First, how treatment of severe cervical erosion?

 1. Physical therapy: is the very broad application of a treatment method with a short course of treatment, efficacy good advantages for the larger erosion and inflammation in patients with deeper infiltration. Common method for an electric iron, laser therapy, cryotherapy.

 2. Surgical treatment: cervical hypertrophy or erosion surface deep and extensive, and those involving the cervical canal could be considered cervical conization or total hysterectomy.

 2, laser treatment of cervical erosion will lead to infertility?

 Cervical erosion Without aggressive treatment, later associated with the concomitant increased chance of malignant tumors. So found a cervical erosion must take an active treatment. The most commonly used method of treatment of cervical erosion is a local treatment, such as laser therapy, microwave therapy, etc., while having a higher cure rate. However, several treatment modalities will have some damage to the body, even if the doctor skillfully operate on the operating range of the breadth and depth are appropriate control, laser or microwave treatment on fertility, or have a certain impact.

 3, severe cervical erosion may first pregnancy and then treated?

 From a doctor’s point of view can not simply say feasible or infeasible. Can only make recommendations from a medical point of view: If it is severe cervical erosion, preferably before pregnancy to be a TCT examination will help identify cervical erosion is a severe inflammation of pure, there are still a precursor to cancer and cervical cancer, or the Some virus infections, if we can exclude these reasons, only to determine is just a simple inflammation, we can first pregnancy, and then do the treatment.

 Check out a physical examination within the oviduct Xiao-Lan has a mass, after careful examination of the final set because of left ectopic pregnancy mass, because it prevented a fertilized egg into the uterus. Xiao-Lan wondered, ectopic pregnancy, when the problem has been resolved, how the entanglement is still silently to her so long?

 Ectopic pregnancy, also known as ectopic pregnancy, means the occurrence of pregnancy in the uterine cavity, of which about 98% occurred in the fallopian tubes. Take the site of ectopic tubal pregnancy, it’s clinical manifestation and Yunluan the implantation site in the oviduct, the availability of abortion or rupture, the amount of intra-abdominal bleeding and how much the duration of the disease. Even the rupture of tubal pregnancy, according to the disease Jihuan also can be divided into two types of acute and old.

 60% ~ 70% of ectopic pregnancies for acute disease, abortion or ruptured Yunluan time cause acute massive bleeding, so that sustainable development and to increase the disease, showing typical clinical symptoms. Acute ectopic pregnancy with menopause, the three major symptoms of abdominal pain and vaginal bleeding, most of them stopped by the time 6 ~ 8 weeks. During treatment in patients with abdominal pain is the main symptom, often accompanied by nausea and vomiting. Department of embryo death caused by vaginal bleeding, bleeding more irregular, the amount of more or less, but not exactly dripping have to wait until lesions are removed, bleeding before being stopped completely. Large amount of bleeding ectopic pregnancy and emergency who can quickly appear syncope and shock, thus life-threatening.

 Compared with acute tubal pregnancy, old ectopic pregnancy becomes relatively “moderate.” This type of ectopic pregnancy in patients with Yunluan abortion or rupture, bleeding less, over time, internal bleeding on their own to stop Ershi condition stabilized. At this point embryonic death, fluff degradation, to stop internal bleeding, abdominal pain reduced, the formation of hematoma of the gradual hardening machines, and the adhesion with the surrounding tissues and organs. Old ectopic pregnancy in theory, there should be irregular vaginal bleeding, paroxysmal abdominal pain, low heat. Is the intra-abdominal bleeding due to low heat absorption, such as infection, then the performance of high fever.

 An ovarian surface is conducive to cultivation of ovarian eggs can produce decidual tissue and ovarian surface endometriosis lesions of these conditions are favorable to a fertilized egg grow.

 Two-impaired ovulation due to pelvic inflammatory disease caused by inflammation around the ovaries and pelvic adhesions, follicle inside the pressure has eased, and the cumulus granulosa cells, and to make an egg discharge will be impeded.

 3 tubal function impairment due to congenital or other reasons, the activities of oviduct ciliated epithelium or fallopian tube abnormalities produce reverse peristalsis, resulting in the delivery of abnormal fertilized egg.

 4 assisted reproductive techniques assisted reproductive technologies, such as in vitro fertilization and embryo transfer occurred after some of ectopic pregnancy ovarian pregnancy.

 5 reproductive system in the formation of primordial germ cells, primordial follicles prior to the formation of cross-fertilization teratoma, primary chorionic tumor and so on, but it seems difficult to explain ovarian pregnancy.

 6 IUD IUD use in many reported in the literature to increase the risk of ovarian pregnancy. May be related to intrauterine environment has changed, prostaglandin increase in the fallopian tube reverse peristalsis.

 7 opportunities on the doctrine due to chance, there is a mature egg in the ovary fertilization, or sperm accidentally discovered ovarian surface with a combination of mature eggs.

 (1) Chronic salpingitis. Endometrial inflammation so that tubal adhesions, leading to stenosis, wall weakened peristalsis, so that eggs can enter into the fallopian tube fertilization, while the fertilized egg can not go back cavity.

 (2) The fallopian tube dysplasia malformation, endometriosis, and ligation and then pass, so that a fertilized egg to run hindered rather stay in the tubal implantation and development.

 (3) pelvic tumor compression or traction, so that tube displacement or deformation, impede fertilized egg through.

 (4) The fertilized eggs travel. Yunluan after fertilization in the side of the fallopian tube, along the umbrella can swim to the opposite end of the fallopian tubes, due to the time extension has not yet reached the uterine cavity on implantation with the ability to form ectopic pregnancy.

 Ectopic pregnancy How’s that? In general, the formation of ectopic pregnancy with these factors can not avoid. For pregnant women, if suspected of ectopic pregnancy, should go to hospital for an examination in order to avoid misdiagnosis and life-threatening.

 1. May. When the history of menopause, early reaction, the side of the abdominal pain or abdominal cramps abdominal pain, it should be thought likely to suffer from an early ectopic pregnancy. You have to take the first morning urine to the gynecologist for treatment. Such as the urine pregnancy test was positive, and stopped by 42 days B-mode ultrasound uterine cavity did not see the pregnancy sac, while in the uterus to see the abnormal mass, then the ectopic pregnancy is likely.

 2. Confirmed. There menopause, early reaction, urine pregnancy test was positive, and stopped by 49 days B-ultrasonic examination: the uterine cavity did not see the original beat cardiovascular, anti-cardiovascular outside the womb to see the original Bo movement (early embryonic heartbeat), then can be diagnosed as an ectopic pregnancy. 1,2 points you want to memorize.

 3. Hemorrhage. Menopause, early response positive pregnancy test, abdominal pain with bowel movement a sense of a small amount of vaginal bleeding (or bleeding), you should think of yourself as ectopic pregnancy, has been bleeding. At this point, should seek medical attention immediately to the gynecologic emergency. Gynecological examination, your cervix are shaking cite pain and tenderness after the dome there, uterus does not increase, the uterus next to the palpable tenderness of the mass; doctor for you to make the posterior vaginal fornix puncture, non-condensing out of the dark red blood, the diagnosis of the basic set.

 4. Haemorrhage. The above-mentioned symptoms, simultaneous syncope, dizziness, palpitations, thirst; pairs of mirror self-examination, pale, pale nails, revealing a lot of intra-abdominal bleeding, loss of body blood volume of about 1 / 3. At this point you have rushed to the hospital emergency room, the general need to call an ambulance, rapid and sent to the emergency room. Medical examination, your pulse quickly, up to 100 ~ 160 times / min, blood pressure, abdominal bulge, a non-condensable culdocentesis blood. Reveals a lot of intra-abdominal bleeding, and continued out.

 Gynecological experts have warned that pregnant women should pay close attention to their own physical and psychological changes, early detection of ectopic pregnancy, and timely handling the various situations, in order to minimize the risk.

 (A) Ultrasound diagnosis of early tubal pregnancy, B super-imaging shows the uterus increased, but the uterine cavity empty, Gongpang there is a low-echo area. Such images do not sound like features of ectopic pregnancy, should be excluded early intrauterine pregnancy associated with pregnancy, corpus luteum possible. Ultrasonic detection of pregnancy sac and fetal heart beat is very important in the diagnosis of ectopic pregnancy, such as ectopic pregnancy is located, can be diagnosed as extrauterine pregnancy; gestational sac in the uterus, is more of ectopic pregnancy can be ruled out. B ultra-early diagnosis of interstitial pregnancy has important clinical significance, can be displayed side of the uterine horn prominent, local muscle thickening, which has obvious pregnancy sac.

 (B) of endometrial pathology, diagnostic curettage only applies to vaginal bleeding in patients with more purpose is to exclude intrauterine pregnancy. Uterine discharges should be routinely sent to pathological examination, sections, such as seen in hair can be diagnosed as intrauterine pregnancy, as only see decidua without villi, although the ectopic pregnancy should be considered, but not confirmed.

 (C) the pregnancy test, embryo survival or the trophoblast cells have the vitality, the syncytial cells secrete hCG, pregnancy test can be positive. As the body of ectopic pregnancy in patients with hCG levels of lower than normal pregnancy, so the general determination of hCG, the positive rate low, to adopt the more sensitive β-hCG monoclonal antibody radioimmunoassay or ELISA testing.

 (D) of the posterior vaginal fornix puncture, most likely due to the accumulation of intra-abdominal blood rectum pouch in the womb, even though much blood can also be sucked out through the posterior vaginal fornix puncture. With 18 long needle piercing the uterus from the vagina posterior fornix rectum pouch, out of dark red blood was positive for the results, stating the existence of hemoperitoneum.

 (E) laparoscopy, conditional, and if necessary, laparoscopy can be used.

 Women, the symptoms of ectopic pregnancy occurred in a timely manner after going to the hospital for examination, without delay, but can not be mistaken for other diseases which they can give her own prescription.