True cervical erosion

Cervical erosion is diagnosed during an inspection at the gynecologist for more than 70% of women of childbearing age. According to statistics, this pathological condition is one of the most frequently occurring background diseases of the cervix.

cervical erosion is called ulcerative defect, which is formed in the epithelium covering the vaginal portion. Despite the benign nature of some forms of erosion may lead to inflammatory and dysplastic processes, as well as cause oncology.

The neck has a cone connecting the vagina through the cervical canal and uterine body. Narrow cervical canal is protective because of glands that produce mucus. Cylindrical cell monolayer epithelium lining the canal, giving it a reddish hue.

A significant part of the cervix can be examined during gynecological examination. In the mirror of the doctor visualizes only the vaginal portion, which is covered by flat cells. Cervical epithelial tissue consists of several layers, in contrast to the mucosa of the cervical canal.

Compound cylindrical and squamous localizes at the site, known as the transformation zone.

erosion Forms

There are several classifications of disease. Erosion is called a change in the lining of the cervix, which can mean very different types of defects.

Gynecologists are three main types of cervical erosion.

• True. A defect called a true erosion, is a disease arising from mucosal damage. True form is called a site that differs by the absence of the epithelium. True cervical erosion looks in the mirror as an ulcer or wound.

Doctors call several varieties of pathological process, related to the true erosion.

1. Inflammatory. Often, the true form of the disease develops as a result of infection by various pathogens. Specific and non-specific bacteria, viruses lead to inflammation and epithelial disruption of the integrity.
2. Traumatic. True erosion of such a plan may occur after surgery on the cervix, rupture during childbirth.
3. Chemical. The ulcer is caused by local use of chemicals, e.g., spermicides, or douching solutions.
4. Burn. In gynecological practice, documented cases of burn real erosion after cauterization procedure is not performed competently.
5. Trophic. This kind of progress as a result of insufficient blood supply to the tissues of the cervix.
6. Specific. One of the species, which is called the specific erosion occurs when infection with syphilis, gonorrhea, and tuberculosis of the reproductive system.
7. Cancerous. Such education accompanies malignant cervical tumor.

Gynecologists called epithelial damage or wound a common manifestation of the true erosion types.

Ulcerative defect occurs regardless of the cause of pathology. True form has a relatively short course of time: within two weeks going ectopic development.

• Ectopia. Gynecologists also call this kind of pseudo. Reason ectopia is most often true in the progression of erosion. Transformation also occurs when hormonal disorders and neck injury. With this illness has been an increase in the area of ​​cylindrical cells of the squamous epithelium.

• Congenital ectopia. This type of erosion is formed in utero and characterized by shifting the transformation zone. Normally, the connection of two varieties of the epithelium is not visualized in the normal inspection. In congenital form physician notes the occurrence of stains, which give a saturated color cells of the cervical canal. Among the distinguishing features of this type is the lack of inflammation. Congenital defect does not require treatment, as the risk of degeneration is absent.

The treatment does not require cervical defect that occurs in women under twenty-one years, as well as during pregnancy or the postpartum period.

Such erosion disappears after the hormonal balance. Innate and true erosion does not degenerate into cancer. Acquired ectopia may eventually be accompanied by dysplasia and degenerate into a malignant tumor.

The reasons for

Erosion is considered polyetiological disease. Gynecologists called several main reasons for the ulcer.

• Genetic or hereditary factor. It is found that the defect often occurs in women whose close relatives have had the same diagnosis in history.
• Chronic infectious and inflammatory processes. This causes the development of the cause of true species, as well as ectopia. Lack of treatment can be inflammatory factor in the development of the type of ascending infection.
• Hormonal disorders. Fluctuations in hormone levels occur during adolescence, pregnancy, menopause, as well as accompany certain diseases (hypothyroidism, polycystic ovarian syndrome, and so on. D.).
• Wrong choice of contraception. Overreliance spermicide possessing chemical exposure, inappropriate reception combined oral contraceptives affect the condition of cervical mucus and cause real erosion.
• Epithelial tissue injury. Erosion can cause a variety of surgical procedures on the cervix, as well as the rough sex.
• Sex life with multiple partners. The absence of monogamy intimate terms often causes infection and subsequent inflammation.

Doctors call as a reason the development of the disease a combination of several risk factors.

The development of the clinical picture

Erosion, in particular, the true species, refers to asymptomatic pathology. The progression of the pathological process infrequently accompanied by specific symptoms.

Onset of symptoms is possible in the event of infection and inflammation of accession, which is characteristic of the true type of defect. Doctors call these signs of erosion:

• contact isolation appearing at intimacy and gynecological examination mirror. Discharge contains traces of blood;
• leucorrhea and isolation having a different consistency according to the infection;
• discomfort in the vagina, accompanied by a burning sensation, irritation, pruritus;
• pain during sexual intercourse.

The appearance of symptoms related to hormonal disorders associated with gynecological diseases. Erosion can not cause a change in the cycle length.

Methods for detection and removal

Diagnose cervical defect is possible using conventional gynecological examination mirror. Erosion appears as a kind of ulcer or a spot of dark red color, localized on the cervix. When the true shape, unlike the formation of congenital defect is usually negligible bleeding and has signs of inflammation. Nature of the discharge accompanying the true pathology depends on the particular pathogen.

For appointment method of therapy is necessary to know the causes of the disease. To this end, the woman is undergoing tests, including:

• simple or advanced colposcopy;
• biopsy of suspected tumor malignancy;
• onkotsitologiyu;
• Smear on the flora;
• blood tests to diagnose hepatitis C, syphilis, HIV;
• PCR study to detect genital infections;
• bakposev.

The effectiveness of the treatment depends on meticulous diagnosis.

Current treatment involves the erosion of two tactics:

• conservative;
• surgery.

Conservative treatment is necessary to eliminate concomitant inflammation in true form for the purpose of rehabilitation before surgical procedures. Within the conservative strategy the patient receives the medication in accordance with established pathogen:

• antibiotics;
• antifungals;
• antivirals.

Complement main treatment agents with antiseptic and healing effect.

Surgery is indicated for the prevention of premalignant to ectopia cervical disease. Most often performed diathermy. Experts call such manipulation cauterization.

Procedure destruction chamber may be eroded by the following methods:

• diathermocoagulation;
• radio wave means;
• cryodestruction;
• Chemical coagulation;
• laser vaporization.

Moxibustion is more often used women who carried out the genital function.

This is due to the fact that many common methods of surgical treatment often contribute to the formation of scar tissue of the cervix. At a subsequent pregnancy scars can cause miscarriage, premature birth, breaks in the natural delivery.

Doctors call the main method of preventing erosion prevention, such as a true species. In order to prevent regular visits to the gynecologist is recommended, and treatment of inflammatory diseases of the sexual sphere background.