Ectropion - this eversion cervical mucosa.
Cervical ectropion is considered complicated form Cervical ectopicThat combines pseudo scar and cervical strain. Normally, the cervical canal is covered by columnar epithelium and stored in an alkaline medium, with mucous cervical ectropion It turned inside the vagina and enters the acidic environment that promotes the development of various complications, especially inflammatory process.
Kinds
By origin distinguish acquired and congenital ectropion. Congenital ectropion diagnosed in young nulliparous women who have recently had sex. Congenital ectropion occurs very rarely and is a consequence of hormonal balance.
Causes
The leading cause of cervical ectropion is her injury.
cervical lesions that go unnoticed after birth or were improperly sutured, lead to the development of the disease:
- complicated for independent labor (cervical stiffness - "tight" neck, extensor insertion of the fetus, large fruit, etc.);
- surgery in the bearing-down stage of labor (the extraction of the fetus for pelvic end, the imposition of obstetric forceps plodorazrushayuschaya operation) which leads to the formation of cervical fractures (mostly bilateral);
- abortion in late pregnancy (forcible expansion of the cervical canal);
- hormonal imbalance (functional origin).
symptoms ectropion
Typically, cervical ectropion are asymptomatic and detected during a routine inspection.
The disease is usually accompanied by inflammation, atypical or degenerative processes of the cervix (pseudo, leukoplakia, endocervicitis), Which determines the clinical picture of ectropion. There are complaints on the increase of mucous secretions or milk (appearance of mucopurulent indicates an active inflammatory process of genitals), dragging pain in the abdomen, contact bloody issues (After intercourse douching), menstrual disorders (intermenstrual bleeding, increase menses).
Diagnostics
Diagnose cervical ectropion is simple enough. Already during the inspection of the cervix in the mirrors gynecologist can determine ectropion.
It is determined by a bright red mucous membrane located around the external cervical os, its broken folds, scar deformity.
To clarify the diagnosis is carried out expanded colposcopyIf necessary sighting cervical biopsy. Produced content fence from the cervix to bacterioscopic and cytologic analysis. Women with congenital ectropion determine hormonal status (functional tests, blood test for hormones).
ectropion treatment
Treatment of cervical ectropion engaged gynecologist. Treatment of the disease has the following objectives:
- restoration of anatomical structures of the cervix;
- treatment of inflammation;
- correction of vaginal microflora.
Treatment ectropion selected individually, taking into account the patient's age, concomitant diseases and cervical history (parity). Ectropion removed by destructive methods and surgically. By destructive methods include:
- diathermocoagulation - processing (moxibustion) ectropion electric current (the most painful and not very effective means);
- lazerovaporizatsiya - Treatment of pathological site with laser beams;
- cryosurgery - moxibustion cervical ectropion liquid nitrogen (suitable nulliparous women).
After using destructive methods of treatment, which are conducted on an outpatient basis, the patient retained the ability to work (that is, the treatment takes one day).
When expressed cervical ectropion shown surgery hospital with the issuance of sick leave for 7 - 14 days. Carry cervical conization (removal tapered neck portion in circumferentially external os) or reconstructive plastic surgery of the cervix.
Postoperatively assigned sexual rest for 6 - 8 weeks, prohibited douching and using tampons.
Complications and prognosis
Complications of cervical ectropion include:
- development of dysplasia (cervical precancer);
- cervical cancer;
- inflammatory diseases of the pelvic organs (endometritis, adnexitis);
- reproductive disorders.
The prognosis of the cured timely cervical ectropion favorable.
