After the cervical conization, the disease came back again

The recurrence of lesions after cervical conization may be related to factors such as insufficient surgical scope, persistent high-risk HPV infection, and improper postoperative care. The treatment methods for secondary lesions after cervical conization mainly include close follow-up, drug treatment, and secondary surgery. It is recommended that patients seek medical treatment promptly and receive standardized treatment under the guidance of a doctor.

1. Close follow-up

Cervical cytology examination and high-risk HPV testing are required regularly after surgery. It is recommended to review every 3-6 months for more than 2 years. If abnormal cell changes are found during follow-up, colposcopy should be performed promptly. Follow-up is an important means of early detection of disease recurrence and can effectively prevent the condition from worsening.

2. Drug treatment

For the recurrence of lesions caused by persistent high-risk HPV infection, antiviral drugs such as interferon suppository and Baofukang suppository can be used as directed by the doctor. These drugs can inhibit viral replication and enhance local immunity. At the same time, immunomodulators such as recombinant human interferon α2b vaginal effervescent tablets can be used to help clear viral infections.

3. Second surgery

If the lesions are large or severe, a secondary cervical conization may be required. Depending on the condition, cold knife conization or LEEP knife conization can be selected. For patients without reproductive needs, total hysterectomy may be considered if necessary. The surgical method needs to be decided by the doctor based on the patient's age, fertility requirements and other comprehensive assessments.

4. Lifestyle adjustment

Premature sexual intercourse should be avoided after surgery and it is recommended to resume after 2-3 months. Keep the vulva clean and dry and avoid bathing and swimming. Stop smoking and limit alcohol consumption, ensure adequate sleep, and exercise appropriately to improve your physical fitness. These measures can help reduce the risk of recurrence.

5. Psychological counseling

Recurrence of lesions may cause anxiety and fear in patients. Psychological stress can be alleviated through psychological consultation and communication with patients. Family members should provide full understanding and support to help patients build confidence in overcoming the disease. A good mentality has a positive effect on disease recovery.

After cervical conization, patients should pay attention to maintaining a regular schedule and avoiding overexertion. Eat more foods rich in high-quality protein and vitamins, such as fish, eggs, fresh vegetables and fruits, etc. Carry out appropriate aerobic exercise, such as walking, yoga, etc., to enhance the body's resistance. Strictly follow the doctor's instructions for medication and review, and seek medical advice promptly if symptoms such as abnormal vaginal bleeding or increased secretions occur. Pregnancy should be avoided within 1 year after surgery, and those who want to have children need to plan pregnancy under the guidance of a doctor.