Cauterization of cervical erosion with liquid nitrogen. Reviews of women who have undergone treatment. What women need to know about cervical erosion - video

A good treatment option for cervical pathology is cervical erosion freezing. Cauterization with liquid nitrogen makes it possible to save a woman from a gynecological disease without any problems and complications, but cryodestruction is used much less frequently than radiosurgical treatment. The reasons for this are simple - to apply cauterization with Surgitron is more effective and better than freezing with liquid nitrogen. In addition, as the reviews show, treatment using cryotherapy requires special equipment and places to store liquid nitrogen cylinders.

Action of cryotherapy

Liquid nitrogen is a non-toxic chemical with a temperature of -195°. The effect of this agent on tissues and mucous membranes ensures rapid freezing of cellular structures, which leads to the formation of a focus of cryonecrosis (necrosis of a section of the cell layer). Coagulation with liquid nitrogen can effectively remove cervical pathology, but this substance is difficult to maintain in a certain state. Mandatory conditions are special containers with a vacuum insulating layer and a dedicated place in the hospital where you can create optimal storage conditions.

Indications

Cryotherapy is used in the following cases:

with pseudo-erosion and cervical ectopia;
dysplasia of 1-2 degrees;
leukoplakia;
with cervical papilloma.

Exposure to cold provides an excellent effect on the pathological state of the cervical surface. However, the doctor, performing cauterization with liquid nitrogen, cannot accurately assess the depth of cryonecrosis, so it is optimal to use the procedure for superficial lesions.

Advantages of the method

The advantages of the method are the following factors:

no damage to the deep layers of the cervix and cervical canal;
no risk of heavy bleeding and unpleasant odor;
the procedure is painless for most women (as reviews show, there will be discomfort, but there is no need to wait for severe pain);
the risk of narrowing the cervical canal and the formation of scars on the neck is minimal;
the method prevents the risk of the formation of endometrial foci;
provides good and fast tissue healing;
the likelihood of recurrence of pathology on the neck is negligible.

Cauterization with liquid nitrogen is used for simple erosions in the absence of a risk of oncological pathology, when childbearing function is important for a young woman.

Disadvantages of the procedure

In addition to the inconvenience and difficulties during storage, cryodestruction has the following negative aspects:

the inability to conduct a histological examination of the removed erosion due to the complete destruction of tissues against the background of cryonecrosis (therefore, a biopsy is required before cryotherapy to ensure that malignant degeneration is excluded);
ineffective treatment for large erosions, ectropions and cicatricial defects on the neck.

Contraindications

Cauterization with liquid nitrogen should not be done in the following situations:

with a high probability of oncological pathology;
against the background of an exacerbation of a chronic infection or with an inflammatory process detected during the examination;
during pregnancy;
against the background of large defects and cicatricial changes on the neck and in the area of the cervical os;
with an eroded surface exceeding 30 mm in diameter.

If a young woman has pronounced external changes in the exocervix area, then the doctor will choose treatment with radiosurgery or laser therapy.

Training

A prerequisite - the treatment is carried out in the 2nd phase of the menstrual cycle (on the 20-22nd day). This is necessary so that at the time of critical days the wound on the cervix is reliably closed by the scab formed after cryodestruction, which will be the most effective prevention of endometriosis.

Before the procedure, you must pass all the necessary tests prescribed by the doctor. If necessary, it will be necessary to treat infections or vaginal inflammation.

Operation technique

After processing the cervical surface and colposcopic control, the doctor, using a special device with a tip, will cauterize the exocervix with liquid nitrogen. The painlessness of cryotherapy is ensured by the instant destruction of nerve receptors in the area of the cervical canal. Prevention of bleeding occurs due to cold vasoconstriction. The duration of the procedure does not exceed 5-10 minutes: most of this time is spent on preparatory measures and a visual assessment of external cervical changes (tissue swelling, liquid leucorrhoea).

After freezing

On the first day after cryocoagulation, a woman will be disturbed by abundant liquid discharge. Reviews guarantee that pain reactions are minimal, and not every woman has them. Tissue repair begins only after the scab is shed, which happens no earlier than 2-3 weeks. Usually a week after that, the post-burn wound heals completely, so the typical regeneration time is about 1 month.

Freezing of cervical erosion is one of the effective options for the treatment of cervical pathology, which can be used in young women who want to have a baby in the near future. Reviews of women show that treatment with cryodestruction does not increase the likelihood of complications during pregnancy and childbirth.

Cauterization with liquid nitrogen should be used according to indications so as not to create conditions for the recurrence of the disease and to ensure complete removal of erosion from the surface of the cervix.

The cryodestructive method of treating erosion consists in influencing the affected cervix with low temperatures, a kind of freezing.

Many women are concerned about the question - does it hurt to cauterize erosion in this way or not? The procedure is actually painless, so it does not require general anesthesia or local anesthesia. A woman may feel slight discomfort, which can be compared to a routine gynecological examination.

Technique

Cauterization of the affected areas of the cervix with liquid nitrogen is prescribed only after consulting a gynecologist, as well as passing the required tests. If their results allow for the procedure, then the woman is sent to a specially equipped room. The duration of cryodestruction is no more than 30 minutes.

The procedure consists in freezing the erosive areas of the cervix. As a result of this process, pathogenic cells die. They are gradually excreted along with the discharge from the vagina.

Freezing of atypical areas of the mucous membrane causes spasm of blood vessels. This prevents the occurrence of bleeding at the time of exposure to liquid nitrogen. Also, cryodestruction contributes to a local increase in immunity, thereby preventing the development of pathogenic microorganisms.

Cryotherapy does not leave scars on the cervix! This is one of the main advantages of this procedure.

What tests should be done before the procedure?

Cauterization with liquid nitrogen should be carried out on the 7th day after the critical days. For a couple of days, a woman is required to refrain from sexual relations.

Also, in addition to an examination by a gynecologist, the patient must undergo the following studies:

Colposcopy. The cervix is examined under a magnifying glass using a special device - a colposcope. This study is required to study the degree of damage to the mucous membrane.
smear for cytology. It determines the microflora of the vagina, and also helps to identify the presence of pathogenic microorganisms.
Biopsy. The essence of the study is to take a fragment of the epithelial tissue of the cervix. The material is examined to determine possible cancer cells.
Tests for sexual infections. Infectious diseases are a contraindication to the procedure.
Tests for syphilis, HIV, viral hepatitis. For this, a woman donates blood for analysis. In the presence of sexually transmitted diseases, cryodestruction is also contraindicated.
Scraping from erosion. With the help of this analysis, the degree of purity of the vagina is determined.
PCR - polymerase chain reaction. A woman donates blood for analysis. Her study takes place at the DNA level, helps to determine the development of infections.

Based on the results of the conducted studies, the possibility and expediency of conducting cryodestruction for cauterization of the cervix. If the tests show certain deviations, then the treatment of erosion is contraindicated until the woman gets rid of other diseases.

Advantages of cauterization with low temperatures

This type of removal of cervical erosion has a number of advantages compared to other methods of treatment, namely:

Despite the large number of advantages of cryodestruction, the procedure is prescribed only by a specialist after the studies. Since not in all cases it is possible to use cauterization with liquid nitrogen.

Consequences after erosion treatment?

In the first few hours after the process, swelling and redness of the mucous membrane may be observed. 24 hours after the procedure, the epithelial tissue is covered with small vesicles with hemorrhagic or serous contents.

Full recovery occurs 2-6 weeks after exposure to liquid nitrogen. The duration of recovery depends on the severity of the disease, as well as the correctness of cryodestruction.

Cons of this method

Despite the large number of positive aspects of this procedure, it still has disadvantages. These are:

healing of the mucous membrane of the cervix takes a longer period of time compared to other methods of exposure;
there may be severe pain at the time of cauterization with nitrogen, it depends on the pain threshold of the woman;
there is a risk of incomplete removal of erosion, since the doctor can only indirectly determine the depth of exposure to liquid nitrogen. In some situations, a second procedure is required;
with neglected erosion, complications may occur in the form of scarring of the epithelial tissue if uneven damage to the mucous membrane is observed;
discharge during the healing period may have an unpleasant odor.

There is also a restriction of sexual relations for 1 month after the procedure.

Possible highlights

Abundant discharge, sometimes with an unpleasant odor, is a normal symptom after cauterization. mucous membrane of the cervix during the first week. During this period, pathogenic cells are rejected, so the discharge is watery.

But, in comparison with other methods of influencing erosion, the woman has no bleeding at all.

For normal wound healing after cryodestructive exposure, a woman must strictly adhere to the recommendations of the attending physician. This will help to recover in a short time, as well as avoid complications.

Recovery period

In order for the rehabilitation period to pass as quickly as possible after removal of erosion, A woman must adhere to the following rules:

Avoid excessive physical activity. Tension can lead to bleeding, in such cases, cryodestructive exposure must be repeated. For the same reason, heavy objects should not be lifted or carried.
Do not swim in open water. As the wound heals, exposure to water in such areas can lead to infection. As a result of this process, the microflora of the vagina is disturbed, and pathogenic microorganisms begin their active activity.
Observe the rules of personal hygiene. In addition to regular washing, you need to use sanitary pads. Since the discharge during the rehabilitation period is plentiful and watery.
Do not use tampons for a month. Their introduction can injure the mucous membrane of the cervix.
Refrain from sexual relations for 1 month. As a result of intimacy, various injuries may also appear that will interfere with the normal healing of the mucous membrane.
Avoid hypothermia and overheating. Sudden changes in temperature negatively affect the healing process.

Compliance with these rules will help a woman recover in a short time. During the rehabilitation period, you should also regularly visit a gynecologist to assess the dynamics of recovery.

To avoid the re-development of cervical erosion, you should visit a gynecologist at least once every 6 months. This will help to identify pathological processes in a timely manner.

Cryodestruction is one of the safest methods of erosion treatment. But cauterization with liquid nitrogen is contraindicated for women with advanced erosion, during pregnancy, and also with severe damage to the cervix. In such cases, exposure to liquid nitrogen leads to unpleasant consequences.

In other cases, the cryodestructive method is one of the most effective ways to treat erosion.

Modern gynecology has a whole arsenal of means to combat benign pathologies of the cervix, such as erosion or retention cyst. Cryodestruction (nitrogen cauterization) is one of the most sparing methods of treatment, it gives a good result and, moreover, has minimal consequences for the female body.

What is the procedure

The word "cryolysis" in direct translation from Latin means the process of destruction of something by cold. The essence of the procedure is the direct impact on the affected segment of the cervix of the sub-zero temperature, which results in the death and rejection of the formation cells, followed by the replacement of the area with healthy tissues.

This is what cervical erosion looks like

For exposure to cold, liquid nitrogen is used, which, evaporating, is able to freeze cells to temperatures below 100 0 C, or rather, from -90 0 C to -140 0 C.

With the help of an apparatus called a cryodestructor, cauterization is carried out

Do not be afraid that the substance will cause damage to healthy tissues - it is applied pointwise to the desired segment using a special cryoprobe.

Advantages and disadvantages of cauterization with liquid nitrogen

Benefits include the following factors:

the speed of the procedure - no more than 5-10 minutes;
outpatient cryodestruction, i.e. immediately after it, the patient can go home;
no bleeding;
sparing nature of the procedure, leaving no scars;
acceptable price;
low risk of complications.

Moreover, cryodestruction has certain disadvantages:

in comparison with other methods of treatment (laser or radiological removal of the formation and electrocoagulation), cryodestruction demonstrates a lower rate of healing of the postoperative wound;
in varying degrees, the patient may have pain;
the gynecologist is not able to control the degree of depth of impact on the affected segment, as a result of which additional sessions may be needed;
if the areas of damage are localized at different depths, damage to healthy tissues is possible, which can lead to scarring;
copious exudative discharge for some time after the procedure;
a ban on the use of vaginal tampons until the wound is completely healed;
sexual abstinence for 1–1.5 months.

Benefits of cryotherapy - video

In what cases is it prescribed to carry out cryodestruction of the cervix, to whom it is contraindicated

cervical erosion;
ectopic columnar epithelium;
leukoplakia of the cervix;
retention cysts of the cervix;
papillomas of the vulva, vagina;
warts of the vulva, vagina, perineum;
ectropion.

Contraindications to the procedure:

pregnancy;
period;
acute inflammatory diseases, including the organs of the genitourinary sphere;
urinary infections;
fibroids and endometriosis of the uterus;
tumor lesion of the ovaries;
pathologies and damage to the vagina and cervix - cicatricial deformities, dysplasia;
the area of the lesion is more than 3 cm (with deep and extensive foci, the patient is recommended to use other methods of treatment).

How is the procedure: preparation for cauterization

First, the patient undergoes a traditional examination by a gynecologist, and then a colposcopy to clarify the nature of the lesion. Also, the doctor must take swabs for microflora and infections (PCR), and, if necessary, a tissue sample for histology. In many cases, the selection of material for biopsy is carried out directly during the procedure.

With the help of colposcopy, you can accurately determine the nature of the lesion of the cervix

Cryodestruction is performed on the 7-10th day of the menstrual cycle.

No special preparation before the procedure is required. It's a good idea to shave your bikini area and bring a discharge pad with you.

Manipulation progress

With the help of a special cryoprobe, the gynecologist acts on the affected area for several minutes, after which the patient can go home. At the time of cryodestruction, a woman may feel slight discomfort, namely, weak aching pains in the lower abdomen, as is sometimes the case with menstruation, as well as a feeling of heat in the form of hot flashes.

During cryodestruction, blood is not released, since small vessels in the area of operation spasm from the cold, which causes their blockage - thrombosis.

Postoperative period

After half an hour or an hour, edema occurs in the area of cryodestruction, which soon resolves spontaneously. At the site of exposure to low temperature, bubbles filled with liquid form. They gradually dry up. Finally necrotic tissue is torn off in a month or two after the procedure, leaving behind a barely noticeable speck.

Colorless exudative discharge in a patient usually lasts up to a month. In some cases, they may have an odor, but this fact must be told to the attending physician.

Within a month after treatment, you should not go to the beach and swim in the pool

Possible consequences

In most cases, qualified cryodestruction does not lead to scarring, which can disrupt the elasticity of the cervix and vagina, so the procedure is recommended for nulliparous women. In addition, during the manipulation, healthy tissues do not suffer, fully maintaining their functionality.

In rare cases, when cryodestruction is performed without taking into account the nature of the lesion (its size and depth), scar tissue may form in the segment of the cervical canal, which can lead to subsequent complications during childbirth.

Reviews of women who have undergone treatment

... Gynecologists recorded erosion, but ordered to wait until the birth. Well, that time has just come - after the second birth, the doctor suggested me cryodestruction. Moreover, I knew that our polyclinic had more modern equipment - a radioknife, but the doctor chose cryodestruction, and it was useless to argue, of course. Before the procedure, it was recommended to shave, and after the procedure - not to live sexually for a month. Not an easy, of course, restriction for those who are married). But what to do ... The procedure itself was no more unpleasant than ordinary gynecological examinations. I even thought that such an easy (for the patient) procedure would hardly help me completely get rid of the problem ... But a miracle - during the subsequent examination, the doctor noted that everything went fine. And now at every physical examination (I go through every year), doctors, now different, say that the cervix is completely clean. So I'm very happy that I was lucky and everything ended so well.

good spring

http://otzovik.com/review_1540083.html

Cauterization is done on a regular gynecological chair. Conducted by a doctor and a nurse. The nurse supported me. The doctor went above and beyond. Thank them very much. At the end of the operation, he goes into a fever, then into a cold, then again into a fever. I immediately had a headache and my stomach began to hurt like during menstruation. You can’t immediately get up, you need to lie still for at least 5 minutes, because there may be dizziness and even loss of consciousness. I didn’t have that, I didn’t even have a slight dizziness! I jumped out of my chair and went quietly home, and, by the way, when I went out into the fresh air, I instantly felt better, the fever went away, my head stopped hurting. My stomach hurt a lot for the first 2 days. Saved by painkillers. The funniest thing was waiting for me ahead ... IT'S copious lymph flow. Oh, how I suffered with them ... I warn you right away, girls who are just preparing for this procedure, stock up on pads !! I did not have time to change them, especially the first 5 days. They were filled like diapers.))) After a week, the discharge becomes smaller, and after 2 weeks it practically disappears. During this period I spent a lot of pads, probably for a year with monthly ones, I didn’t spend so much. Well, nothing, it's for the sake of health! The discharge is clear, slightly yellowish, odorless. This is normal. It is bad when the discharge is bloody or smelly.

Lenchik82

http://otzovik.com/review_660883.html

There were absolutely no sensations, I don’t even remember the red face, if there was a slight rosy cheek, then just a drop. And then I went out and went, as usual, as after a regular test. I went, as if nothing had happened, in the subway, in a minibus, I got home. There were no discharges or sensations. It seems that they were forbidden to live sexually for several weeks, until everything lives there. One month later, colposcopy showed a smooth neck, with no signs of erosion. So this is a very effective and necessary method of treating cervical erosion.

koala2014

http://otzovik.com/review_1384688.html

The cryodestruction procedure itself (or, more simply, cryo) - treatment of the cervix with liquid nitrogen - was done to me many years ago in 2006. It was the only one at that time (at least the gynecologist told me that this manipulation was performed) the cauterization procedure that could be done to nulliparous women. Its advantages were as follows: - the procedure itself is practically painless, only a feeling of chill and pulls the lower abdomen a little (after undergoing cauterization with the help of a radio wave, it seems that cryo is more humane in relation to the female body); - after that there was drug therapy that could be done myself without the help of medical staff - home-made tampons with medicine (to order, I don’t remember the name) and injections in the leg; - after 6 years, it was the cryodestruction that did not in any way affect pregnancy and childbirth, - the result (the state of the cervix) pleased a lot years of gynecologists, and not just one, both before and after childbirth. It’s like living and rejoicing, but this year (2015) I had to undergo a second procedure for treating cervical erosion, but without the help of cryodestruction, since this method is considered outdated. The reasons are not clear, it seems that at that time the most effective remedy was considered, and practice has shown that such a sparing method turned out to be short-lived. Therefore, from the point of view of painless sensations, it could be recommended, but from a temporary point of view - no.
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Many women are interested in such a treatment method as cauterization of cervical erosion with liquid nitrogen. Let's say right away that this procedure is much more often performed with the so-called pseudo-erosion - a disease that, without treatment, can transform into a malignant tumor. Simple erosion in the vast majority of cases does not require surgical intervention.

Read in this article

What is cryodestruction

Nitrogen erosion cauterization is an intervention aimed at destroying the affected cervical tissue with the help of chilled gases. Simply put, a small area of the organ is frozen and then rejected. Synonyms of such an intervention can be called cryoablation, cryotherapy.

The disadvantage of this method, as well as other ablative (destructive) effects, such as diathermocoagulation and laser vaporization, is that the affected area is completely removed. It cannot be examined under a microscope to analyze its cellular composition.

Therefore, before carrying out cryodestruction, the patient should be carefully examined. The purpose of such a diagnosis is to exclude the early stage of cervical cancer, because after the performed manipulation it will be much more difficult to confirm or exclude it.

Cauterization of erosion with liquid nitrogen for the treatment of pseudo-erosion became widespread back in the 80s of the last century. The advantages of the method are simplicity, safety and low cost. Liquefied gas is used with a very low boiling point, that is, the transition to a gaseous state. It can be liquid nitrogen, nitrous oxide, carbon dioxide.

Liquefied gas passes through the long channel of the device, and then enters the wide nozzle. There, it almost instantly passes into a gaseous state, which, according to the Joule-Thompson effect, causes a rapid cooling of the apparatus.

Most cryosurgery machines are designed to use nitrous oxide. It "boils" at a higher temperature than liquid nitrogen and can be stored in a sealed container. The liquid substance is practically not used directly, because it is stored only in an open reservoir, from where it quickly evaporates into the environment.

Cauterization of cervical erosion with nitrogen occurs at a tissue temperature of -20 degrees and a freezing depth of 5 mm. The underlying areas also freeze, but after thawing, they restore their properties. This depth is considered sufficient for small lesions. However, in severe cervical intraneoplasia, particularly as seen with pseudoerosion, not all abnormal cells can be removed in this manner.

Procedure procedure

Manipulation is performed on an outpatient basis. After its implementation, the patient after a while can be sent home. Special training is not required.

Before the intervention, the woman is explained its essence, she signs a voluntary informed consent for its implementation. A woman is warned in advance about possible unpleasant effects, such as a rush of blood to her face or pulling pains in the lower abdomen.

To relieve these symptoms, a non-steroidal anti-inflammatory drug such as ketoprofen or indomethacin can be taken one hour before the procedure.

Treatment of cervical erosion with nitrogen (more precisely, pseudo-erosion) is best done immediately after the end of menstrual bleeding. Anesthesia intervention is not required.

The patient is located on the gynecological chair. The cervix is opened with the help of vaginal mirrors and Lugol's solution is applied to it to accurately determine the site of exposure. If necessary, the place is additionally moistened with saline. Then a warm tip of the probe is inserted into the vagina and pressed tightly against the affected area.

After that, tissue freezing begins, which lasts from 3 to 5 minutes. After thawing, the tip is removed. For faster extraction, sometimes the neck is additionally irrigated with warm saline. With a large amount of damage, it is possible to carry out repeated cryodestruction of the area located next to the treated area.

The patient should be reminded of the need to refrain from sexual intercourse for a month after cryotherapy.

Benefits of nitrogen cauterization

This method of treatment has been used for a long time, and a lot of experience has been accumulated in its use in gynecological patients. The advantages of cryotherapy include the following:

low cost;
painlessness;
lack of a long recovery period;
bloodlessness and minimizing the risk of infection with infectious diseases;
the short duration of the intervention;
the absence of cicatricial deformity of the neck, which allows the use of cryotherapy in nulliparous patients;
in most cases - safety, good tolerability, no complications.

Negative consequences of cryodestruction

Treatment of erosion with nitrogen is often accompanied by a slowing of the pulse and even fainting. In some cases, seizures may occur. To prevent such an adverse effect after the intervention, the woman should lie down for some time, the nurse monitors her condition, measures blood pressure and pulse rate.

During the first two days after the manipulation, pulling pains in the abdomen are possible, which can be eliminated by taking an anesthetic that the doctor will recommend (for example, diclofenac for 3-5 days). Often not pills help well, but suppositories with non-steroidal anti-inflammatory drugs.

One of the unpleasant complications is hydrorrhea - abundant watery discharge from the genital tract, which persists for a month after the procedure. Also, the patient may have small spotting, but heavy bleeding occurs extremely rarely.

Finally, a rare but rather serious complication of cervical cryosurgery is stenosis (narrowing) of the cervical canal. Sometimes its complete "infection" occurs, which causes a violation of the outflow of blood during menstruation and requires surgery to restore its patency.

Contraindications for use

Cryotherapy is not performed in the following situations:

cervical cancer;
pregnancy and breastfeeding period;
menstrual or other uterine bleeding;
the size of the lesion is more than 3 cm;
deformation of the neck, preventing a snug fit of the tip;
cryoglobulinemia.

After the elimination of the inflammatory process of the genital organs or the cessation of bleeding, manipulation can be performed.

Service price

Depending on the equipment, the clinic where the intervention is performed, often on the qualifications of a specialist, as well as in different regions of Russia, the cost of cryotherapy for the cervix ranges from 1000 to 3000 rubles. In Ukraine, the price for this type of treatment starts from 100 hryvnia.

Cryodestruction of pseudo-erosion of the cervix is not included in the standards of care guaranteed by the state in the system of compulsory health insurance. In other words, even in an ordinary antenatal clinic, if it has the appropriate equipment, you will have to pay for the intervention yourself.

Cryodestruction: the essence of the procedure

Cauterization of cervical erosion with liquid nitrogen is considered one of the most common methods. During the procedure, there is no risk of damage to neighboring healthy cells. In view of this, this type of cauterization of the wound surface is resorted to when the patient plans to become a mother in the future. Since after the manipulation of nitrogen, scars do not remain on the organ, which adversely affect childbearing.

As for the procedure, the essence of cryodestruction is the application of liquid nitrogen to the damaged areas with a cryoprobe. The manipulation itself looks like this:

the gynecologist introduces special mirrors into the vaginal area to obtain maximum visibility;
then, a cryoprobe is carefully introduced, connected to a cylinder with nitrogen in liquid form;
then the specialist acts with cold on the focal areas, due to which there is an instant cooling of the damaged mucosa.

Important: The cryoprobe is a highly accurate instrument, in parallel the process is strictly controlled by a specialist. All this allows you to correctly perform the manipulation without affecting healthy areas of the tissue.

This manipulation takes no more than 5-7 minutes. And the process of recovery of the mucosa lasts up to two months. During this period, all damaged tissues are rejected, and healthy ones form in their place.

Cauterization of erosion with liquid nitrogen basically does not cause discomfort, which is an undoubted advantage of this method. As a rule, during the procedure, the patient feels a slight tingling sensation. However, in rare cases, the reaction can still be more negative. In view of this, the gynecologist, before carrying out cryodestruction, conducts a detailed diagnosis in order to foresee all the negative consequences.

Advantages of the technique

Cauterization of cervical erosion with nitrogen is considered one of the most effective methods, which has several advantages:

short duration of manipulation. On average, freezing takes from 5 to 10 minutes, depending on the size of the damaged area;
after the procedure, the woman is not bothered by spotting;
minimum number of negative consequences. As a rule, after freezing for two weeks, there is a slight swelling and lymphatic discharge;
the risk of complications is negligible. According to statistics, only 10 cases out of 100 have negative consequences;
lack of scar formation that occurs after tissue renewal;
acceptable cost.

Of course, in addition to a number of advantages, freezing cervical erosion also has some disadvantages. Often, experts refuse this method due to the risk of insufficient freezing of the mucosa. And this, unfortunately, is not the only minus of manipulation.

Disadvantages of cryodestruction

Cauterization of the wound surface with nitrogen, as mentioned above, also has certain disadvantages, among which the following can be distinguished:

the process of tissue healing is slow;
there is a possibility of severe pain during the procedure;
if the manipulation is performed by a doctor with little experience in performing such operations, there is a risk of an incorrect assessment of the affected area, which leads to repeated cauterization;
there is a risk of damage to healthy areas of the mucosa, in cases where the wound surface has uneven localization;
after the procedure, you will need to stay away from intimacy, the use of tampons and vaginal suppositories until complete healing.

Freezing cervical erosion will not bring a positive result if the wound zone is located in deep and uneven layers. The reason for the ineffectiveness is that the doctor does not have the opportunity to fully assess the extent of the lesion. Accordingly, the impact of liquid nitrogen on the damaged area will be incorrect.

As a rule, the treatment of cervical erosion with nitrogen does not require special training. Manipulation is carried out a week after the end of menstruation. The main task of the patient is to tune in to a positive outcome of the operation and strictly observe the rehabilitation period. After cryodestruction, a woman may experience excessive discharge of lymphatic fluid. In view of what the doctor recommends the use of sanitary pads. Similar discharges are observed during the first month, after which they disappear as soon as the wound begins to gradually heal.

In general, this method of cauterization is gentle and is recommended for many patients. However, in some cases, cryodestruction is contraindicated, namely:

during the period of expectation of the child;
during the menstrual cycle;
if lesions of a different nature are diagnosed on the cervix;
if the wound surface exceeds 3 cm in diameter;
when inflammation is detected;
extensive wound zone;
swelling in the ovaries or uterus;
dysplasia grade 3.

Important: If erosion has affected a large area, it is not advisable to resort to cryodestruction. Since this technique is effective only for small affected areas.

When is cryosurgery indicated?

An indication of cauterization of erosion with nitrogen is the presence of a problem. In addition, specialists resort to such manipulation in the following situations:

when detecting papillomas and condylomas;
ectopia;
leukoplakia;
cystic cervicitis;
dysplasia 1 and 2 degrees.

In the absence of contraindications, the gynecologist prescribes a freezing procedure, provided that the woman herself is not against this technique.

Rules for preparing for manipulation

As mentioned above, there is no special preparation for cryodestruction. Before manipulation, a woman needs to visit a doctor who will do the following:

conduct an examination with mirrors on a gynecological chair;
record all complaints of the patient;
take a smear to study the microflora;
at the next visit, if there are no contraindications, he will conduct a re-examination on the chair using a colposcope.

Based on the data obtained, the doctor will decide on a method for eliminating the wound zone. If a woman consents to cryodestruction, the doctor will inform about all the features of the manipulation, what sensations may occur during the operation, and how the rehabilitation period goes.

Freezing technique

If there are no contraindications, the patient, taking into account the menstrual cycle, is assigned the date of the procedure. For cryodestruction, a woman is located on an examination chair. Then the doctor proceeds to freeze. Excision in this way involves several stages:

first, the dislocation site of the wound surface is treated with saline, by introducing a tampon into the vaginal area;
then an acetic solution is applied to the neck to accurately determine the affected areas. At this point, the patient may feel slight discomfort;
after that, the wound surface is again amenable to treatment with saline.

Important: The best time to freeze is the 7th day after the end of menstruation. In this case, the wound surface will have time to heal until the next menstruation after exposure to nitrogen.

After the completion of the first preparatory stage, they begin to use the cryodestructor:

mirrors are introduced into the vaginal area, and then carefully the tip of the device so that its end part is directed to the wound site;
as soon as the probe reaches the location of the pathology, the doctor sets a timer and starts the freezing device;
from exposure to liquid nitrogen, the damaged area is covered with a whitish coating. This signals that the wound surface is frozen;
the process of processing the pathology takes up to 5 minutes, after which the affected area thaws for 4 minutes, and then again lends itself to freezing.

Important: If the pathology has a large area of dislocation, the doctor eliminates the problem in two visits. Since at one time it will not be possible to completely destroy deep lesions.

At the end of the procedure, the gynecologist makes a second examination of the cervix. And if bleeding is not detected, the affected area is treated with Monsel's paste. Further, in order to control the effectiveness of the procedure, the doctor recommends a second examination in two weeks. At a follow-up visit, a smear is taken from the patient and a colposcopy is performed.

Recovery period

After cryodestruction, a woman may be disturbed by the following symptoms:

feeling of tiredness with great weakening;
dizziness;
pain in the head;
in rare cases, loss of consciousness is possible. As a rule, such a condition occurs if a woman abruptly gets up from the gynecological chair immediately after the completion of the manipulation.

In addition, on the first day after the operation, pains of a pulling nature may disturb, which completely disappear already on the third day. During the first month, a woman will have a watery discharge. This condition is considered normal and is not a cause for concern. In rare cases, small fragments of blood may be observed in the watery discharge. This symptom is not dangerous as long as the amount of biological fluid released is negligible.

Important: If the technique for performing cryodestruction is violated, or if such manipulation was carried out during an inflammatory process, there is a high probability of developing side effects.

exclude intimate contacts for 8 weeks;
do not take hot baths, do not swim in rivers and pools for 2 months;
avoid heavy lifting.

2 months after the cryodestruction, you should visit a gynecologist for a preventive examination in order to determine the intensity of healing of the mucosa.

Possible Complications

In rare cases, after the erosive formation has been cauterized, complications may occur in the form of the following symptoms:

watery discharge lasting more than a month;
feeling of severe pain in the lower abdomen for more than a week;
bleeding;
discharge of a yellowish color with an unpleasant odor. A similar symptom indicates the presence of an infection. In view of this, immediate medical therapy is required;
temperature increase more than 38C;
concerned about feeling chills or fever.

With such signs, you should immediately visit a doctor. Such symptoms indicate the accession of a dangerous infection, due to the incompetence of the doctor who performed the procedure. It is important to understand that if the cryodestruction of cervical erosion is performed in compliance with all the rules, there is practically no likelihood that the above consequences will occur.

And lastly, erosion should be treated by freezing, taking into account all contraindications. In addition, for this procedure, you should contact a competent specialist. Only in this case the results of cryodestruction will be positive.

Is cryosurgery effective?

Currently, there are many unfounded rumors around cryodestruction. You can often hear that freezing with nitrogen is considered the most effective method of dealing with erosive formations. To some extent, this assertion is correct. However, if we take into account the long healing period and a number of contraindications, the conclusions are as follows, this statement is not entirely true. In addition, according to statistics, a positive result is observed only in 85% of patients out of a hundred. Of course, this is more compared to other methods, but it is not the highest indicator.

Moreover, if we compare the laser method of pathology excision with cryodestruction, then the advantages are clearly in favor of the first option. However, only a doctor should determine the appropriate way to eliminate the problem, taking into account all the individual characteristics of the female body. And the cost of laser excision of pathology is several times higher compared to cryodestruction.

In general, the considered method of eliminating erosion is considered one of the most effective and safe, with which you can get rid of erosive formations in the shortest possible time, provided that an experienced doctor freezes. A relatively small list of contraindications and a minimal risk of side effects make it possible to use freezing even in situations where other methods are contraindicated.