Do I need to have my uterus removed if I have cervical precancerous lesions?

Cervical precancerous lesions generally refer to cervical intraepithelial neoplasia. Whether or not a hysterectomy is needed depends on the severity of the disease. If the patient has low-grade cervical intraepithelial neoplasia or high-grade cervical intraepithelial neoplasia without invasion, follow-up observation can be performed and hysterectomy is usually not required; however, if the patient has high-grade cervical intraepithelial neoplasia with invasion, a hysterectomy may be required.

1. Low-grade cervical intraepithelial neoplasia: If the patient is found to have only low-grade cervical intraepithelial neoplasia during examination, and there is no continuous progression or deterioration, and there are no other malignant tumor diseases after TCT and HPV combined screening, then interferon drugs can be used for treatment under the guidance of a doctor, such as polyethylene glycol interferon α2b injection, human interferon α2b gel, etc. At this time, there is no need for surgical treatment, so it will not affect the normal reproductive function, so the uterus will not be removed.

2. High-grade non-invasive cervical intraepithelial neoplasia: For some women who want to have children, if it is due to infection with human papillomavirus causing high-grade non-invasive cervical intraepithelial neoplasia, but do not want to undergo a total hysterectomy, they can also choose conservative treatment methods to improve, such as taking antiviral drugs as prescribed by the doctor. Commonly used drugs include acyclovir tablets, ganciclovir dispersible tablets, etc., and can also be combined with local physical therapy methods, such as laser therapy, microwave therapy, etc. These methods can effectively control the disease.

3. High-grade cervical intraepithelial neoplasia with infiltration: If the patient's condition is serious and has developed into high-grade cervical intraepithelial neoplasia with obvious infiltration, timely treatment such as total hysterectomy and bilateral salpingo-oophorectomy is required to avoid delaying the disease and causing serious consequences.

4. Other situations: If the patient also suffers from other gynecological diseases, such as vaginitis, pelvic inflammatory disease, etc., and cervical intraepithelial neoplasia is caused by the above types, it is also necessary to go to the hospital in time for treatment and actively cooperate with the doctor for targeted treatment. For example, vaginitis can be treated with metronidazole suppositories and other drugs as prescribed by the doctor.

It is recommended that such patients pay attention to personal hygiene and wash their underwear frequently to avoid bacterial growth and inflammation. In addition, they should also have regular checkups to understand their physical recovery.