Endocervicitis - is an inflammatory process that develops in the lining of the cervical canal. Endocervicitis is diagnosed in approximately 70% of women, usually of childbearing age (20-40 years).
Kinds
By the nature of the flow release
- acute and chronic endocervite,
and the prevalence of the process
- focal and diffuse.
Furthermore, depending on the type of agent may be endocervicitis specific and nonspecific.
Causes
Cause of nonspecific endotservitsitov is conditionally pathogenic flora, that is, that a healthy woman does not manifest itself:
- E. coli;
- streptococci;
- staphylococci;
- bacteroides;
- korinobakterii and others.
Specific endocervicitis cause infections, sexually transmitted infections:
- gonorrhea;
- chlamydia;
- mycoplasmosis;
- fungal infections;
- trichomoniasis and others.
Predisposing factors for endocervicitis are:
- related inflammatory diseases of the pelvic organs (cervical erosion, ectropion, endometritis, vaginitis, salpingo-oophoritis, cystitis);
- cervical injury during abortion, dilatation and curettage, delivery;
- prolapse of the cervix and vagina;
- a weakened immune system;
- introduction of the intrauterine device;
- promiscuous;
- climacteric and menopause (reduced estrogen content);
- irrational use of chemical spermicides, douching acids;
- menstruation and sexual intercourse during this period.
symptoms endocervicitis
In acute Endocervicitis patients are concerned:
- mucous or purulent discharge from the vagina,
- discomfort, itching and burning in the vagina.
Rarely bother dull or dragging pain in the abdomen. The presence of other complaints associated with concomitant diseases (urethritis, endometritis, an inflammation of the uterus).
In the chronic form endocervicitis no signs of inflammation or complaints connected with regeneration (healing) mucosal sites of inflammation.
Endotservitsitov clinical symptoms differently - depending on the nature of the pathogen and the reactivity of the female organism.
Often endocervite flows erased from the outset. Marked clinical signs inherent endotservitsitah gonorrheal etiology, while chlamydial infection they are less noticeable.
Endocervicitis not detected uncured or in the acute phase passes into a long chronic process. Duration of the disease is related to reinfection (re-contamination) and with the simultaneous existence of urogenital organs disorders that impair the body's defenses.
Cervical examination and speculum via colposcopy detected flushing (redness) around the outer opening of the cervical canal, abundant mucopurulent or purulent discharge, often eroded surface.
Chronic endocervite characterized dull mucous or muco-pus-like discharge, often observed pseudo.
Diagnostics
Recognition endocervicitis not difficult. Use the following laboratory and instrumental methods:
- Smear on the flora of discharge from the cervical canal, the vagina and the urethra;
- bacteriological seeding precipitates to determine pathogen and its sensitivity to antibiotics;
- cytology smear from the cervix and cervical canal;
- research on infections, sexually transmitted infections;
- colposcopy - allows you to define areas of inflammation;
- Pelvic ultrasound to identify comorbidity;
- blood on syphilis, HIV and hepatitis;
- Urinalysis in the presence of complaints about urination disorders;
- biopsy in chronic Endocervicitis.
endocervicitis treatment
Treatment endocervicitis engaged gynecologist.
In the acute stage of the disease is carried etiotropic therapy that is aimed at eliminating pathogen infection. Depending on the type of selected pathogenic flora appointed antibiotics, antiviral or antifungal agents. The average duration of a causal treatment is 7 days.
Antibiotic treatment is chosen only after the pathogen inoculation for sensitivity to antibiotics. Local treatment is carried out after the process of acute symptoms subsided (duration topical therapy occupies 7 - 10 days).
- In identifying the fungi are appointed antifungals (fluconazole, Diflucan, Nizoral, and others)
- In the case of chlamydial infections using antibiotics tetracycline (doxycycline), and macrolides (Sumamed).
- Trichomonas endocervicitis treated antiprotozoal agents (Trichopolum, metronidazole).
Simultaneously the therapy of opportunistic diseases and immunity correction (vitamins and immunomodulators).
Local treatment is done by assigning lactobacilli (acidophilus, bifidobakterin) in order to restore normal microflora in the vagina.
Surgical treatment is used in the process and the protracted failure of conservative therapy (diathermy, cryotherapy, laser therapy). After rejection necrotic mucosa occurs due to its recovery undamaged cells.
complications
How dangerous endocervite:
- chronization process;
- cervical erosion;
- development of an ascending infection (spread of inflammation in the uterus and appendages);
- adhesions in the pelvis;
- cervical cancer.
The prognosis of the disease favorable.
prevention
- regular (2 times a year, medical examinations);
- suturing of cervical tears after childbirth, abortion;
- restriction of heavy lifting to prevent descent and prolapse of the uterus and vagina;
- the use of condoms with casual sexual partners;
- treatment of inflammatory diseases of the pelvic organs;
- strengthen the body's defenses (healthy lifestyle, vitamins, gymnastics, hardening).
