What does physiotherapy provide in gynecology?
Physiotherapy improves blood circulation in the pelvic organs, reduces swelling and chronic inflammation, softens adhesions and accelerates tissue restoration. They are prescribed for chronic salpingoophoritis and endometritis without exacerbation, for adhesions and pelvic pain, for rehabilitation after operations and intrauterine interventions, as well as in the complex treatment of infertility. The course usually consists of 8–10 procedures and is planned taking into account the phase of the menstrual cycle. Important restrictions: physiotherapy is not performed for acute inflammatory processes, bleeding, pregnancy and if a tumor process is suspected.
Cervical pathology: why it is important to treat
Changes in the cervix are asymptomatic for a long time. Moreover, this is where one of the few types of cancer develops that can be completely prevented, provided that precancerous conditions are detected and treated in a timely manner.
The human papillomavirus plays a key role: oncogenic types of HPV cause dysplasia, which, if left untreated, can turn into cancer over the years. Therefore, the modern approach is based on the combination of “cytology + HPV test + colposcopy”, and treatment is prescribed according to the results, and not “by eye”.
Key interventions
- coagulation - destruction of the superficial pathological area
- conization - excision of a cone-shaped section of the neck with capture of the canal
- extended conization - larger volume when the process spreads into the canal
- removal of condylomas and papillomas with HPV infection
Histology is required
During conization, the removed tissue is necessarily sent for histological examination. It shows the true extent of the changes - often more pronounced than according to the biopsy - and confirms that the pathological area has been removed within healthy tissue. Further surveillance tactics depend on this.