Cryotherapy as a Method of Treatment for Cervical Ectopy

Abstract

Introduction: Cervical erosion is a common physiological process seen in almost all women of reproductive age group. Cervical erosion/ ectopy is histologically dened as a condition in which the squamous covering of the ectocervix is replaced by single-layer columnar epithelium which is continuous with the lining of the endocervix. This retrospective study was carried out at gynaecology clinic in district Shi Material And Method: vpuri M.P. From December 2017 to April 2022. 69 patients were included in the study. A detailed history including name, age, residence, socioeconomic status, parity, and any inammatory condition in past was taken. Per-speculum & per-vaginal examination was done. After counselling and written consent, all patients with cervical erosion (cytologically negative for intraepithelial lesions) were treated in an outpatient Colposcopy clinic by cryotherapy. After treatment, all patients were asked to come for follow-up th th th after 4 , 8 and 12 weeks. In our study most common age group was 25-40 years (5 Results: 0.72%), most of them were of low socioeconomic status (52.17%) and were from rural areas (79.71%) most of them were para 2 (42.02%). The most common presenting complaint was excessive vaginal discharge (68.11%), followed by intermenstrual bleeding (15.94%) and vaginal itching (4.34%). The most common problem experienced after cryotherapy by patients was Hydrorrhoea (Watery discharge) 81.15% which lasts for 2-4 weeks. In our study, symptomatic cure was found in 85.50% patient. On clinical examination, healing of the cervix [clinical cure (ectopy completely disappeared in maximum patients after 8-12 weeks)]. was found in 89.85% of the patient after 12 weeks of cryotherapy. we concluded that cryotherapy is a safe and effectiv Conclusion: e and acceptable method to treat symptomatic ectopy of the uterine cervix. It is cost effective, as fast acting, easy to acquire therapy and can be practiced by health personnel, and can be used in lowor middle income countries.