Erosion of the cervix is called any violation of the normal
condition of its mucous membranes. Such violations may
treat mechanical or chemical damage as well as
аномальное развитие эпителия mucous membrane. Keep healthy and
to prevent the serious consequences of the disease to the woman will help regular
visit the gynecologist.
What is this disease, the causes of erosion, symptoms,
treatments and whether it is dangerous for women’s health and how
to protect ourselves in the future – we will consider further.
What is cervical erosion?
Cervical erosion is an ulcerative defect of the vaginal mucosa
parts of the cervix. Her cunning is that long
time the disease has no manifestations. Pathology takes
one of the leading places in the structure of gynecological diseases and
Often diagnosed in women of different age groups.
Cervical erosion does not turn into cancer, but it prepares
soil for tissue rebirth.
Chronic inflammatory processes lead to scarring,
the formation of cystic cavities, polyps. Erosion is
defective mucosal changes in the cervix. Very rarely
there is a true form that heals quickly, most often it
acquires a permanent character.
When factors affect the uterine surface of the cervix, the cells
epithelium can not normally perceive the acidic environment, harmful
microorganisms that live in the vagina for a long time.
The cylindrical epithelium has no protective function, therefore,
when viruses, bacteria affect it, it is not protected.
As a rule, after one (less than two) weeks damaged
mucosa begins to heal. Most epithelialization occurs
некорректно, и на месте истинной появляется псевдоэрозия шейки
матки – тоже видоизмененный участок шеечного эпителия, но уже
no signs of damage.
To не путаться, пациентки должны знать, что эрозия – это рана
(ulcer) on the cervix, and pseudo-erosion is the process of its
improper healing, literally – what remains on the neck after
how the wound heals.
Kinds
It should be understood that the term “erosion” is quite extensive and
It contains several manifestations of the disease. therefore
It is necessary to distinguish between species.
Congenital erosion | A congenital type of this disease is displacement of the cervical cylindrical epithelium. Celebrated congenital erosion in childhood or in adolescence, however, the symptoms of the disease are mostly not проявляется.Выявление происходит при кольпоскопии, где determined by the presence of a bright red area that can not be staining when using Lugol solution. |
True cervical erosion | True form is a defect of stratified squamous epithelium. cervix. When viewed with the help of mirrors can be seen bright red a spot with a diameter of up to 1 cm around the external osum of the uterus with clear delimited edges. In mucous secretions during cervical erosion after some time, bloody streaks appear. |
Pseudo-erosion (false) | What it is? The most common type of gynecological diseases occurring in every second patient. It looks like on the true, too, a bright red spot that appeared on the mucous cervix, various sizes. Small measured in millimeters, while great erosion can grow to a few centimeters. The difference from the truth is that the surface uterus with pseudo-erosion is flat and does not bleed. There are large risks of infection, which is accompanied by the appearance of pain in the lower parts of the abdomen, whiter and contact bleeding (after sexual contact or gynecological examination). |
Development options
Doctors identify several options for the development of erosion, among
which
- Ectropion. The pathological process is characterized by inversion.
cervical mucosa due to surgical interruption
pregnancy or childbirth. - Endometriosis of the uterus. With this disease occurs
casting and germination on the endometrial cervical mucosa
cells. - Leukoplakia. Pathology implies keratinization of the cervical epithelium
uterus. - Polyps diagnosed in the cervical canal area, as well as
polyps of the cervical uterus and condyloma.
Causes of
The causes of cervical erosion, unfortunately, are not fully understood,
However, in modern medicine it is considered that the main
prerequisites for the development of this female disease are
inflammatory processes of the genital organs such as endocervicitis and
vaginitis
In girls and girls under 18, erosion can be congenital and
show up after the start of sexual relations. Many specialists
ectopia in all nonpartum women is classified as congenital. Girls up to
21 years old and women during pregnancy, as well as during the involution period,
erosion is considered the result of hormonal adjustment.
In these cases, changes often take place independently and
require only survey and observation.
When the patient has erosion of the cervix, its causes development
may be different. However, most often superficial cells
epithelium begins to reject due to previously developed
inflammatory process.
The main causes of erosion in modern medicine taken
think:
- inflammation of the genital organs – vaginitis, cervicitis;
- hormonal disruptions;
- reduced local or general immunity;
- genital infections and inflammatory diseases of the female genital
spheres (HPV, chlamydia, ureaplasmosis, trichomoniasis, gonorrhea,
vaginal dysbacteriosis, etc.); traumatic effects (abortion,
mechanical damage, surgery, childbirth and
etc.);
Symptoms of cervical erosion + photo
In the vast majority of cases, cervical erosion rarely self
manifests clinically and most often a similar diagnosis is
find at gynecological examination. But it so happens that
patients refer to a gynecologist with complaints of bleeding,
not related to menstruation, especially after intercourse.
Possible symptoms of cervical erosion:
- any bleeding, especially after
sexual intercourse; - lower abdominal pain
- pain during intercourse
- copious whitish discharge
- The change in overall health is not observed. Often to erosion
inflammation joins. Then symptoms will appear
more clearly: the pain will increase, discharge will be more abundant. - Discharges from cervical erosion are otherwise called whites and
are a thick white liquid without a strong odor,
which often leaves traces on underwear. Such discharge
usually indicate the presence of inflammation or latent infection,
often accompanying this disease.
All symptoms are not specific to erosion and their manifestation.
can sometimes indicate the development of a completely different gynecological
diseases. In any case, the appearance of even one symptom
is the reason for the appeal to the gynecologist for
survey.
What does erosion look like in the photo?
Complaints of patients with erosion due to concomitant
inflammatory diseases of the vagina (colpitis) and cervical
canal (endocervicitis). When complicated by inflammation erosion
появляются слизистые или слизисто-гнойные бели, ощущение
discomfort.
Complications: the danger of the disease?
The fact that the symptoms of cervical erosion in a woman do not
manifest especially pronounced, by no means indicative of
отсутствии необходимости лечения diseases. In the event of
pseudo-erosion around the cervical canal epithelium appears, not
possessing the property of protection against penetration from the vagina into the uterus
infections.
In certain cases, it is also possible the development of spontaneous
epithelialization of cervical erosion, resulting in possible
the formation of defective epithelium.
The answer to the question “How is erosion dangerous?” Depends on which
It is the changes that the doctor discovered during the examination:
- if it is pseudo-erosion (ectopia, congenital erosion), then no
there is no threat to health, and no consequences arise
can; - if this is true erosion caused by infectious
diseases, the main danger is that
infection can penetrate the uterus and in the uterus, and in the future
cause infertility; - if it is dysplasia, then without proper attention there is
реальная опасность development рака шейки матки через несколько
years old.
A common view on malignant degeneration of erosion
wrong. Dangerous are only those cervical erosion, in which
there are atypical changes. They are well detected in
standard colposcopic and laboratory examination,
and their presence means only that the pathological area follows
to eliminate.
Impact on pregnancy
The presence of cervical erosion does not mean that a woman will not
mother. Naturally, like any damage to organs entering
in the urogenital system, erosion is the object of close observation
gynecologist. Depending on the type of erosion, its size and
the location of the treatment can be prescribed both before and after
of pregnancy.
Если эрозия обнаружена у беременной женщины, то лечение
also carried out after childbirth, since during the pregnancy and
Fetal disease condition does not affect. Symptoms of erosion
pregnant women may have blood impurities in their secretions, as well as
burning and itching during intercourse.
Diagnostics
The diagnosis can be established already at the first visit to the doctor.
Meanwhile, in many cases, a visual inspection is only half the battle
диагностике diseases.
Therefore, patients will need to pass the following tests:
- Visual inspection by a mirror to identify changes on
mucous membrane. True erosion: the epithelial layer is bright red,
its bleeding is seen. False erosion: squamous epithelium
replaced by cylindrical. Simple erosion: epithelial layer
smooth. Papillary: on the mucosa formed nipple
outgrowths. - ordinary smear on flora;
- PCR-based diagnostics
types of infections (herpes genital, trichomoniasis,
микоплазмоз и etc.); - blood test for hepatitis, HIV, syphilis;
- biopsy (in case there is a suspicion of malignant
education – a piece is taken from the affected part of the cervix for
histological examination).
Only after all the data have been collected can the doctor
make a final conclusion, make a diagnosis, determine
are there any complications and only then can the patient be treated.
Treatment of cervical erosion
If this condition requires the use of therapy, the doctor
assesses how extensive the affected area and the running
diseases. Based on this analysis, he decides how to treat erosion.
cervix by selecting one of these methods:
- Drug – used medication that affects
infection causing mucosal irritation. Local –
The patient is treated with healing candles and tampons. This method
may involve chemical cauterization of the wound
drugs with further rehabilitation therapy. - Surgery – cauterization.
Conservative treatment of cervical erosion is to:
- carrying out non-specific anti-inflammatory therapy;
- treatment with drugs that inhibit the growth and development of fungal
bacteria and sexually transmitted viral infections (with its
identifying); - correction of hormonal and immune disorders;
- the use of physiotherapy techniques (rarely) – vaginal
mud tampons, mineral water irrigation, iontophoresis
with medications, ultraviolet and shortwave
ultraviolet therapy, microcurrent and ozone therapy,
helium-neon laser.
Sparing treatment methods include the use of candles. Candles
against cervical erosion are prescribed in the following situations:
- erosion caused by a violation of the vaginal microflora;
- pain during menstruation, localized in the sacrum;
- caused by sexually transmitted diseases;
- arising on the background of hormonal disorders;
- injury as a result of abortion or difficult childbirth.
Causes of recurrent cervical erosion
Causes of cervical erosion in recurrent manifestations almost
similar to that in the initial occurrence of the pathology:
- infectious inflammatory processes,
- promiscuity,
- hormonal disorders,
- immune disorders.
Surgical treatment: cautery erosion
Cauterization of cervical erosion is carried out in order to influence
pathological epithelial changes to remove damaged
cellular structures on the cervix. There are several major
procedures for the procedure, which last no more than
half an hour:
- Diathermocoagulation. The most outdated and traumatic method –
moxibustion erosion using current. Due to high efficiency
method, it has not yet been abandoned. Procedure
carried out without anesthesia for 20 to 30 minutes in the second period
menstrual cycle. After the procedure, the patient is under
observation in the ward and if everything is good, let her go home. - Криотерапия – прижигание жидким азотом (“промораживание”
tissue). More gentle method than diathermocoagulation. Minus this
method – possible relapses (reappearance); - Laser coagulation – application in the treatment of laser. After
the procedure does not remain on the neck of adhesions and scars,
healing and recovery are fast (4-6 weeks). - During chemical coagulation, the cervix is treated with drugs,
destructive for the arisen cylindrical epithelium. Flat
the epithelium, growing, closes the area, which was previously affected
erosion. This method не лишен недостатков. It is not used when
erosion, which occupies a large area. - Диатермоконизация – иссечение разросшихся тканей
special loop. On the surface of the scorched erosion is formed
scab, which leaves a week after the procedure. Overgrowing
zones with multi-layer epithelium usually complete after one and a half
of the month.
Folk remedies for cervical erosion
Before using folk remedies, be sure to
consult with the gynecologist.
- 2 tablets mumie thoroughly dissolved in 1 tsp. warm water
add sea buckthorn oil. Put a tampon soaked in
solution, according to the above scheme. - Bergenia root extract: 3st l crushed plant root
poured over one hundred boiling water, cooked on a quiet fire to full
evaporation of the liquid. Drinks three times a day, 30 drops per half hour
before meals. - Настой календулы применяется для спринцевания влагалища в
cases of congenital erosion and mechanical damage
mucous membrane. The tool is the prevention of many STDs. - 2 tablespoons of pharmaceutical chamomile pour a liter of boiling water into
pan Place the pot with the lid on the water bath for 15 – 20
minutes Turn off the heat, insist the solution for 40 minutes, then cool
to room temperature. - Honey treatment, you need one teaspoon of honey
wrap in a bandage or gauze, make a tampon with it, tie up with a thread,
Introduce it into the vagina as deep as possible. Do it on
night, in the morning you will notice some blood, this is normal. - Ointment “Levomekol.” Miraculous ointment that is excellent
Has established itself in wounds. Squeeze the ointment on the swab and enter
him in the vagina at night. In the morning remove the tampon and hold
douching Spend daily for two weeks. - When cervical erosion is recommended every day to enter inside
влагалища сок алоэ, лежать после этого нужно 20 minutes - Douching Infusion of hypericum: 4 tbsp. l Hypericum herbs
pour 2 liters of hot water, boil on low heat for 10 minutes and insist
30 minutes - For treatment use broth boron uterus (decoction is used
and for douching, and in the form of tampons soaked in broth). To
make a decoction, 2 tablespoons of raw mixed with half
liter of water. The mixture is brought to a boiling state, filtered and
cool. Douching should be carried out once a day, at night.
The course of treatment is about a week (5-7 days on average).
Prevention
As you know, it is better to prevent pathology than to engage in it.
treatment. To обезопасить себя, следует выполнять ряд
recommendations:
- Visit the doctor regularly (at least twice during
of the year). - Follow the rules of hygiene. In particular, you should take a shower
at least twice a day, especially during menstruation. - Use condoms for sexual intercourse with occasional
partners to prevent the entry of infections. - Strive for monogamy and regular sex life.
- Protected in cases where pregnancy is not planned.
It should be remembered that any abortion complicates the pathology,
injures the cervix.
From the material you have learned what the erosion of the neck is.
why is it important to start treatment on time and how to protect yourself
from this disease. Be healthy, pass in time
Examination by a gynecologist and watch your health!