What is cervical erosion

Erosion that occurs on the neck of the uterus, is considered one of the most frequent pathologies of the reproductive sphere. Cervical erosion is a spot on the mucous membrane, which is in her vaginal part.

In such a normal state cervical mucous epithelium that has its cover, replaced with a cylindrical, preferably located in the cervical canal. This pathological process takes place for different reasons and under the influence of certain factors.

cervical erosion in most cases it referred to as a benign condition, which rarely degenerates into a malignant tumor.

Erosion of the cervix and its varieties

Doctors call several varieties of pathology.

• Congenital. This erosion is the formation of a reddish rounded. Congenital cervical erosion of the uterus is most often formed in the transition to adulthood. Of all the types of congenital erosion may disappear on their own. This erosion is almost never degenerates into a malignant tumor.
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• True. On examination, vaginal mirror on the gynecological chair, you can find a spot of bright red color, which has a size of not more than one centimeter in diameter. Education occurs around the external os and has smooth clearly defined edges. Two weeks after the formation of the true shape her transition observed in ectopia. True erosion rarely transformed into cancer.
• Ectopia. Doctors call this kind of disease the most common. In another way it is called a pseudo-state. Ectopia call state, which is characterized by replacement of normal squamous epithelium multilayer inherent to the neck part, a cylindrical, which lines the cervical canal. Visual inspection of pseudo looks like a reddish spot near the external os. For quite a long ectopia. Spontaneous healing is not typical of the variety. However, the risk of its transition in oncology in the absence of atypical cells, doctors called insignificant.

Women who have detected HPV high tumorigenicity, It should be extremely careful with concomitant cervical erosion, due to the increased risk of cancer.

Causes of

Doctors call different factors formation of such pathology, as erosion. Modern scientists have called the most common reason for its occurrence.

• Especially sexual activity. This factor can be attributed too early or late start of sexual life, its irregularity and confusion.
• The presence of infections and inflammatory processes of genitals. In women with cervical ectopia history, often are diagnosed with HPV, mycoplasmosis, ureaplasmosis, chlamydia and disturbance of vaginal flora, which is called the culprits of inflammation.
• cervical trauma. By the pseudo can cause surgical abortion, curettage, difficult childbirth.
• Hormonal imbalance and disorders of the immune system. Erosion may cause irregular monthly cycle, endocrine disease, decrease the body's defenses.

For some women, there are multiple factors of disease in history.

clinical picture

Typical signs and symptoms of disease is most often absent. Usually, diagnosis occurs randomly during a gynecological examination chair on vaginal mirror.

erosion for quite defined as an individual. Sometimes these manifestations of cervical pathology of the uterus can be observed in women.

• Discharge with blood. Bleeding not associated with menstruation, and often occur after sexual intercourse.
• Mucus purulent character. This symptom is referred to as evidence of adherence of infection.
• Pain. The emergence of pain may occur during sexual intercourse.

Symptoms and signs of erosion It can be easily confused with a number of inflammatory diseases of the female reproductive system, as well as the threat of spontaneous abortion during pregnancy.

methods of diagnosis

Definition of cervical erosion is not a difficult task for the physician. Pathology can determine when the general gynecological examination on the couch, using speculum.

In order to assign the appropriate treatment of pathology, the following research methods are needed:

• general smear to identify vaginal flora;
• oncocitology showing the presence of inflammation and abnormal cells;
• colposcopy using special solutions;
• PCR diagnostics of infections, sexually transmitted predominantly, e.g., genital herpes or chlamydia;
• swab from the vagina to bakposev;
• blood for HIV, syphilis, hepatitis;
• biopsy in cancer alertness.

The volume of diagnostic methods determined by the physician based on the patient's medical history.

Treatment

Tactics of treatment varies depending on the type of pathology, the data of microbiological studies, and patient age. When the innate variety of cervical erosion is usually used expectant management, in which the doctor observes the patient's condition.

Modern gynecology has numerous methods of treatment of cervical erosion.

Treat cervical pseudo possible:

• conservatively;
• surgically.

Conservative treatment is indicated in nulliparous women, as well as if there is an infection and inflammation. It is important to remove the cause, which has contributed to the formation of cervical erosion.

Conservative treatment includes:

• antibacterials broad spectrum diagnosed with genital infections and inflammatory processes;
• antiinflammatory agents;
• immunomodulatory and immunostimulatory drugs;
• phytotherapy;
• application using drugs.

Usually as an adjunct to drug therapy, doctors recommend douching decoction of medicinal herbs. Widely used tampons with sea buckthorn oil, has a healing effect.

Drug therapy is indicated in all varieties of disease. However, it is not highly effective in the treatment of cervical erosion. It can only improve the patient's condition and stop the pathological process.

Eliminate erosion of the cervix is ​​fully capable of surgical treatment methods used in modern gynecology. The surgical method involves cauterization of cervical erosion in many ways. Interference used for ectopy or pseudo.

Surgical treatments include.

• Diathermocoagulation. The process involves an electrical current point impact on cervical region. Diathermy is used in nulliparous women who do not want to become pregnant for at least a year. Diathermocoagulation traumatic relates to methods which lead to scarring. Modern gynecology tries not to use this type of intervention, despite its cheapness

• Cryotherapy. The method is based on a cauterization by means of liquid nitrogen, which promorazhivaet pathological tissue. This gentle way of intervention, which, however, does not exclude the occurrence of relapses.
• Laser therapy. The method is based on the use of metered laser beam. Exposure occurs at the minimum power of the device. Laser therapy refers to one of the most effective and gentle treatment methods, which leaves no scar tissue.
• Radiowave surgery. During the intervention apparatus "Surgitron" is used, which is a low frequency electrosurgical instrument. The method is among the most secure and can be used in nulliparous women and patients who are planning a pregnancy in the near future.

Following a procedure such as cervical erosion moxibustion doctor may prescribe topical preparations possessing antiseptic and healing action of stimulating the processes.

Upon detection of cervical erosion woman should carefully observe good personal hygiene as well as a defect in the mucosa is an ideal breeding ground for pathogens.

Features of the rehabilitation period after cauterization procedure

As a rule, after the application of surgical treatment there is a full recovery. To the recovery period passed without complications and as soon as possible, as well as to prevent recurrence, should observe certain rules:

• refrain from excessive physical activity;
• avoid lifting heavy weights;
• to comply with sexual rest for a month.

After cauterization erosion may occur slight mucous discharge with blood for several days.

With a sharp deterioration in health, accompanied by chills, temperature rise, vomiting, abdominal pain should immediately contact the medical facility.

Features of treatment during pregnancy

Cervical erosion does not affect the course of pregnancy. Surgical treatment is not recommended, because in most cases, the indications for it are absent. In addition, manipulation of the cervix can cause difficulties in the process of natural childbirth. As a maintenance therapy agent may be used for traditional medicine, for example, sea buckthorn oil or calendula tincture douching. Upon detection of infections, the woman is a sanitation using antibacterial or antiinflammatory agents in the form of tablets, suppositories and suppositories.

Woman with cervical erosion during pregnancy is under special control of the doctor. Cervical erosion is subject to mandatory supervision with regular monitoring by colposcopy.

Prevention and Control

In order to protect themselves from the possible consequences, it is necessary to comply with preventive measures.

Prevention of a condition such as cervical erosion include:

• Systematic visit gynecologist every six months, with the passage of the necessary inspections;
• daily personal hygiene, especially during the critical days;
• commitment to a monogamous lifestyle and avoidance of casual sex;
• organization of regular sexual life;
• use of condoms as a method of contraception;
• rejection of abortion.

Despite the fact that cervical erosion is a fairly innocuous condition, at first glance, it may cause certain disorders of the reproductive system and impair the quality of a woman's life.