Cervical erosion - small ulcers on the mucous. Often, such a formation occurs as a result of penetration of infection, hormonal disorders occurring in the body.
This disease is characterized by the fact thatIn the initial stages of its development, the woman has practically no symptoms that would allow diagnosis in a timely manner. During examination, the doctor may detect redness on the cervical epithelium. At the very beginning, this disease is absolutely not dangerous, but over time it develops into a malignant pathology, and various complications arise, including infertility.
What are the types of disease
Doctors distinguish two types of this disease: true erosion of the cervix and pseudo-erosion. In addition, young girls and teenagers may have a congenital type of illness.
Истинная эрозия шейки матки – язва, имеющая red color, located around the outer throat. The epithelium at the site of injury is multilayered, when it is shed or rejected, serious damage is formed and inflammation begins to develop. Fortunately, this condition is well treatable.
При протекании псевдоэрозии наблюдается более dangerous situation. Very often, the epithelium shifts towards the cervix. Often this type of erosion looks like a big red wound, which in some cases can fester. Microorganisms that create the vaginal microflora have a bad effect on tissue, provoking inflammation. At the same time, the epithelium has no protective qualities, and therefore cannot provide a barrier to the penetration of bacteria and viruses. It is this type of erosion that can lead to cancer. Often it occurs in women with elevated hormone levels and proceeds quite rapidly until the elimination of inflammation.
Causes
It is important to understand exactly what it is -cervical erosion (photos in medical reference books clearly demonstrate the lesions), what are its varieties, causes, what characterizes the disorder and how the treatment is carried out. The main cause of pseudo-erosion is:
- hormonal changes during pregnancy;
- postpartum violations;
- taking contraceptive drugs.
The causes of cervical erosion are:
- mechanical damage;
- exposure to chemicals;
- infectious diseases.
Such a violation may occur when toofrequent or intensive sexual contact, the introduction of intrauterine contraceptives or tampons, after delivery or abortion. In addition, damage may occur when carrying out improper local treatment, the use of spermicides, douching.
Among the causes of cervical erosion emitdysfunction of the ovaries, failure of the menstrual cycle, an overabundance of hormones. In addition, immunity and chronic diseases can provoke the formation.
The main symptomatology
Symptoms of cervical erosion can manifest themselves completely differently, it all depends on the characteristics of the flow and types of pathology. Doctors distinguish several forms of this disease:
- true;
- congenital;
- pseudo-erosion.
Congenital type is characterized by the fact thatthe region between the cylindrical and multilayered epithelium is shifted. The cause of this disorder is the incomplete process of epithelial tissue formation. With this form of cervical erosion, the symptoms are almost completely absent.
Истинный тип болезни проявляется в виде наличия on the mucous membrane of the wound surface, which is often red in color and bleeds when touched. During the course of the inflammatory process, a corresponding discharge is observed.
The development of pseudo-erosion occurs whentrue erosion. This form of the disease is characterized by the gradual healing of a wound as a result of the replacement of squamous epithelium with a cylindrical one. This process is fraught with serious consequences. In addition, this type of disease becomes a hotbed of the chronic inflammatory process. At the same time, symptoms of cervical erosion may be observed, such as:
- bloody, slimy or purulent discharge;
- discomfort during sexual contact;
- menstruation disorders.
For a long time, the disease canabsolutely does not manifest itself, but at the same time provoke the development of a chronic inflammatory process, as well as more dangerous complications, including malignant neoplasms.
That is why for the timely detection and treatment of cervical erosion, you need to visit a doctor, as only this will make it possible to make an accurate diagnosis.
Symptoms relate to changes in the consistency and color of vaginal discharge. It should be noted that in normal they should not be at all. Therefore, similar symptoms may indicate a variety of pathologies.
When erosion occurs in the advanced stagedischarge becomes bloody, often they appear after sexual contact. Eroded surface loses its protective layer. In the presence of erosion in a pregnant woman, the blood can be released quite abundantly due to a decrease in coagulability and an increase in injury to the mucous membranes.
Sometimes when a woman has inflammationthere are painful urination. Discharges are mostly thick and white, but may be of a different color and texture. When erosion of the cervix occurs, you should immediately visit a doctor for a diagnosis and subsequent therapy.
Conducting diagnostics
Considering the fact that during the erosion of the neckuterine symptoms are completely absent, it is important to visit the doctor periodically. If there are characteristic complaints, in addition to the standard examination, a number of additional diagnostic procedures are appointed.
Gynecological examination of the vaginal wallsIt is performed using a special gynecological speculum. During the implementation of the diagnosis, the doctor may notice a modified area on the neck. It is easy to distinguish on a brighter and grainy surface.
Одним из методов исследования является colposcopy. This procedure involves examining the vagina by using a special optical device. It does not need to be prepared in advance, it is completely painless. This will allow to consider erosion more carefully, especially if it is small. In addition, the colposcopy method makes it possible to determine the type of lesion. In parallel, a biopsy may be required, which will provide a complete histological picture. Such a study is performed in the presence of a suspected malignant neoplasm.
A number of laboratory studies help to identify the causative agent of pathology and select the most effective treatment. In this case, you will need a smear from the vagina, as well as blood sampling.
Erosion treatment
Depending on the degree of occurrence, the reasonserosion of the cervix, the treatment is chosen individually. The choice of therapy depends largely on the degree of injury, as well as the technical capabilities and experience of the doctor.
In particular, for treatment mayapplied drugs, folk remedies and surgical treatment. Conservative therapy and traditional methods can be effective in the course of the pathology at the initial stage. For more complex lesions, surgical treatment is performed by using various techniques.
Conservative techniques
Conservative erosion treatments shouldbe selected and carried out exclusively by a specialist. If the disease occurs in young women who have never given birth, women can be treated without surgery. Equally important is the medical correction of the cause of the formation of erosion.
For this, the doctor prescribes anti-inflammatoryagents, antiviral, antibacterial, hormonal preparations, and if necessary, local treatment drugs may be prescribed. In the complex therapy, includes drugs that enhance immunity.
With timely detection of pathology andcomplex treatment can achieve a good result even without surgery. Often prescribed drug "Solkovagin". It is applied directly to the affected mucosa, having a cauterizing effect. As a result, the formation of a crust over the lesion focus occurs, which disappears in 3-4 days. Conservative methods provoke almost no side effects.
There is a completely new method of conductingtreatment. It consists in the effect of polychromatic light, which has an immunostimulating, anti-inflammatory and healing effect. The procedure is carried out by applying a special apparatus. Such a technique makes it possible to accelerate the healing of an ulcer without surgical intervention.
Surgical intervention
Some types of pathology require surgical intervention, however, before carrying out cauterization of cervical erosion, hormonal stabilization will be needed. Among these types of treatment there are:
- electrocoagulation;
- cryodestruction;
- laser destruction;
- radio wave therapy.
Cauterization of cervical erosion by applyingcurrent - one of the very first methods of therapy. A few years ago, it was quite popular, but now it is used much less frequently, since it is distinguished by a rather large soreness. In addition, as a result of treatment, a scar is formed, which adversely affects the process of childbirth. The cervix may rupture along the scar, and also slowly open, which is an indication for cesarean section. Erosion of the cervix after cauterization may occur again, so the electrocoagulation method is indicated only for women who have given birth.
Cryodestruction - freezing with nitrogen, which is widelyused not only in gynecology, but also in dermatology. The dangerous part of the cervix is frozen. Within a few days a crust forms on the mucous membrane, which then disappears and a clean mucosa remains without scars. The procedure is affordable and widespread. Side effects can be pulling pain in the lower abdomen and spotting. The procedure is carried out without anesthesia or with the use of Lidocaine spray.
Treatment of cervical erosion with a laser requiresobservance of the basic rules and special accuracy. A large area of the affected mucosa can be burned with a laser without trauma to the surrounding tissues. The procedure is performed under local anesthesia and usually does not lead to relapses.
The most modern treatment for cervical erosion -radio wave method. This procedure is performed with the use of a special apparatus "Surgitron". The time of its implementation is minimal, and there are practically no side effects.
Treatment with folk remedies
Widely used folk techniques fortreatment of erosion. The use of home-made tampons made of honey wrapped in bandages or gauze can be an alternative to surgery or the use of drugs. This tampon should be inserted as deep as possible into the vagina at night.
It is also advised to make such tools frompieces of pumpkin without peel and seeds or onions, soaked in warmed butter. In addition, a piece of gauze dipped in propolis will do. Often, women spend douching decoction or infusion of calendula and washing with infusion of onion peel.
When eroded tampons are used soakedsea buckthorn oil. The treatment with the use of such a tool is short since the healing of the epithelium occurs literally in 8-12 days. Oil is used to treat erosion in pregnant women, as well as colpitis.
You can conduct syringing decoction of hypericum,sage, chamomile, as this eliminates inflammation and pathogens. It is worth noting that popular treatment can not fully guarantee a cure for this disease. That is why, you must first consult with the doctor and conduct therapy only under the supervision of a doctor.
Possible complications
Эрозия может иметь очень опасные последствия, especially if it is not timely to diagnose and treat this disease. In some cases, the disease becomes cancer, and also provokes the development of infectious processes and inflammation.
The consequences of the disease adversely affectreproductive system, as they interfere with the normal functioning of the uterus. Improper treatment can lead to scarring, which is a serious problem when opening the cervix during delivery. Therefore, after the previous erosion, when planning pregnancy, it is necessary to undergo a rehabilitation course to soften the scars.
Preventive actions
Important preventive measures areregular examinations at the doctor, which makes it possible to quickly identify changes in the mucous membrane. In addition, importance is given to the timely treatment of diseases that can lead to mucosal degeneration.
As a preventive measure, careful hygiene, well-chosen contraception and preventive visits to the gynecologist are required.
Is it possible to get pregnant with erosion and after treatment
Erosion does not provoke sterility, therefore notis an obstacle to conceiving a child. In the presence of pseudo-erosion, a woman can safely plan the birth of a baby. In this case, no specific treatment is necessary; during childbirth and during delivery, complications do not occur.
For true erosion, it is recommended for sometime to postpone the planning of the birth of the child and initially carry out treatment. Genital infections that provoke this disease can cause infertility or harm the fetus.
Often, after a comprehensive andadequate treatment, a woman may well become pregnant. After cauterization, there is a minimal risk of infertility. In this regard, it is not recommended to apply a similar method of therapy, if later pregnancy is planned.
Erosion during pregnancy
Специалисты говорят о том, что наличие эрозии при pregnancy has absolutely no consequences and danger to the fetus. The most important thing in this case is the absence of genital tract infection and pathological changes in the smear.
It is worth noting that the occurrence of a similar pathologyin the body can lead to reduced immunity, as well as the occurrence of hormonal disorders. This can lead to intrauterine infection. The treatment of erosion during pregnancy is not carried out, the only exception is the transformation of this pathology into a malignant form. If there is erosion, it is necessary to visit a gynecologist as well as treatment after 2 months after delivery.
Feedback on treatment
Frequently carried out cauterization erosioncervix, patient reviews about this method of treatment is quite ambiguous. Many say that such a procedure is painful, and can also lead to the formation of scars on the mucous membrane. Some patients speak positively of this method of treatment, saying that it does not cause discomfort and is completely safe.
On folk methods of treatment of cervical erosionreviews women leave, mostly good. Especially positively the patients speak about the use of sea buckthorn oil and tampons with honey. The most important thing is not to be allergic to these drugs.
This gynecological problem can be dangerous, and in some cases it causes significant discomfort, so it is important to carry out timely diagnosis and comprehensive treatment.
