What should I do if HPV is still positive at the 3-month follow-up after conization?
HPV positivity found on follow-up examination 3 months after conization can usually be treated effectively with cryotherapy, which helps alleviate the condition. The specific procedure is as follows:
1. The patient should empty the bladder, assume the lithotomy position, and undergo routine disinfection of the external genitalia and vagina.
2. The physician inserts a speculum to open the vaginal canal, exposing the cervix, which is then disinfected again.
3. Select an appropriately sized cryoprobe based on the size of the cervical os and the extent of the lesion, ensuring the frozen area extends approximately 2 mm beyond the visible lesion margins.
4. Place the cryoprobe firmly against the affected area and activate the device to begin treatment. Freeze for 3 minutes, allow natural rewarming for 3–5 minutes, then perform a second freeze cycle of 3 minutes.
5. After complete separation of the probe from cervical tissue, remove the cryoprobe.
This procedure requires professional expertise. If treatment is needed, it is recommended to visit a正规 hospital and have the procedure performed under the guidance of a qualified physician to prevent bodily harm. Additionally, maintain proper hygiene and care in daily life to avoid compromising treatment outcomes.