Cervical erosion - a chronic inflammation of the cervix area.
Allocate 2 types:
cervical pseudo (ectopia) - one of the most common gynecological diseases, arises by moving uncharacteristic for uterine cervical epithelium of the internal os of the uterus to the outside, as if twisting the cervix.
It is most common in women aged 18 to 30-35 years.
True erosion (rare) - uncovered as a result of injury or infection to form epithelial inflammation and bleeding surface.
Causes
- violation of the microflora of the vagina,
- inflammation of the cervix and genital area as a whole,
- venereal diseases (chlamydia or ureaplasmas),
- cervical trauma during delivery or when abortion,
- menstrual irregularities with hormonal disruptions,
- decreased immunity.
The second major factor in the development of erosion is called the early start of sexual relations. The final formation and maturity of female genitalia occurs by the age of twenty, and if early sexual contacts to join vaginal infections and cervical - erosion is almost inevitable.
The disease is dangerous because that is the background for the development of cancer pathology in the cervical area, on the background of the existing erosion risk increases dramatically.
Manifestations of cervical erosion
Erosion is considered to be a benign process of transformation of cells in the cervical area. In this case, the subjective feelings a woman has no complaints, at least there are not abundant clear discharge from the vagina.
cervical erosion is usually found on the planned inspection in the office of a gynecologist. Thus there is a replacement of normal epithelium into the vaginal part of the cervix area on the epithelium of the cervical canal. The doctor will see this when colposcopy.
In cervical erosion is always a clear boundary, there are inflammatory changes of different degrees. When detecting it always held a special study on the presence of cancer, as a place where two epithelia (border erosion) is often a place for transformation into cancer cells.
Diagnostics
When the detection of cervical erosion, or suspected, it is necessary to be examined by a gynecologist. Erosion is usually treated with active, but also need to pass a full range of tests before the treatment.
The list includes
- conducting a smear on flora,
- tests for detection of latent infection by PCR.
In addition, seeding needed vaginal flora and conducting PAP tests, determination of abnormal cells. If necessary, a biopsy is performed also modified fragment of the neck.
Treatment of cervical erosion
In the event of erosion in young women, if there are no complications, you can try conservative treatment methods.
In the initial stages of treatment used baths with herbs, Homeopathy, drugs to suppress negative flora (usually candles with antimicrobial or antifungal components - terzhinan, Hexicon, livarol).
Following such treatments, at their ineffectiveness in one to three menstrual cycles, different modified tissue removed more active and invasive techniques.
Usually conducted coagulation (effect on cells by various methods, with a view to their destruction and rejection) altered tissue in order to prevent its transformation.
Isolated by:
- Chemical coagulation application to erosion zone specific drugs. This removes only the columnar epithelium, flat remains intact and quickly replaces damaged parts. This method is very little traumatic.
Indications: erosion sizes up to 1-2 cm in nulliparous women.
Requires several treatments, the healing may not be complete, depending on the characteristics of the organism.
Contraindications to it are the large size of the erosion. - Radio wave cauterization - non-invasive method of treatment. The modified cells did not cauterize, but as it evaporates, giving the place a normal epithelium. Therefore, after this operation there is a minimum of side effects operation.
Indications: moxibustion in nulliparous women.
The method is painless and quick, the scar is not formed, allowed sukrovichnye selection. - Method cryoablation (freezing with liquid nitrogen). Method of freezing, followed by rejection erosion cells. Healing time of a processed portion to 4-6 weeks.
Indications - burning of vast areas in parous women.
Plot selected sighting without damaging healthy tissue, scar is not formed. The procedure is painless, but unpleasant to the feelings, pulls the stomach. It lasts no longer than 10 minutes.
Side effects may be copious, dizziness after treatment, long-term healing. - Method lazerokoagulyatsii (moxibustion laser beam). Plot selected sighting without damaging healthy tissue, scar is not formed. The procedure is painless, but unpleasant to the feelings, pulls the stomach. It lasts no longer than 10 minutes.
It can be conducted to give birth, and women not in labor.
Contraindications - are deep and extensive erosion.
When conducting laser erosion takes place is not always, but is reduced significantly. rather expensive method. - Frequently used diathermocoagulation, cauterization erosion electric shock, causing burns on contact.
Conducted only parous women.
Contraindications: it is a method that is often used, but it should be avoided, especially if you plan to further generations. He greatly injure the cervix. painful method, followed by uterine contractions, accompanied by an unpleasant odor. Heal the scar for a long time, can be isolation, weakness, aching lower back.
complications
Many women are afraid or too lazy to treat cervical erosion, meanwhile - it is not harmless to the female organism. Moreover, it is a hotbed of chronic infection that can lead to disastrous consequences, for example, miscarriage or infertility. Cervical erosion - a ticking time bomb. There is always a risk that ectopic epithelium cells degenerated into cancer - if there is a need to remove the uterus with appendages and prolonged chemotherapy.
erosion treatment in advanced stage - always a long, traumatic and problematic. When the cauterization of the neck, it is injured, it can not affect in the future reproductive function. Problems may arise at child-bearing.
That is why developed countries after 30 years of offering all women undergo regular screening to conduct a simple test - smear test Pap-test. Smear paint a special substance and examined under a microscope. If you are suspicious cells on cancer, conducted a more detailed and in-depth treatment, which allows to identify and treat the problem quickly.
