mobilizes the body to restore the epithelial coating or to form a scar.

Types of cauterization

Cauterization (this concept includes multiple methods of influencing the cervical mucosa) is carried out after conservative treatment has not brought the desired results.

The indications for it are:

false cervical erosion or ectopia;
leukoplakia (keratinization of the epithelium of the cervix);
erythroplakia (cervical pathology, a sign of which are areas that have completely lost the epithelium, or on which it has been preserved with a minimal layer).

If the doctor decides about the need for cauterization, preparation for it includes a smear control and a clinical blood test. When inflammatory processes are detected and the pathogen (bacteria, fungus or virus) is identified, appropriate treatment is prescribed. At the time of the intervention, there should be no inflammatory processes in the vagina, cervical canal and external genital organs. For control, the doctor prescribes:

determination of the flora of the vagina (smear);
examination of a smear using a polymerase chain reaction to determine infection with sexual infections;
general clinical blood test;
blood chemistry;
blood test for HIV, syphilis, blood type, hepatitis;
histological examination of tissues taken from the erosion zone.

For the procedure, a suitable period is selected - the second or third day after the complete cessation of menstrual flow. This choice serves two purposes:

optimal healing of the area on which the intervention was carried out;
reducing the risk of developing pathologies of the cervix.

The choice of technology by which cauterization will be carried out is influenced by:

woman's age;
whether she had a previous childbirth in history;
equipment that is in the clinic;
the presence of a specialist who knows how to work with the equipment;
the question of the cost of the service if a woman applied to a paid clinic.

Many doctors offer a woman a procedure for no good reason.
To make a decision on consent to treatment, it is advisable to undergo an additional consultation with a doctor with good reviews.

Methods of cauterization

For cauterization, several methods are used that differ:

technological complexity;
the shape and depth of the burn caused by the uterine mucosa;
wound healing method;
method of rehabilitation after hardware treatment.

Some methods of cauterization are technically and technologically obsolete, but continue to be used due to the cheapness and ubiquity of equipment (cautery by electricity).

Existing methods of such treatment:

electrical (thermal) coagulation;
exposure to nitrogen (cryolysis, or freezing);
laser burning (vaporization with a laser);
exposure to radio waves (wave coagulation);
plasma exposure (argon plasma ablation);
exposure to ultrasound;
medicinal burning.

In some cases, after treatment, erosion is found again. The reasons are: incorrect selection of the method of stopping erosion or non-compliance by the patient with the doctor's prescriptions.

Discharge after cauterization

The presence of outflows from the vagina, their type, quantity and smell are control indicators of the state of the mucous membranes. It is believed that normally in a healthy woman, there should be no discharge. The appearance of them, transparent or white, indicates changes in the woman's vagina.

Isolation of copious yellow masses indicates an infection, a greenish-yellow color and an unpleasant odor indicate the addition of a purulent infection.

Changes in the mucosa after the procedure

Cauterization forms a lesion zone (burn) on the mucosa, which provokes the formation of a superficial crust, swelling and redness of the mucosa.

A film of accumulation of dead cells forms over the burn, covering the affected area with a soft crust.

Leukocytes and other cells begin to flock to the affected area to accelerate healing, dead cells are replaced by new ones, a new epithelium begins to form under the scab, which provokes secretions, with which the dead epithelium is eliminated and a favorable environment for healing is maintained.

The healing process depends on the type of cauterization - the most traumatic method of diathermocoagulation will require a two-week rehabilitation.

During this period, the discharge should normally be clear, watery and not have a strong odor. The crust, separated from the updated mucosa, comes out on its own, without pain, with vaginal leucorrhoea.

In some cases, the separation of the scab may be indicated by changes in the secretions:

there is a slight discomfort in the lower abdomen;
there may be point pain in the cervix;
spotting appears - normally they go for a day.

If bleeding after cauterization of erosion continues for more than two or three days, you should consult a doctor.

Women should know how to behave after erosion treatment and what should be the discharge - rehabilitation depends on this.

Allocations after cauterization by current

The method involves the impact of current through the electrode on the affected area of the epithelium. The lesion zone is deep, since the method does not allow to regulate the size of the lesion with great accuracy.

The burn on the mucous membrane heals for 14 days, and during this time there are discharges after cauterization of cervical erosion. This method is characterized by spotting with blood clots (due to a deep lesion). If, after cauterization of erosion, it bleeds for more than three to four days, then medical treatment is necessary to stop bleeding.

To do this, a woman is prescribed Tranex (or another hemostatic drug), which should be taken as directed by a doctor, most often a tablet (250 mg of the substance) during the day.

If, after treatment, the discharge has changed color and smell, the doctor, after examining the smear, will prescribe antibiotic therapy. To prevent inflammatory processes, the doctor may prescribe anti-inflammatory suppositories, as well as suppositories that promote the healing of affected tissues (sea buckthorn).

Diathermocoagulation is the only method of cauterization that is carried out before menstruation, so if after erosion treatment it bleeds, this can be caused by menstruation and means the woman is entering a new physiological cycle.

The method of current destruction is the most traumatic and hard to perceive by a woman. For pain relief, drugs Ibuprofen, Nurofen, Nimesulide are used. If it bleeds after cauterization of erosion, chills and high fever join the pain - these are signs of bleeding. This condition requires medical correction.

Allocations during cauterization with a laser

The method of laser vaporization allows the procedure to be carried out with high accuracy, minimally injuring the surrounding tissues with a light beam. The process of renewal of the epithelial coating lasts for a month, which reduces the risk of complications of the cervix.

The procedure may cause a woman to have a slightly bloody or clear, watery discharge. To prevent inflammatory processes, the doctor prescribes suppositories - anti-inflammatory or healing, relieving inflammation. A feature of the discharge during the laser correction method is their pungent odor.

Allocations with radiomethod

This method of treatment is considered the newest and most modern, with the least trauma. A scab does not form over the affected area, but a light thin film appears. The method is non-contact, which does not allow infection to enter the female genital tract during the procedure, which minimizes the risk of inflammation.

As a result of the correction, spotting appears after cauterization of erosion, this is considered normal. They should disappear in a few days, soreness and spasms should go away with them. This method of treatment gives minimal relapses.

Allocations during the freezing method

The freezing method is considered more gentle than electric cauterization. A characteristic feature of the method is the formation of abundant watery secretions throughout the healing process.

The outflow from the vagina with other methods of destruction do not have significant differences from those described above. The doctor conducts control examinations every 10 days, the last one - on the 45-50th day after the treatment procedure.

Discharge during wound healing

What discharge after cauterization of erosion is considered normal? By their nature and color, it is possible to determine the stage of wound healing after the intervention and the condition of the mucous membranes of the cervix.

Usually, discharge without the addition of pathology lasts for 3 weeks. The first 7-9 days separates a watery, clear liquid. In the case of cauterization by current, there may be spotting after cauterization of erosion. The color of the liquid discharged from the vagina becomes pink, the consistency of the discharge is thicker. Their shade can be emphasized by streaks of blood.

Then, on the 10-14th day, the discharge becomes thicker and pasty, the color of the discharge is dark, up to brown. In the secretions, pieces of tissue from an exfoliating scab can be determined.

After the crust falls off, there may be slight bleeding on the intervention area, which quickly stops on its own. Any bleeding after erosion should not be plentiful, as much as possible - resemble the intensity of menstruation.

To stop pathological (too abundant) blood discharge, the doctor performs the procedure of cauterization of the affected vessel.

Painful discharge

After cauterization of erosion, the woman is at home, and must independently study the discharge to control wound healing.

The attention of a woman should be attracted by the smallest violations in the volume, color, smell and consistency of the outflows.

To prevent bleeding, increase discharge, an infected woman must adhere to a number of rules, the doctor must inform about this after cauterization. The total rehabilitation period after treatment is at least 90 days. Throughout this period, a woman needs:

lead a measured lifestyle with a mandatory eight-hour sleep;
exclude from the diet spicy, fried, heavy dishes that would cause blood flow to the small pelvis;
give up alcohol and tobacco;
include physical exercises and walks in the schedule of the day after 10-15 days from the moment of cauterization;
do not swim in open water, rivers and pools;
exclude a hot bath and a bath;
do not lift objects whose total weight exceeds 3 kilograms.

A woman should exclude sexual intercourse until the erosion zone is completely healed and a full-fledged epithelium appears.

The doctor performs cauterization, having previously treated the infection, but:

violation of hygiene;
weak immune system;
non-compliance with doctor's recommendations;

leads to re-infection and the need for additional treatment.

When restoring menstruation, it is necessary to use only external sanitary pads, changing them as they become dirty, but at least every 2 hours. The use of tampons is prohibited.

When inflammatory processes in the scab area are detected, vaginal remedies Poligynax are prescribed - active against fungi and Terzhinan (a complex drug against all vaginal infections).

After cauterization of cervical erosion, a scab is formed, which acts as a barrier to the wound, thereby helping it to heal.

Normally, after the wound is completely epithelialized, the scab leaves on its own. At the same time, its separation occurs without any pain and may be accompanied by liquid secretions for 5-6 days after the operation.

However, in some cases, along with the discharge of the scab, a pain syndrome may occur, which is accompanied by abundant pathological discharge from the vagina, even after the first week after the operation. In this case, depending on the complication that has arisen, the discharge can be bloody (with early discharge of the scab and incomplete wound healing) or yellowish (with adnexitis). In this case, it is necessary to consult a doctor, since the treatment of these complications can vary from taking medications or using vaginal suppositories to surgery.

Attention! The information on the site is presented by specialists, but is for informational purposes only and cannot be used for self-treatment. Be sure to consult a doctor!

The causes of spotting after removal of uterine erosion can be different, so you need to contact the gynecologist who performed the cauterization procedure. He will be able to carry out the necessary diagnostics and find out why blood appears after cauterization of uterine erosion.

In order to have less blood discharge, doctors usually carry out this procedure after five days after the regulation. But if there is still a large blood loss, it is recommended to stop the blood using various hemostatic drugs.

Varieties of pathology

Such a disease of the cervix does not necessarily appear in women who have given birth, it is a fairly common pathology in young girls.

The disease can occur:

in the lungs;
in the middle;
to a severe degree.

In medical practice, the following manifestations of pathology are encountered:

Erosion in medicine is the replacement of cells of the mucous epithelium with cells of the cylindrical epithelium. Thus, uterine erosion itself is not dangerous, but in rare cases it can cause a serious illness.

Experts distinguish three types of erosion that must be distinguished:

Pseudo-erosion - characterized by a red color of the surface, it does not have a specific shape, it can be either a small few millimeters), or a sufficient volume up to several centimeters). Appears, as a rule, as a result of an infection or inflammatory process. On its surface, in some cases, purulent discharge can be observed. This type of erosion is dangerous, because in the future it can provoke cervical cancer. Requires treatment.
Congenital erosion - can be detected either in childhood or in adolescence as a result of colposcopy. It is characterized by a displacement of the cylindrical epithelium and, as a rule, disappears after childbirth. It does not pose a particular danger, therefore it does not need treatment.
True erosion or erosion of the cervix itself is observed either in the region of the posterior or anterior pharynx of the cervix, or in the region of the lip of the cervix. This is a small red area that may bleed. The disease develops from ten to fourteen days, and then the cells of the old epithelium are replaced by cells of the new one. Pseudo-erosion can then turn into true erosion. She needs treatment and, often, it is quite difficult to treat her, because the affected areas can provoke bleeding.

Symptoms

The appearance of blood after cauterization of erosion for two to three weeks is the norm, and the nature of the discharge changes as the wound heals. What are the symptoms of normal discharge?

Here are the main ones:

Blood mucus appears in the patient in the first days after cauterization of erosion. They usually go away in two to ten days. In them, as a rule, blood inclusions are observed, and, sometimes, they themselves acquire the character of spotting. This should not be frightened, as everything is within the normal range.
Pink (may be copious or thick) discharge - at first quite liquid, but towards the end they become thick and you can even see blood clots in them. They are also the norm.
Brown, scanty or thick discharge - last no longer than a week and with them any discharge associated with this operation ends.

It is also normal if small blood clots come out with the discharge - these are the remains of a scab. You should know that on the 8th or 21st day after the operation, a woman may suddenly start bleeding, but it lasts no more than two hours.

If bleeding in women lasts longer, it means that when the scab fell off, a large blood vessel burst, which must either be bandaged or cauterized.

If, after the cauterization procedure, a woman observes profuse bleeding, fever, chills and severe abdominal pain, then an ambulance should be urgently called, since in this case surgery will need to be done.

It should be remembered that if spotting coincided with the regulations, then this is not the norm. In this case, it is necessary to exclude the possibility of pregnancy, and then diagnose the cause of such a pathology.

These may be problems with the reproductive function of a woman or an incorrectly performed erosion cauterization operation.

It should be borne in mind that during the operation with a laser, blood flows on the first day and is not a pathology - you do not need to consult a doctor in this case.

Diagnosis and methods of treatment

Before treating uterine erosion, it is necessary to pass all the necessary tests and undergo mandatory diagnostics so that the specialist can correctly prescribe therapy for the woman.

The doctor sends for research:

The woman needs to give up blood test for HIV, syphilis and hepatitis.
Smear on flora.
Get checked out by a gynecologist.
Colposcopy - is carried out with a special device that enlarges the infected surface thirty times.
A biopsy is done if a woman is suspected of having a malignant neoplasm.
PCR that detects the presence of the herpes virus in the blood or papillomas.
Mandatory cytological examination.

With the help of tests, the doctor can answer the question: how to treat the disease. Because, depending on the size and nature of the spread of cervical erosion, treatment methods or the necessary medicines are selected.

Before you treat erosion, you need to make sure that the diagnosis is correct, and pass some tests. And only after that proceed directly to the treatment. This includes:

general inspection on the mirrors;
passing a smear on the microflora of the vagina;
oncocytological smear type PAP test;
colposcopy - carried out using a special optical device with a magnification of 30 times;
screening for possible sexually transmitted infections;
PCR diagnostics for papillomavirus with obligatory virus genotyping;
biopsy procedure from the eroded area of the cervix, immediately before cauterization.

Before treatment, an examination and diagnosis is prescribed.

Treatment Methods

At the moment, experts offer several methods of treatment for this disease. Their choice depends on the condition of the woman, the stage of the disease, the magnitude of the lesion.

The main goal of treatment is to eliminate the altered tissue. If an inflammatory process has joined the disease, then, first of all, the infection is eliminated.

For this, specialists usually prescribe a course of antibiotics. After passing such a course, drugs are prescribed that restore the shell of the organ.

It is worth noting that in the process of such treatment, pain can be given to the stomach. This phenomenon is quite normal.

However, the most effective methods of treatment are considered to be physiosurgical. These include:

Electrocoagulation.
Cryotherapy.
Laser coagulation.
radio wave surgery.

Laser cauterization is one of the most effective methods of treatment. This is due to the fact that laser cauterization with maximum accuracy allows you to process the affected area.

In addition, laser exposure eliminates inflammation and acts as one of the safest.

The cauterization method is the leading method of treating an eroded cervix, which is calmly tolerated by most women.

Methods of cauterization

To date, there are several ways to cauterize erosion, each of which has its own advantages and disadvantages:

diathermocoagulation;
cryodestruction;
laser therapy
chemical coagulation.

Features of the procedure

After performing the procedure for cauterizing erosion, a small wound forms in its place, for the successful healing of which it is necessary to create special conditions.

It is important to ensure a state of functional rest and help restore the microflora of the cervix, while you must follow all the advice of a specialist. After cauterization, it is important:

completely exclude sexual intercourse, which will help prevent the possibility of infection of the resulting wound;
avoid heavy lifting and strenuous exercise;
it is forbidden to take a bath and swim in the pool, only a shower is allowed.

Several methods can be used to remove erosion from the cervical surface. Each of the cauterization options provides good results, but only with the right choice and adherence to the indications for the procedure. Usually applied:

cryodestruction (freezing pathology with liquid nitrogen);
cauterization with Surgitron (radio wave therapy);
cauterization with a laser beam (vaporization).

Rarely and according to strict indications, diathermocoagulation is used. Cauterization by electricity refers to the method after which the most complications and unpleasant consequences.

Radio wave exposure is one of the best methods of surgical removal of erosion on the cervix. Surgitron can treat almost all types of cervical pathology, with the exception of precancerous processes.

Cryodestruction and laser therapy help with small pathologies. After cauterization of the neck, the following immediate results are possible:

recovery;
incomplete healing of the defect on the neck;
erosion recurrence.

Modern gynecology offers several methods for the physical elimination of pathology:

1. Diathermocoagulation - current therapy.
2. Cryodestruction eliminates the pathological process with the help of nitrogen. This therapy is considered more gentle. It is based on the freezing of pathological cells.
3. Laser vaporization. This therapy is highly effective.
4. Radio wave therapy is a promising treatment for erosion.
5. Argon plasma ablation. Erosion is cauterized with argon, which undergoes ionization with high-frequency currents.
6. Electroconization can be done in severe dysplasia. This method of therapy contributes to the rapid elimination of atypical cells and deep pathological epithelial layers.
7. Cauterization by ultrasound.
8. Drug or chemical therapy. You can cauterize erosion with Solkovagin. It provokes tissue necrosis, which contributes to the formation of a scab.

The consequences after cauterization of erosion can be varied and they depend on the method of treatment. Most often, a woman begins to be disturbed by discharge from the genital tract, which is formed as a result of the reaction of body tissues to irritation.

Most often, such discharges begin to disturb the patient on the 10-12th day after the procedure, since it is at this time that the scab is rejected.

Unpleasant consequences after cauterization of erosion can be expressed in the unpleasant smell of secretions, as well as their coloring in a yellow-green color. Most often, this signals the development of an inflammatory process in the genitals, so you should contact a specialist as soon as possible.

After exposure to current on the wound, a scab appears in this place. To prevent bleeding, you need to soften it.

Treatment consists in prescribing suppositories and tampons by a doctor, on which medicinal ointments are applied. They are used inside, in the vagina.

Treatment with vaginal suppositories promotes regeneration and disinfects the cervix. All this determines the rapid healing of the wound, which is especially important for any surgical intervention.

Effective drugs are suppositories Genferon, ointment Levomekol, suppositories Depantol, Methyluracil, etc.

If cauterization of erosion was carried out by the radio wave method, candles are prescribed to prevent inflammatory processes.

After cauterization of erosion for about a month, there may be clear discharge from the vagina, pain in the lower abdomen and lower back is possible.

It is highly undesirable for a scar to form, especially if the woman has not yet given birth. These women are treated with liquid nitrogen, which is a more gentle procedure that does not cause pain during the recovery period, and there is practically no scar, but the cervix may swell or shorten.

The procedure with the use of liquid nitrogen is carried out by a doctor under ultrasound control, but this does not guarantee that all the damaged epithelium will be captured.

A week later, the scab leaves, forming a discharge of a yellowish tint. The wound heals quite quickly (about three weeks).

Cauterization with liquid nitrogen does not allow to cure erosion from the first time, if the epithelium of the mucous neck of the genital organ is deeply damaged. Most often, another cauterization procedure is required after a certain time.

Much more effective will be the treatment of cervical erosion with radio waves. In this case, a scar does not form at the site of damage to the mucosa, the mucosa heals well, and the rehabilitation period itself passes quite quickly and painlessly.

After applying this method of eliminating the pathology, additional treatment is not needed. During the recovery period, you only need to adhere to the recommendations that were given above.

If we compare nitrogen cauterization, which is highly discouraged for women who have not yet given birth, with radio waves, then the advantages in favor of the latter are obvious, because this method does not have serious consequences.

There is no direct contact between the epithelium and erosion; when using liquid nitrogen, the treatment of the epithelium is contact. Radio waves, unlike liquid nitrogen, do not leave scars.

The choice of a method for treating cervical erosion is carried out by a doctor so that the consequences of the procedure are minimal and the woman recovers as soon as possible.

Specialists distinguish between conservative, non-traditional and surgical methods of treating cervical erosion.

Alternative medicine:

It should be noted that doctors are wary of non-traditional methods, but do not prohibit the use of physiotherapy or acupuncture. Simultaneously monitoring the patient's condition.

Conservative Methods:

Conservative methods include treatment aimed at eliminating the cause of the disease. This may be taking antibiotics, immunomodulators or various anti-inflammatory drugs. This treatment is suitable for young nulliparous girls and is prescribed so as not to use surgery.

Surgical intervention:

In order to continue the treatment, it is necessary to know by what method of cauterization the erosion was eliminated. In order for the scabs to heal and become covered with a mucous membrane, the doctor prescribes various suppositories, ointments or creams.

If you observe ordinary discharge mixed with blood, but there is nothing wrong with that, then everything in your body is within the normal range. But, if the discharge is plentiful and you are losing a lot of blood, this is a signal that you need to see a doctor. What determines the choice of treatment in this case?

Recovery period after the procedure

The choice of treatment depends on the initial cauterization procedure, that is, how exactly it was performed, by what method and what are its consequences after the immediate procedure.

As a rule, after the removal of the affected patient, a special drug treatment is prescribed, which helps to restore the mucous membrane.

For this, various ointments, aerosols, suppositories and vaginal creams are most often used.

If after cauterization there are ordinary discharges mixed with blood, then special treatment may not be required. Most often, these consequences are not dangerous. Discharges can be alarming if they are too plentiful when the blood is flowing strongly enough.

pain after burning

Such bleeding may be accompanied by an unpleasant odor. In such cases, they usually turn to repeated cauterization and coagulation of the vessels.

In addition to all this, special medications are prescribed, the action of which is aimed at seducing bleeding. As a rule, such therapy takes up to a month, and all this time there is bleeding.

Abundant spotting can also be the cause of the existence of serious gynecological diseases. The reasons may be problems with blood vessels and low blood clotting.

If cauterization is carried out two weeks before menstruation, then the presence of spotting may coincide with menstruation, therefore, in such situations, an additional examination and regular consultation for the healing period is simply necessary.

This is due to the fact that the blood can go so strongly that such a loss will seriously affect the general state of health.

Consequences of treatment

Quite often, after treatment with this method, women may experience discharge or other unpleasant phenomena for several weeks. Some of them are safe, while others may require an urgent referral to a gynecologist.

Allocations

As a rule, the period from 2 to 10 days after the procedure is characterized by the appearance of small liquid discharge. Depending on the condition and characteristics of the body, bloodiness may be observed.

After this period, the amount of secretion increases. In addition, it is dyed pink.

Initially, the secretion is quite liquid, but later it can become more viscous. It may contain blood impurities.

After that, light, thick, white discharge appears. Such discharges are observed from 2 to 10 days.

Cauterization of pathological uterine cells does not prevent subsequent pregnancy. Gynecologists advise to start bearing a fetus 2 months after the manipulation. Modern methods of cauterization do not affect the birth process. But there is a risk of relapse if:

bring an aggressive sexual infection;
douche with inappropriate solutions;
get injured after childbirth or during an abortion;
the doctor misdiagnosed.

Conducting sexual activity depends on the method of therapy used. If complete cryodestruction was performed, you can begin sexual activity after 6 weeks. With laser vaporization, this period lasts 2 months. After radio wave surgery, intimate life is postponed for 1.5 months.

The longest period of abstinence from sex is typical for diathermocoagulation - 2.5 months. If the cervix was treated with Solkovagin, it is recommended to refrain from sex for 3 weeks.

What complications can be if cauterization was performed during cervical erosion? It is important to know the signs and characteristics of such complications in order to recognize them in a timely manner. The signs of complications are:

Endometriosis after cauterization of erosion does not develop "from scratch". But the existing one can develop more actively if it was not detected and treated in a timely manner before the intervention.

Why does erosion not heal after cauterization? This may be due to the characteristics of the body or poorly implemented manipulation. In any case, if you suspect this process, you should immediately visit a specialist.

The appearance of discharge after cauterization of erosion is both the norm and evidence of pathology.

If the spotting does not go away within a week and it is quite plentiful and accompanied by severe pain, then this indicates the presence of complications when the healing of the scabs is not going well enough.

It is necessary to inform the doctor about this, perhaps this is a consequence of neglected gynecological diseases.

Experts recommend that women after cauterization of erosion carefully monitor their health and prevent infection from entering the cervix. It is imperative to undergo an examination and examination, which the doctor prescribes, and then the healing of the scabs will be successful.

There are times when a woman heals normally after cauterization, but there are copious spotting. This is a sign of colpitis. Repeated cauterization is not necessary, and the specialist in this case prescribes a comprehensive treatment for this disease.

Discharge after cauterization of erosion may indicate not only the normal course of healing, but also the presence of some complications.

If the burning procedure was successful, and the pain and heavy bleeding do not stop for a week, then you should consult a doctor.

Such signs may indicate that healing is proceeding inappropriately and there are problems. In such cases, treatment is necessary, after a special diagnosis and re-examination.

As a rule, such violations after cauterization can be the causes of diseases that have not been treated for a long time.

The main thing is to undergo an examination on time and be observed by a doctor so that there are no serious violations during the rehabilitation period.

There are cases when bloody disorders are also present in a healthy woman, while the examination diagnoses colpitis. In this case, local treatment will be inappropriate, and ineffective, because in this case a full course of treatment with all auxiliary drugs is prescribed.

Therefore, in this case, cauterization would be inappropriate. What is most interesting, with such detections, cauterization in the base cannot be the cause of spotting, so a global and more accurate examination is needed here.

Although medicine has come a long way in terms of treating erosion, however, an ideal procedure that would not have any consequences for a woman's body has not been found. Each method has its own advantages and disadvantages. Therefore, it is so important to make not only the right choice regarding the method of cauterization, but also to find a qualified specialist.

Removal of erosion by cauterization is the destruction of superficially located cells that look like ulcers. In their place, new, already healthy tissues are formed.

The whole healing process takes about a month.. The recovery period largely depends on how deeply the tissues were affected, as well as on the following factors:

what method was used;
were there any complications.

The healing takes the longest after diathermocoagulation - about 5-6 weeks. Somewhat less after radio wave treatment (about 4 weeks), laser intervention and cryodestruction (about 3-4 weeks).

After cauterization, the body needs some time to form a scab (a crust on the surface of the cervix). With almost complete healing, it begins to be rejected with increased secretions and the appearance of blood streaks in them. The whole process before the formation of a scab takes about a week, after which you can additionally use various local preparations, which are aimed at accelerating wound healing on the cervix:

Sometimes it is necessary to combine several means.

Immediately after the procedure and during it, discomfort and even pain in the lower abdomen may be felt.. They are stopped by taking painkillers, antispasmodics. Intense pain is a reason to see a doctor.

Immediately after cauterization, they may not be. Subsequently, their number increases every day, reaching its maximum on the 7-10th day. This is the time when the scab is shed. They can be purulent, with an unpleasant odor (especially after DEC), liquid (after cryodestruction) or simply resemble ordinary leucorrhoea, only larger in volume, there may be blood streaks. After their intensity decreases until normalization.

It is also allowed to change the menstrual cycle: Menstruation may come with a delay, be a little different than usual.

Limit physical activities, as they can provoke bleeding.
Observe hygiene, this is dictated by an increase in the amount of discharge in a woman. Most often, you have to use pads, change them regularly, wash 2-3 times a day during intense whiteness.

Absolutely contraindicated during the period of treatment and recovery:

Douching (permitted only at the discretion of the doctor at the end of the healing period).
Sexual contacts. They can cause inflammation, the formation of a rough scar, and even bleeding.
Taking baths, hot baths, saunas and even visiting the pool.

Douching with cervical erosion is carried out only with the permission of the doctor

Bleeding. During or a few hours after cauterization can be copious, you should seek medical attention. If it does not stop on the background of conservative treatment, it is necessary to additionally flash the vessels on the lateral surface of the cervix. Bleeding during rejection of the scab, as a rule, is small and stops on its own or after taking hemostatic agents.
Inflammation. The healing process itself involves a small inflammatory response. However, if hygiene is not observed or the doctor's advice on the additional use of suppositories is ignored, inflammation can spread to the uterine cavity, appendages. Pain in the lower abdomen, fever - indications for a second visit to the doctor.
Rough scar formation. Most often, ugly scars, which can even slow down the opening of the cervix during childbirth, are formed after diathermocoagulation. After radio wave treatment, laser, cryodestruction, they are soft and invisible, do not affect the function of the female genital organs in the future.

Causes of repeated cauterization of cervical erosion:

the wound did not heal well.

Example of successful cervical treatment

For some methods, reprocessing is the norm. For example, cauterization of the cervix using a mixture of acids is always carried out in 2-3 or more stages, which is prescribed in the instructions. Erosion may occur again, then this is not the fault of the doctor. Often it reappears after childbirth, so it is usually recommended to refrain from treatment unless absolutely necessary, and the woman is planning a pregnancy.

Full recovery after cauterization of erosion averages about 4 weeks.

Read more in our article about the consequences and discharge after cauterization of the cervix.

Read in this article

What happens to the neck after removal of erosion

Cauterization implies various manipulations, as a result of which the cervix is healed. The meaning of all procedures is approximately the same: the erosion site is affected (by electric current, laser, a mixture of acids, radio waves, liquid nitrogen), as a result of which superficially located cells die.

This stimulates further intensive division of tissue areas located more deeply. They subsequently make up the future healthy cervix. In those places that were cauterized, crusts form, which then fall off as soon as a new epithelial cover has finally matured under them.

Therefore, the removal of erosion is the destruction of superficially located cells, which look like an ulcer when viewed. In their place, new, already healthy tissues are formed. The entire healing process takes about a month.

Healing time

The recovery period largely depends on how deeply the tissues were affected, as well as on the following factors:

what method was used;
whether additional treatment was used;
were there any complications.

The healing takes the longest after diathermocoagulation - about 5-6 weeks. A little less ̶ after radio wave treatment (about 4 weeks), laser intervention and cryodestruction (about 3-4 weeks). In general terms can be shifted.

Is additional treatment necessary after cauterization?

After cauterization, the body needs some time to form a scab (a crust on the surface of the cervix). The stages of healing are somewhat similar to a regular wound on the skin. Under this crust, an intensive process of renewal of the epithelium takes place. As soon as it is almost completed, the scab begins to be shed.

Clinically, this is manifested by increased secretions and the appearance of blood streaks in them. The whole process before the formation of a scab takes about a week, after which you can additionally use various local preparations that are aimed at accelerating the healing of the wound on the cervix.

The following are often used:

ointments with levomecol, panthenol, sea buckthorn oil for application to gauze swabs and then into the vagina;
candles "Terzhinan", "Betadine", "Clotrimazole" and others at the discretion of the doctor.

The duration of treatment is determined by a specialist. Sometimes it is necessary to combine several means.

Some cauterization options do not require additional treatment, for example, after treating the cervix with acid solutions.

Patient sensations, discharge, pain

Immediately after the procedure and during it, discomfort and even pain in the lower abdomen may be felt. They are stopped by taking painkillers, antispasmodics. There should not be very intense pain, their appearance should be the reason for going to the doctor.

The nature of the discharge changes. Immediately after cauterization, they may not be. Subsequently, their number increases every day, reaching its maximum on the 7-10th day.

This is the time when the scab is shed. They can be purulent, with an unpleasant odor (especially after DEC), liquid (after cryodestruction) or simply resemble ordinary leucorrhoea, only larger in volume, there may be blood streaks. After their intensity decreases until normalization.

As soon as the discharge no longer bothers, we can assume that the healing was successful, but a second visit to the doctor is necessary to confirm.

It is also allowed to change the menstrual cycle. Menstruation may come with a delay, be a little different than usual.

See in this video about what may be the discharge after cauterization of erosion:

Help in recovery after cauterization of cervical erosion

After cauterization, the doctor usually gives a whole list of recommendations to the woman on how to behave at first in order to promote the rapid healing of the wound. Among the main ones:

It is useful to limit physical activities, as they can provoke bleeding, even if they were previously feasible.
It is important to observe hygiene, this is dictated by the increase in the amount of discharge in a woman. Most often, you have to use pads, change them regularly, and wash 2-3 times a day during intense whites.

What not to do during rehabilitation

The following is absolutely contraindicated during the period of treatment and recovery:

The use of tampons. They will provoke inflammation and can cause premature discharge of the scab, which is fraught with poor healing and bleeding.
Douching is allowed only at the discretion of the doctor at the end of the healing period.
It is necessary to abandon sexual intercourse for the entire period, they can cause inflammation, the formation of a rough scar, and even bleeding.
Baths, hot baths, saunas and even swimming pools should be avoided.

Possible complications and consequences of cauterization

Bleeding. It can occur both in the early postoperative period, and already at the time of partial healing. Bleeding during or several hours after cauterization may be profuse and medical attention should be sought. If it does not stop on the background of conservative treatment, it will be necessary to additionally flash the vessels on the lateral surface of the cervix.

Bleeding during rejection of the scab, as a rule, is small and stops on its own or after taking hemostatic agents.

Inflammation. The healing process itself includes a small inflammatory reaction, which is especially noticeable after DEC (diathermocoagulation). However, if hygiene is not observed or the doctor's advice on the additional use of suppositories is ignored, inflammation can spread to the uterine cavity, appendages. Therefore, pain in the lower abdomen, fever ̶ indications for a second visit to the doctor.

Rough scar formation. This largely depends on the method used and the properties of the woman's tissues. Most often, ugly scars, which can even slow down the opening of the cervix during childbirth, are formed after diathermocoagulation, so this method of treatment is gradually disappearing from practice. Scars after radio wave treatment, laser, cryodestruction are soft and invisible, do not affect the function of the genital organs in the future.

Causes of repeated cauterization of cervical erosion

Often, erosion has to be cauterized again, and this is not always the fault of the doctor. The reasons for this may be as follows:

initially, not the entire erosion surface was processed, for example, if it was large;
incorrectly chosen method of treatment;
the wound did not heal well.

For some methods, reprocessing is the norm. For example, cauterization of the cervix with a mixture of acids is always carried out in 2-3 or even more stages. It's even written in the instructions.

Expert opinion

Daria Shirochina (obstetrician-gynecologist)

Erosion may occur again, then this is not the fault of the doctor. Often, erosions reappear after childbirth, so it is usually recommended to refrain from treatment unless absolutely necessary, and the woman is planning a pregnancy.

Recovery after cauterization of erosion averages about 4 weeks. At this time, a woman must follow the doctor's recommendations, exclude sexual activity, visit baths, saunas, and limit physical activity. But even in this case, there is a possibility of a complicated course of the healing process: with inflammation, bleeding, or the formation of rough scar tissue.

Useful video

Watch in this video about how erosion heals after cauterization:

Why is there a delay after cauterization of cervical erosion

Conization is the surgical removal of part of the cervix and cervical canal in the form of a cone.

It is used for treatment (see "indications") and diagnostics, that is, with a therapeutic and diagnostic purpose.

For diagnostic purposes, the removed cone is sent to the pathology laboratory for histological analysis to detect cancer cells and the degree of the tumor process.

In what phase of the cycle is cauterization carried out

The appointment of cauterization depends on the phase of the cycle and the urgency of the conduct. There are 3 types of procedures:

diathermocoagulation;
cryodestruction;
laser radio wave therapy.

Diathermocoagulation is carried out urgently, when there is a high probability of rapid growth of polyps and their degeneration into a malignant tumor, a cervical biopsy is also often taken to rule out cancer.

Laser radio wave therapy as a low-traumatic method for the purpose of rapid healing of wounds is carried out on the 5-7th day of the menstrual cycle, so that the cervix will heal before the next menstruation.

It is better when cauterization is performed in the period from 3 to 9 days of the cycle. This is the time when the muscle tissue of the uterus is in a softer, relaxed state, and its neck is slightly ajar.

It is easier for a gynecologist to view the entire cavity and perform a conization procedure in order to completely remove the modified affected epithelial tissue without leaving its particles. In addition, the doctor during the operation will not affect healthy nearby areas, which means that the healing process will be faster in the future.

Conization is performed at the beginning of the cycle, on days 5-10, in order to ensure the healing of the cervix in the next cycle.

The process of conization and its types

There are several types of conization, the most common are the following:

loop electroconization;
radio wave type of conization;
laser type of biopsy;
knife type of surgery.

The knife type of surgical intervention is very rarely used due to the high likelihood of complications after its use.

The laser type of intervention is high-tech and the most expensive. Loop conization is a method that has a low percentage of complications and a relatively low cost of intervention.

The optimal time for the operation is the period immediately after the end of menstruation. This period is preferred due to the fact that it completely eliminates the possibility of pregnancy and leaves a sufficiently long period for the cervix to heal at the site of the formation of the surgical field.

Carrying out loop conization consists of several stages. The main steps are as follows:

Introduction to the vagina of a woman lying in a gynecological chair, a plastic mirror.
Removal of secretions from the vagina.
Treatment of the surgical field with the help of Lugol's solution.
Anesthesia with injections of an anesthetic composition consisting of 1% Lidocaine solution with adrenaline. Adrenaline is needed to reduce bleeding.
Installation of the electrode loop is carried out at a distance of 3-5 mm from the boundary of the transformation zone. By passing a high-frequency alternating current, the transformation zone is cut to a depth of 5 mm.
The cut piece of tissue is removed with tweezers and sent for examination.
At the last stage, coagulation of bleeding points on the surgical field is carried out.

The procedure takes about 15 minutes.

after conization, it is more difficult to get pregnant;

the barrier function of the uterus decreases in the way of inflammatory diseases, which in themselves negatively affect the possibility of pregnancy and healthy childbirth;

high risk of miscarriage and preterm birth after 16 weeks of pregnancy;

childbirth by caesarean section;

Reproductologists often refuse IVF to women with cervical conization due to a history of dysplasia.

Unlike conization, PDT is a non-traumatic therapeutic method. It targets neoplasia in two directions at once:

destroys tumor and virus-affected cells,

destroys the papilloma virus in the mucous membranes of the cervix and cervical canal.

Using PDT for treatment, we preserve the integrity of the cervix and uterus and restore immunity at the organ level. A healthy cervix reliably protects itself and the uterus from infections, it is ready for conception, for full-fledged independent bearing and childbirth.

The human papillomavirus in the mucosa is completely destroyed, which serves as a reliable lifelong prevention of precancerous diseases of the cervix.

Prognosis after PDT treatment

What to do after conization to reduce the chance of recurrence to zero?

If you do decide to go for conization, to prevent recurrence, I recommend doing one photodynamic therapy session to get rid of HPV and be safe.

One session is usually sufficient for complete recovery.

After PDT treatment for a seven-year period, the absence of recurrence is observed in 95% of cases. All patients stay in touch with me – modern technologies allow to keep it in touch

The effectiveness of PDT treatment is evaluated according to the international algorithm:

colposcopy (vidokolposcopy)

cytological screening (scraping from the cervix for cytology).

Screening after PDT is carried out 1, 4 and 7 months after the procedure, then once a year.

Postoperative period

After surgery, a woman may feel slight discomfort and nagging pain in the lower abdomen. A woman's menstruation after the procedure can significantly intensify and become longer than before the operation.

In addition, after conization of the cervix, the formation of brown discharge is observed, which are the norm in this state of the female body. When this type of discharge appears, you do not have to worry.

Regardless of the type of operation chosen, a wound surface is formed on the cervix. In the process of conization, the top layer is destroyed under the influence of a laser, electricity or radio waves. In place of damaged cells, a scab is formed, which eventually departs.

Women who are faced with the need to do conization of the cervix are worried. They are interested in how the operation itself is carried out, how the postoperative period goes. Doctors warn that it is not worth focusing on the experience of other women. Feelings will depend on the following factors:

pain threshold;
condition of the cervix;
the size of the remote area;
individual response to anesthesia;
features of the operation;
the amount of scab formed and the intensity of its discharge.

Patients who underwent conventional knife conization often complained of intense bleeding and severe pain after surgery. The discharge of the scab was often accompanied by bleeding.

After the knife method, an inelastic scar may remain on the cervix. It does not bother a woman, but can cause problems during pregnancy and childbirth. Sometimes scars remain after electroloop conization. And laser and radio wave procedures, as a rule, do not leave traces.

Many heal within 4-6 weeks. But in some cases, the process lasts up to 4 months - the duration depends on the individual ability of the body to regenerate tissues.

If there were no problems during the conization, and the woman adheres to the doctor's recommendations, then the likelihood of complications is minimal. Many patients in the first month do not even have blood, they have only copious watery discharge. Blood or spotting may appear only when the scab leaves.

In the postoperative period, women face such problems:

bleeding within 2-3 weeks after the operation;
pain in the lower abdomen, similar in intensity to pain during menstruation;
an increase in the volume of bloody discharge during the discharge of the scab;
unpleasant vaginal discharge.

Pain and increased discharge may indicate damage to the tissues of the cervix and the onset of bleeding. An unpleasant odor appears when the damaged area is damaged by pathogenic microorganisms.

A week after surgery, most patients begin to move away the scab. In this case, the volume of discharges can significantly increase. For many, they become not only more abundant, but also darker.

A special place is occupied by the procedure of conization in the life of nulliparous women.

This is a procedure in which a cone-shaped fragment is removed from the cervix. After that, he is sent for histological examination.

There are contraindications for conization of the cervix:

diseases of the female reproductive system, having an inflammatory or infectious nature,
invasive cervical cancer, which is confirmed by the results of histological examination.

Indications for conization of the cervix

Conization is a widely used procedure in gynecology. The purpose of the operation is to remove the following elements:

neoplasms in the uterine cavity;
erosive areas;
malignant formations;
tumor-like fragments of unknown etiology.

Conization is often done to reduce the risk of developing cancer. During the procedure, a biopsy of the cervix is often taken to examine the tissue for histology.

Cervical conization is prescribed in such cases:

detection of pathological areas in the cervical canal of the cervix;
dysplasia of 2-3 degrees;
according to the results of histological examination;
with suspicion of the development of oncological formations, when a biopsy of the cervix is \u200b\u200bnecessary.

Such an operation is carried out by loop, laser or radio wave. Almost any of the methods used for cauterization of erosion leads to a delay in menstruation. The procedure is contraindicated in the following cases:

in inflammatory processes;
with infectious diseases in the genital tract;
with invasive cervical cancer.

In general, conization takes no more than 20 minutes, does not cause pain due to the absence of nerve endings in the cervix. Anesthesia is not required.

Pathological tissue is removed by applying alternating current to the loop and cauterizing the erosion. In order to avoid complications and infection of the uterine cavity in the future, the doctor will prescribe a course of taking antibacterial drugs and vitamins to maintain immunity for women.

During the surgical intervention, the specialist removes a small cone-shaped section of the surface of the cervical canal and part of the cervix. Very often, cervical conization is performed not so much for the purpose of treatment, but in order to conduct a histological examination of a tissue fragment obtained as a result of the operation.

As a result of the histological analysis, the presence or absence of cells in the studied tissue sample that can degenerate into cancer cells is established. Tissue that has signs of a pathological nature is removed in one surgical intervention, which is an advantage.

After the surgical intervention and the end of the healing period of the surgical field on the surface of the cervix, you need to visit a doctor and undergo a cytological examination. Very rarely, but it may still be necessary to perform a second biopsy if suspicious cells appear.

There are a number of indications and contraindications for conization of the cervix. The main indications for surgical intervention are the following:

detection of pathological tissue areas on the mucous membrane of the cervical canal;
development of dysplasia of 2-3 degrees in case of confirmation of the diagnosis using histological analysis;
upon receipt of negative results of the data of the Pap test, which is a study of a smear from the cervix.

A contraindication to conization is the presence of invasive cervical cancer in a woman's body; in addition, conization cannot be used in case of development of infectious diseases of the pelvic organs in the body.

cervical dysplasia grades 2 and 3,

multiple polyps and cysts of the cervical canal,

severe cicatricial deformities,

early forms of cancer superficial cancer in situ and stage 1a cancer. Conization is not used to treat more advanced cervical cancer.

The decision on whether conization is indicated in a particular case is made on the basis of the unsatisfactory condition of the cervix according to the extended colposcopy and the presence of atypical cells in the cytological analysis.

After the procedure, I closely monitor the patient for 7 months and regularly - 1, 4 and 7 months after PDT, perform colposcopy and a cytogram of scraping from the cervix.

Such an observational tactic allows, at the slightest shift in analyzes, to make a decision both in favor of a repeated PDT procedure and in favor of loop conization to clarify the diagnosis (I perform loop conization of the cervix only for the purpose of diagnosis).

Dangerous Complications

In most cases, after conization of the cervix, the scab comes off painlessly. But some women say that this period is accompanied by the following:

there is pain in the lower abdomen;
there is discomfort in the area of the cervix;
the amount of bleeding increases.

Patients claim that the pain is similar in nature to menstrual pain. They can be pulling and aching. If necessary, you can take Ibuprofen or Ketonal to alleviate the condition. If there is a cutting, sharp pain, you should consult a doctor.

An examination by a gynecologist is necessary if a woman has a scab and the following is recorded:

the temperature rises;
began intense discharge, reminiscent of bleeding;
worried about severe itching.

Dead tissue is not always painlessly removed. Cutting pains, accompanied by the appearance of profuse bleeding, may indicate damage to the tissues of the cervix. In this case, the gynecologist must treat the damaged area to stop the bleeding. Thus, the scab should not come off. Women are also prescribed antibiotic therapy to prevent complications.

Some feel intense discomfort when the scab comes off. Patients complain of weakness, drowsiness, chills, slight dizziness.

Many are interested in how exactly the scab leaves after conization of the cervix. You can understand that the process of its rejection has begun if you consider the discharge. In them, women may notice clotted blood in the form of crusts.

In most women, the postoperative period passes without complications. But sometimes special hemostatic drugs are required. If indicated, the doctor may prescribe:

tincture of water pepper;
"Dicinon";
"Tranexam".

It is impossible to start drinking hemostatic drugs on your own without a doctor's examination. Perhaps, while the scab was moving away, the vessel was damaged. Only coagulation can cope with bleeding.

In standard terms, after conization, women begin menstruation. In the first and second cycle after surgery, the periods are more abundant, they can last longer than usual. But as a rule, on the 3rd cycle the situation is normalized.

Some women cannot figure out the nature of the discharge: it can be difficult to understand whether the scab is coming off or menstruation has begun. If conization was done on days 5-7, then the crust departs, respectively, on days 10-17 of the cycle. It's too early to start menstruating.

Judging by the reviews of patients, it is possible to understand that dead cells are rejected by the nature of bleeding. Usually in the morning the intensity of the discharge is greater, and by the evening they practically stop.

It is considered normal if serous-bloody discharge occurs within 10-20 days after conization. Periodically, they can intensify, resembling the nature and intensity of menstruation.

You should immediately consult a doctor in the following cases:

bleeding is more abundant than normal menstruation,
copious discharge or many clots,
severe pain in the lower abdomen,
elevated body temperature,
discharge with an unpleasant odor lasts more than three weeks after the procedure.

Low efficiency of the method. Conization as a treatment method severe cervical dysplasia and cancer prevention is effective only in 30-50% of cases. These are official statistics.

Relapse. Conization does not protect against recurrence of the underlying disease.

Disease progression. In 50-70% of cases, within 6-24 months, the course of the disease passes according to a pessimistic scenario and passes into a more severe stage.

Second-degree dysplasia progresses to third-degree dysplasia, and third-degree dysplasia and leukoplakia into non-invasive cervical cancer.

Conization does not cure HPV. human papillomavirus(HPV) remains in the epithelium of the cervix, retains its activity and in 50-70% of cases after treatment causes a relapse.

Standard immunocorrection programs strengthen the immune system, but do not get rid of HPV - the causes of precancerous diseases of the uterus.

Any surgical intervention is a provoking factor.

Firstly, provoking for infection - it becomes more resistant (resistant) to any treatment methods. Secondly, in the presence of tumor cells, any surgical intervention makes tumor cells more aggressive - it activates tumor growth and the process of metastasis.

Video of loop conization of the cervix

Often re-conization is not possible. Each woman has an individual anatomy of the cervix, and not everyone after the first conization, even if there are indications, can be performed again. In this case, classical medicine can only offer amputation of the cervix or the entire uterus.

Young women come to see me every day, often not even partially fulfilling their reproductive function, “twisted” about the outcomes of the disease, with the urgent recommendation of their attending physicians to immediately remove the uterus.

My dears, dysplasia and other precancerous conditions of the cervix and uterus are successfully treated with photodynamic therapy. Unfortunately, not all specialists are competent enough and strictly observe the work regulations in the process of preparing and performing PDT.

Therefore, before planning treatment, I have to engage in psychotherapy and restore the method discredited by my colleagues.

The only immediate complication can be considered only intense bleeding after conization, inflammation (temperature above 37.5 ° C requires a visit to a doctor) and narrowing of the cervical canal (stenosis) during the healing process, which are quite solvable on an outpatient basis. But long-term complications are much more serious.

The epithelium, the size of the cervix and the cervical plug are a powerful part of local immunity, laid down by nature.

After conization, the anatomy of the organ and vagina changes, the neck shortens. A short neck and a change in the composition of the secretion of the plug in the cervical canal cannot fully function as a barrier between the external environment and the uterus. The risk of developing infectious diseases of the uterus and appendages increases. And the higher the operation, the higher the risks.