Suppositories for thrush and cervical erosion. The most effective drugs for the treatment of erosion

The female body at any age is susceptible to a number of ailments, including gynecological diseases that affect internal organs and affect women Health generally. One of the most common diseases among the female half of humanity is cervical erosion.

Erosion on the uterine cervix is characterized by the presence of damage that forms on the mucous tissues of the uterus. Over time, changes in the condition of the mucous membrane occur, which can be multiple when diagnosing the disease.

Detection of manifestations of erosion of the uterine cervix does not require a long examination and, as a rule, is detected during a standard gynecological examination by a doctor.

Classification of uterine erosion

In medical practice, there are two main types of erosions in the uterine cervix:

But if we are talking about a provoked neoplasm, then there are several types of uterine erosions:

Erosion is detected during an examination by a specialist using a special gynecological speculum.

Erosion lesions are tissue areas of varying sizes internal organs characteristic bright red hue.

Often such lesions are localized in the external os of the uterine cervix. Erosion can and should be fought against. Modern gynecology offers several options for the treatment and prevention of the disease, the choice of which depends on the degree, nature and neglect of each individual case.

The use of suppositories in gynecology

All methods used in the treatment against erosion and its further consequences are aimed at eliminating the symptoms of the disease as quickly as possible and restoring damaged tissue areas.

One of effective means Gynecological suppositories are considered against inflammatory processes affecting the internal organs of patients. Special candles are great for the following:

get rid of erosion in the cervix;
allow you to achieve a gentle treatment method;
prevent the need for radical surgical measures.

It is necessary to treat ectropion through a course of suppositories only based on the results of an examination by a gynecologist and passing all the necessary tests. This type of treatment does not require hospitalization of the woman and allows her to carry out all the manipulations independently at home.

When wondering which suppositories are most effective against the manifestations of erosion, one should take into account the form in which the treatment will be prescribed. In this case, there are two most correct options:

In any of the above cases, drugs in the form of suppositories should be used regularly, in a course, and only on the recommendation of a gynecologist.

Treatment, prevention and symptom management

When it comes to eliminating unwanted symptoms of a disease that manifest themselves to a minor extent, or taking preventive measures against the manifestations of uterine neoplasms, it is worth paying attention to drugs that contain the following components:

The presence of vitamin E, which perfectly nourishes, heals and protects damaged areas of the mucous membrane of internal organs, is also welcome in the composition of such suppositories for vaginal use. All of the listed ingredients are hypoallergenic and are characterized by excellent nutritional properties that ensure an accelerated process of tissue regeneration.

If the planned treatment is prescribed to combat fungal infections, then it is suppositories with tea tree oil that help eliminate bacteria, viruses and pathogenic fungi that affect the female microflora of the body. The effective composition of such products effectively eliminates inflammation that occurs in genitourinary system female patients.

For the safe and effective use of any product, it is enough to consult a doctor and read the instructions supplied by the manufacturer with each package of the drug. As a rule, candles with herbal composition can be used once a day, preferably before bed, at night. In this case, excellent absorption of active ingredients is ensured. Courses of treatment range from 7 to 10 days in a row, which depends on the indications in each specific case.

To completely get rid of damaged skin areas, you may need 1-3 full courses of using the product in the form of vaginal suppositories. It is acceptable to use funds according to the same scheme, if we are talking about recovery period after a surgical intervention in a woman’s body, for example, after a cauterization procedure for an erosion site.

The following remedies are considered the most effective against cervical erosion:

Suppositories based on natural sea buckthorn oil are especially popular among both doctors and patients. The product has proven itself to be a reliable assistant in the fight against tumors on the uterine cervix.

Sea buckthorn suppositories allow not only to treat, but also to completely restore the affected skin, eliminating not only the manifestation of erosion, but also its possible consequences further.

Treatment of this pathology is urgent and requires professional assistance from medical specialists.

Most often for To cure erosion, use the following suppositories:

Vaginal.
Contraceptives.
For healing after cauterization.

Vaginal

The most common vaginal suppositories:

Contraceptives

Suppositories intended for the treatment of erosion are considered the most effective. They have an effect on infected tissue, remove all bacteria, and heal damage. While using them, you should not drink alcohol or have sexual intercourse.

The most popular of them:

Hexicon. This product has an antiseptic effect. It restores the vaginal microflora. For erosion, it is used twice a day.
Terzhinan. This remedy is suitable for the treatment of viral and sexually transmitted diseases. It will eliminate all germs and infections, and will also prevent the fungus from spreading to other areas.
Polygynax. This medicine gets rid of infection and fungus. It is most often used for damaged tissues. You need to take it for 2 weeks.
Phytocandles. They consist of natural substances and microelements. The product relieves pain and disinfects, helping to quickly cure erosion.

After cauterization

It is possible to treat erosion with suppositories or cauterization. Damaged mucous membranes must be restored after this procedure. At this time, you need to monitor the body and its condition, following many recommendations.

Important! A woman needs to limit sexual contacts, refuse physical exercise and visits to the bathhouse. To carry out more successful rehabilitation, the gynecologist prescribes suppositories.

Suppositories used after cauterization have a healing effect, since the components included in the composition not only regenerate tissue, but also completely restore the epithelium. The duration of use of such a drug is determined by the doctor.

Depanthol is a suppository that is considered the best during the rehabilitation period. They not only promote healing, but also restore the sexual sphere.

How to treat?

You should know that suppositories for the treatment of such a disease are prescribed only by a doctor. You should not self-medicate, listen to friends and acquaintances, and especially not look for answers to your questions on the Internet.

Many women are afraid of medical procedures; suppositories are the best option for them. Sometimes the doctor prescribes products that you can make yourself. But he also often points to those drugs that are sold in finished form and are characterized by particularly fast results.

Vaginal suppositories are suitable as complex therapy. The doctor must find out about all the patient’s allergies, so as not to aggravate the situation, but to direct treatment in the right direction.

What are they good for?

Suppositories are completely safe. They are suitable for women who do not yet plan to become mothers, in addition, This is the only means to extinguish the disease at an early stage of development.

When introduced into the vagina, they begin to contact the mucous membrane and stop the development of inflammation, promoting particularly rapid healing.

Advantages of using suppositories:

Candles are delivered medicinal properties to the site of inflammation.
They have a soft base and quickly melt inside, spreading over the surface of the mucous membrane.
Such drugs soften the mucous membrane and relieve all pain. In addition, they also output all selections.
The active substances in their composition do not affect healthy bacteria.
Candles are convenient to use - you can even make them yourself.

Cervical erosion refers to a category of common ulcerative lesions that affect the mucous part of the cervix in the vagina. The disease can occur both in nulliparous girls and in women who have had childbirth with complications. Medicine today offers several effective methods for treating pathology, but treatment with vaginal suppositories is considered the most harmless and gentle. Candles can safely and painlessly solve the problem in a short time.

Cervical erosion - what is it?

Not every woman knows what cervical erosion is, especially for those who have not given birth, this concept means nothing. Erosion is a gynecological disease of the reproductive system, accompanied by defects on the mucous membrane in the form of ulcers and wounds. These wounds grow and become larger, which is why they cause a lot of inconvenience and discomfort in the future.

As a rule, the causes of the disease are inflammations that penetrate the body: gonococci, staphylococci, chlamydia, trichomonas, etc. Unfortunately, these are not all the reasons. The catalyst can be various injuries received during childbirth or after an abortion. Sometimes an imbalance in hormones can trigger the development of erosion. There may also be a congenital pathology.

Symptoms that are characteristic of cervical erosion:

pain during menstruation;
copious discharge with an unpleasant, pungent odor;
painful sensations in the lower back, lower back.

The presence of such symptoms is a reason to visit a gynecologist. The disease usually develops in women aged 28-45 who have already given birth.

Treatment of cervical erosion with suppositories

The use of suppositories can be indicated for both women who have given birth and those who have not given birth, as they are safe and quite effective. Suppositories have good anti-inflammatory, healing and antiseptic properties. It is also important that it is the suppositories that promote the natural healing of the mucous part of the damaged epithelium of the cervix.

Benefits of candle therapy:

medicinal enzymes go directly to the site of inflammation;
thanks to the soft base of the suppositories, the active substances are quickly distributed throughout the vagina and absorbed into the mucous membranes;
suppositories help soften the walls of the vagina, thereby making the process of washing out pathological secretions easier;
the enzymes that make up the suppositories do not wash away beneficial lactobacilli and do not disturb the vaginal microflora;
suppositories do not injure mucous membranes;
Suppositories are very convenient and easy to use.

Indications and contraindications for treatment with suppositories

Just like any other medicines, the candle has its own specific indications. Of course, in some cases suppositories are contraindicated.

Indications:

a woman has many sexual partners - this leads to destruction of the cervix;
inflammatory processes;
hormonal imbalance, malfunction in the body, erosion of mucous membranes;
trauma to the genital organs, acquired, for example, during gestation;
venereal diseases;
decreased protective functions of the body;
sexually transmitted infections;
discharge that is watery and has an unpleasant odor;
violation of the microflora of the genital tract.

Contraindications – erosions greater than two centimeters, difficult to treat drug treatment. Suppositories for the treatment of gynecological diseases cannot be classified as traditional therapy. As a rule, they are used to heal mucous membranes before or after aggressive therapy, for example, chemical coagulation, laser cauterization, diathermocoagulation.

Suppositories alone are not used as a full-fledged treatment, so as not to cause further harm, therefore the uncontrolled use of any suppositories is prohibited. You need qualified specialist advice.

In order to begin treating the disease with suppositories, it is necessary to undergo all instrumental and laboratory examinations that the gynecologist will prescribe in order to find out the extent of the erosion.

Preparatory activities:

diagnostic biopsy of a piece of pathological formation;
blood test for HIV infection and syphilis;
analysis for the presence of other infectious and viral pathologies;
colposcopy;
general analysis of vaginal microflora;
Ultrasound of the pelvic organs;
Sometimes additional tests may be ordered if the doctor is unable to provide a complete history based on these tests.

Review of the most effective candles

Today, the medicine market can offer several types of truly effective vaginal suppositories that are used to treat cervical erosion.

The most effective and efficient include:

"Depanthol". Before using the drug, you must consult a qualified specialist. "Depantol" has an antiseptic, regenerating, antimicrobial and anti-inflammatory effect on the mucous membranes and microflora of the female reproductive organs. The active enzymes of the drug are: depantol, dexpanthenol and chlorhexidine. Depantol should not be used when a woman is pregnant or breastfeeding. It is possible that Depantol will cause side effects such as allergies or itching of the genitals. In such a situation, it is advisable to immediately stop using suppositories. It is also important that Depantol stops its action under the influence of soap, so during treatment you should wash yourself without it. The course of therapy is ten days. "Depantol" is applied twice a day.
Hexicon is a broad-spectrum drug. Often used to treat gynecological diseases. Also popular for the prevention of various diseases of the genital area. Its composition allows the use of suppositories during pregnancy and lactation. Apply twice a day. The course lasts approximately 7-10 days.
"Livarol." Use once a day, preferably before bedtime, so that the contents do not immediately come out of the vagina. If the pathology is mild, 5 days may be enough. The course is 10 days.
“Clotrimazole” is familiar to all women. Inserted at night, as deep as possible into the vagina. The course is 6 days. Do not forget about contraindications: lactation, first trimester of pregnancy, intolerance and sensitivity to components.
"Suporon." The drug is based on Tambukay mineralized mud (propolis, cocoa butter, ginseng). Appointed individually. Treatment lasts approximately 30 days, depending on the location and severity of the erosion.
“Cocoa-phytocandles” have a balanced and quite effective composition, which includes cocoa butter, essential oils of lavender, juniper and tea tree. The course is 10 days, administered 3 times a day.

Before you start treating cervical erosion with suppositories, visit your gynecologist and get an extensive consultation to be sure that this therapy is effective and that it will not cause harm.

Collapse

Cervical erosion is found in 60% of women. The disease is identified by a gynecologist after an initial examination; he determines treatment tactics, depending on the characteristics of the body and the degree of damage to the surface of the cervix. To eliminate erosion, hardware methods are used (cauterization, laser therapy, cryotherapy). As an integrated approach, suppositories are prescribed for cervical erosion. Suppositories are quite effective and safe and are a convenient method of treatment.

Erosion in the initial stage occurs without visible signs and represents the formation of ulcers on the surface of the cervix. With the development of the disease and untimely treatment, erosion can develop into cancer.

Is it possible to cure erosion with suppositories only?

Cervical erosion can be completely cured with suppositories only in the first stages of the disease. Small ulcerations can be effectively eliminated at home using pharmaceutical suppositories. But whether erosion can be cured is decided only by the doctor who prescribes a course of therapy. Self-medication and following the advice of friends is unacceptable.

Indications

Suppositories are prescribed in the following cases:

initial stage of erosion,
in women who have not yet given birth,
cervical erosion resulted from an imbalance in the vaginal microflora,
the presence of sexually transmitted diseases that provoked erosion,
Vaginal discharge is accompanied by an unpleasant odor,
irregular menstrual cycle caused by hormonal imbalance,
damage to the genital organs during abortion,
inflammatory diseases of the uterus,
discomfort, lower back pain,
high risk of infections entering the vagina due to low immunity,
irregular sex life, contact with many partners.

Contraindications

increased sensitivity to the components of the drug, manifested in the form of redness, itching and irritation,
the presence of ulcers on the mucous surface of the cervix more than 2 cm. In this case, treatment is carried out by surgical methods.

Preparation for treatment with suppositories

After the examination, the doctor, to clarify the diagnosis and choose the correct treatment tactics, prescribes the following tests:

blood test (AIDS, hepatitis B and C, syphilis),
vaginal smear to determine the state of microflora, bacterial culture,
analysis for sexually transmitted diseases, herpes virus,
biopsy of organ tissue to exclude cancer.

Suppositories that can be used to treat erosion

Which anti-erosion candles can be used depends on many factors. List of drugs prescribed by the doctor:

Depantol

Suppositories include: chlorhexidine - has an antimicrobial, disinfecting effect and dexpanthenol - promotes tissue regeneration.

Depantol suppositories are most often prescribed after surgical interventions in the treatment of erosion, to accelerate the regeneration of the vaginal mucosa. Helps reduce the inflammatory process that occurs due to the presence of pathogenic microflora (chlamydia, gonococci, streptococci, ureaplasma, yeast, E. coli, etc.).

Depantol suppositories are a safe drug; it can be prescribed to pregnant women and women during lactation.

A contraindication is hypersensitivity of the body, manifested in the form of itching and irritation.

The duration of treatment is 7-20 days. Suppositories are inserted into the vagina in the morning and evening. During treatment, you should avoid using intimate care products containing soap.

Average price 550 rub. Contains 10 candles per package.

Hexicon

Suppositories contain chlorhexidine, which has an antimicrobial effect.

Chlorhexidine acts on most pathogenic pathogens and does not affect the balance of vaginal microflora. Hexicon eliminates cervical erosion inflammatory process and reduces tissue swelling, thereby promoting rapid regeneration of the cervix.

Hexicon suppositories are not contraindicated for pregnant and breastfeeding women.

During treatment, an allergic reaction (itching and irritation) and vaginal dryness may occur. In such cases, the doctor should replace the drug.

Hexicon suppositories are used one in the morning and one in the evening, treatment lasts from 7 to 10 days, it is possible to extend treatment up to 21 days. During treatment, do not use detergents for intimate hygiene.

Average price 300 rub. per pack 10 pcs.

Suporon

The drug Suporon consists of a concentrate of Tambukan mud, ginseng extract and Eleutherococcus. They relieve inflammation, exhibit wound healing, analgesic and healing effects.

Suppositories for the treatment of cervical erosion are inserted before bedtime, treatment takes about a month.

Not prescribed if you are allergic to the components of the drug.

Average price 350 rub. per pack 10 pcs.

Livorol

The active substance in the suppositories is ketoconazole, which has an antifungal and antimicrobial effect. The main indication of Livarol is the treatment of a disease caused by yeast-like fungi (candidiasis). Anti-erosion suppositories are prescribed when the provoking factor for the appearance of ulcerations is thrush, in combination with a bacterial infection.

The drug should not be used during pregnancy until the second trimester and in case of an allergic reaction to the components of the drug.

Treatment takes from 3 to 5 days. For cervical erosion, suppositories are administered one at a time before bedtime. The suppositories must be inserted as deep into the vagina as possible. The duration of treatment can be increased to 10 days.

Average price 500 rub. There are 5 candles in the package.

Clotrimazole

The active component of the suppositories is clotrimazole. Suppositories have antifungal and antibacterial effects. They are mainly used to treat thrush. Clotrimazole is prescribed for the prevention and treatment of candidiasis, before treating cervical erosion.

The drug should not be used during pregnancy before the second trimester and if there is an allergic reaction to the components of the drug.

You need to use suppositories one per day for a week.

Average price 45 rub. There are 10 candles in a package.

Sea buckthorn candles

The active ingredient of suppositories is sea buckthorn oil, which has the following properties:

accelerates the healing of ulcers and tissue restoration,
eliminates itching, irritation, vaginal dryness,
relieves pain in the pelvic area,
increases immunity,
reduces inflammatory processes.

Sea buckthorn vaginal suppositories are contraindicated in case of hypersensitivity to the components of the drug, with large ulcerations.

The course of treatment is prescribed by a doctor and depends on the severity of erosion. Suppositories are used twice a day.

Cocoa candles

The main component of the drug is cocoa butter, which has a healing and moisturizing effect. Cocoa butter does not cause side effects and allergies. Suppositories also contain essential oils of juniper and tea tree, which relieve inflammation and accelerate tissue regeneration.

Suppositories are used for cervical erosion once a day, for ten days in a row. Then they take a break for 20 days and repeat the course of treatment again. There should be three courses.

Average price 350 rub. per pack 10 pcs.

Phytor suppositories

Phytor vaginal suppositories contain oak leaf extract. They can relieve pain and temperature, have a hemostatic, antibacterial, antioxidant effect, and increase immunity.

They have no contraindications and are safe. During treatment, alcohol consumption should be limited.

They are used twice a day, the duration of treatment is controlled by a doctor.

Average price 100 rub. per pack 10 pcs.

How to insert suppositories correctly

The effectiveness of treatment with suppositories directly depends on their correct use. Recommendations for using suppositories for cervical erosion:

Before use, prepare the candle and remove it from the packaging. Wash your hands well and rinse your hands with running water.
You need to insert the candles while lying on your back, using a special applicator (if included in the package) or with your fingers. The suppository is inserted deep into the vagina. During insertion, the knees can be raised toward the chest for convenience.
After using the suppository, you should not get up for some time so that the drug does not leak out immediately.
Some candles are not completely absorbed and may leak; in such cases, a gasket or napkin is used.

It can be done both surgically and non-surgically. It is clear that the last option is much more gentle.

This common gynecological disease is treated with local suppository therapy.

What suppositories should be used to treat cervical erosion, let’s find out which suppositories are suitable for this purpose and will be the most effective?

Is it possible to get rid of the disease at home?

Cervical erosion is a common and very unpleasant gynecological disease. You can get rid of the problem with vaginal suppositories alone early stage diseases.

If the erosion goes into a chronic phase and becomes extensive, the effects of candles alone will not be enough.

At the initial stage of development, when the lesions on the cervix are small and there are still few of them, it is possible to stop the problem with suppositories.

However, it is important to recognize the disease at an early stage in order to deal with it in a timely and gentle manner.

Only a gynecologist can decide whether to use suppositories or some other method to treat cervical erosion.

Self-medication in this case is extremely undesirable, since the consequences of illiterate intervention can be serious.

Indications for use of suppositories

Suppositories for erosion are indicated for the following categories of patients:

those who are at the initial stage of the disease;
for an illness caused by an imbalance of microflora;
with sexually transmitted complications;
at unpleasant smell indicating a bacterial infection;
if the menstrual cycle is not regular;
for inflammatory pathologies of the uterus;
in case of ruptures, damage to the mucous membrane of the genital organs (as a rule, such defects occur during the process of artificial termination of pregnancy);
with weakened immunity;
women who have a “turbulent” sex life and have many sexual partners.

Contraindications to treatment

Suppositories should not be used if there is hypersensitivity to the drug. This fact is manifested by allergic symptoms: itching, irritation of the mucous membrane, redness of the skin.

If erosion has already spread over a wide area, and individual ulcers have a diameter of more than 2 cm, the disease can only be cured surgically.

Advantages

Let's find out why vaginal suppositories are so often chosen when treating erosion. Firstly, suppositories have a safe, pronounced and targeted effect exactly where it is needed.

With powerful therapeutic effect The procedure is gentle because it does not require surgical intervention.

Candles have a complex effect:

eliminate inflammatory processes;
fight bacteria;
strengthen the immune system;
remove microbes from the mucous membrane;
restore microflora;
help tissue healing.

Some types of suppositories can also be used as contraceptives. Suppositories soften the mucous membrane of the genital organs, thereby stopping the pain that often appears in women due to erosion.

The use of suppositories does not suppress the vaginal microflora and does not kill harmful and beneficial bacteria.

Suppositories are convenient to use: they are easy to administer, dissolve quickly, and do not cause injury to the mucous membrane.

Groups of drugs and their names

To eliminate cervical erosion in gynecology, several groups of drugs are used:

anti-inflammatory to relieve inflammatory symptoms;
antibacterial, having the status of antibiotics;
contraceptives that balance hormonal levels and protect against pregnancy;
antiseptic for restoration of vaginal microflora, disinfection of the mucous membrane.

Anti-inflammatory

Hexicon

Suppositories have a pronounced anti-inflammatory effect, while simultaneously normalizing the vaginal microflora. The product has no contraindications other than individual intolerance.

It is administered twice a day, the course is 7-10 days. If necessary, the duration of treatment can be increased to 20 days.

If you use Hexicon for the prevention of sexually transmitted diseases, then the suppository must be administered immediately after sexual intercourse, and no later than two hours from the end of it.

Viferon

A drug with an immunomodulator effect. Prescribed for use twice a day for 10 days. If you are intolerant to the components, you cannot use it.

Antibacterial

Methiuracil

They have a complex antimicrobial and wound-healing effect. They promote tissue regeneration, therefore helping with the healing of ulcers.

Suppositories should be used twice a day for 10-14 days.

Povidone-iodine

The second name of the drug is Betadine. Suppositories cope with viral and bacterial infectious agents, and also fight pathogenic fungi.

Administer vaginally once a day for seven days. Cannot be used for hyperthyroidism, but can be used during pregnancy and lactation.

Clotrimazole

The next suppositories for cervical erosion on the list are the powerful antibacterial agent Clotrimazole.

Contraceptives

In case of cervical erosion, suppositories with nonoxylon-9 cannot be used for contraception, since this substance can intensify mucosal ulceration.

It is necessary to choose suppositories with contraceptive properties only with the help of a doctor.

The following drugs are recognized as the most effective and safest:

Erotex.
Benatex.
Pharmatex.

All suppositories are administered vaginally, before sexual intercourse. For insertion, it is recommended to take a horizontal body position.

Suppositories remain effective for 3 hours after administration.

As soon as sperm is released, it is reset to zero. And if a new sexual intercourse follows, it is necessary to administer the drug again.

Antiseptic

Depantol

These suppositories are often used in gynecology: the medicine has a pronounced antiseptic effect, helps cope with microbes on the mucous membrane, and eliminates microflora imbalance.

The suppository is released from the plastic shell and carefully inserted as directed. Procedure It is carried out twice a day with a general course of 7-10 days.

If there are serious medical reasons, the course can be extended (by doctor’s decision) to three weeks. Depantol should not be used if a woman is intolerant to its components.

It is prohibited to use toilet soap for intimate hygiene while the course of treatment is ongoing. The latter recommendation is based on the content of drug antagonist substances in soap.

pregnancy, allergies and many other important factors.

You should not choose a drug in the form of suppositories or any other against cervical erosion on your own. You can seriously damage your own reproductive health.

Suppositories are selected according to symptoms: whether there is a bacterial infection, an inflammatory process, a sexually transmitted disease or the need for contraception.

What else can be treated

Before starting treatment, a mandatory examination by a gynecologist is necessary. You may need to undergo tests and preparatory treatment in the form of healing of wounds, scratches, and other minor defects of the mucous membrane.

It is important to restore a woman’s menstrual cycle and normalize hormonal levels. It is necessary that treatment be carried out comprehensively.

It is necessary to use not only local suppositories, but also preparations for internal use: tablets, suspensions, medicinal infusions with a healing, anti-inflammatory and immunomodulatory effect.

Comprehensive measures will not allow erosion to spread and will protect the body from degeneration of lesions into malignant neoplasms(this happens too).

In the following video, a medical television program dedicated to cervical erosion, doctors’ position regarding the treatment of the disease:

We found out which suppositories are best for cervical erosion. As you can see, this category of medicines will only help at the initial stage of the disease; advanced erosion must be treated surgically.

Therefore, in order to have time to get rid of unpleasant disease using gentle local methods, consult a doctor in time if you detect alarming symptoms indicating erosion.