What should I do if CIN1 lesion worsens?

Generally, CIN1 refers to cervical intraepithelial neoplasia grade 1. Factors that may worsen this condition include early or frequent sexual activity, weakened immune function, chronic cervicitis, cervical columnar epithelial displacement, and human papillomavirus (HPV) infection. Treatment options include general management, medication, physical therapy, and surgical treatment, as directed by a physician. Detailed explanations are as follows:

1. Early or Frequent Sexual Activity

Initiating sexual activity at an early age or engaging in frequent sexual intercourse can increase irritation and injury to the cervical epithelium, thereby raising the risk of developing the disease. Delaying marriage, reducing the frequency of sexual activity, and postponing the onset of sexual life are recommended.

2. Weakened Immune Function

When the immune system is compromised, the body's ability to resist pathogens declines, increasing the likelihood of cervical lesions. Maintaining a healthy lifestyle, including a balanced diet and moderate exercise, can help strengthen the immune system and reduce damage to cervical cells.

3. Chronic Cervicitis

Chronic cervicitis may result from long-term inflammatory stimulation, leading to abnormal changes in cervical cells. Chronic cervicitis can exacerbate cervical intraepithelial neoplasia grade 1. Symptoms may include increased vaginal discharge, changes in discharge color, and lower abdominal pain. Treatment options, as recommended by a physician, may include medications such as metronidazole suppositories, Baofukang suppositories, and antimicrobial suppositories.

4. Cervical Columnar Epithelial Displacement

Cervical columnar epithelial displacement may occur due to the movement of columnar epithelium outward under the influence of estrogen, covering the cervical os and forming a red area that is prone to external stimuli and lesions. This displacement can worsen cervical intraepithelial neoplasia grade 1 and may be accompanied by symptoms such as pain and contact bleeding. Treatment options, as directed by a physician, may include medications such as Huahong tablets, Gongyan Kang granules, and metronidazole tablets.

5. Human Papillomavirus Infection

HPV infection may be transmitted through sexual contact, indirect contact, or mother-to-child transmission. HPV infection can stimulate excessive proliferation of cervical cells, leading to cervical intraepithelial neoplasia grade 1. Associated symptoms may include increased vaginal discharge and contact bleeding. Treatment options include physical therapies such as cryotherapy and laser therapy, as prescribed by a physician. If the lesion continues to progress, cervical conization surgery may be considered.

In daily life, it is important to maintain good personal hygiene, keep the vulva clean, and avoid excessive vaginal douching, which may disrupt the natural vaginal flora. Regular cervical cytology tests and HPV testing are also recommended for early detection and management of cervical abnormalities.