The diagnosis of congenital cervical erosion is not dangerous for the female body. It often occurs in the process of its natural development. If the disease is not accompanied by an inflammatory or infectious complication, it is not necessary to treat it. It is enough just 1-2 times a year to visit a gynecologist. If there is inflammation, treatment is mandatory.
What is congenital erosion?
Congenital erosion is a disease that occurs due to impaired natural development of a woman. The cervix is an organ that is lined from the inside by a cylindrical, and is covered on top by a flat epithelium. Girls are born with a modified cervix when the cylindrical epithelium is located outside. Over time, in most cases during puberty, it shifts inward. But if this did not happen, it means that congenital erosion is diagnosed.
Symptoms and signs
Any type of disease, including congenital cervical erosion, is almost always asymptomatic. You can learn about the disease during a routine examination with a doctor. If erosion is accompanied by inflammation, the appearance of such symptoms is possible:
- Slight pain in the lower abdomen, worse during menstruation.
- Atypical discharge - spotting bloody between menstruation. Moreover, it can have an unpleasant sour smell.
- Itching in the vagina, burning. As a rule, they diminish immediately after taking a contrast shower, but over time it appears again.
These same symptoms may be signs of other diseases of the reproductive system. In any case, if one of them occurs, you should immediately contact a gynecologist. The doctor will diagnose and prescribe a qualified treatment.
Causes of erosion
In newborn girls, the cylindrical epithelium is located on the outer part of the cervix. As he grows up, he shifts inward and takes his place. However, due to the influence of various factors, this process may not begin. In such a case, erosion of the congenital type is diagnosed. The following factors can cause this:
- Heredity. If the mother had such a disease, it would probably appear in her daughter.
- Serious hormonal disorders in girls.
- Malformations, Development Lag
- Inflammation or infection of the organ is also possible, with the result that it develops worse.
Congenital erosion is rarely transferred to the acquired stage. However, this is possible, therefore, after its diagnosis, constant monitoring by a specialist is necessary. You should not be scared when making such a diagnosis - any form of the disease is given to effective treatment and has a good prognosis.
Usually, erosion is diagnosed during a medical examination. It is clearly visible, since the affected areas of the mucous membrane are highlighted in bright red on a pink background. To determine the exact type of the disease, as well as whether there is a probability of its degeneration into a malignant form, use additional diagnostic methods:
- Analyzes It is necessary to pass tests for hormones, since often erosion occurs due to hormonal disturbances. In addition, a complete blood count, as well as a test for genital infections.
- Biopsy. In this case, the doctor takes a small portion of the affected tissue. Its cellular composition is evaluated, in order to determine whether there are atypical cells among them.
- Ultrasound. This method is rarely used to diagnose erosion, since it does not provide an accurate picture of the disease.
- Colposcopy. This is a very effective test in which microscopic examination of the cervix is performed. A colposcope is inserted through the vagina, equipped with an optical element at the end. This allows the doctor to see the mucosal surface enlarged 30 times.
- In addition, it is necessary to pass a smear on the vaginal microflora, as well as genital infections (chlamydia, herpes, etc.).
If in the course of diagnosis malignant forms of HPV are detected, it is necessary to begin treatment and be regularly examined. Otherwise, the cancer process may begin.
The gynecologist deals with the treatment. If erosion is malignant and can lead to cancer, an oncologist will prescribe it, but with supervision by a gynecologist. In most cases, therapy is not even required, and the disease goes away by itself. Sometimes the condition of the cervix is normalized during the course of pregnancy. May be prescribed treatment with drugs. To do this, prescribe antibacterial, hormonal, immunostimulating drugs. In addition, medications that accelerate the healing process are shown.
Other treatments are also possible that have a more pronounced effect on erosion:
- Chemical coagulation. This cautery chemical composition Solkovagin. If erosion has progressed greatly, the application of this method will not give a result.
- Diathermocoagulation. This is cauterization by exposure to very high temperatures. The use of this method is not recommended to begotten women, since as a result of cauterization, scars may occur, reducing the patency of the cervix. This can lead to its rupture during childbirth.
- Cryodestruction, which is the effect of liquid nitrogen. This is a completely painless method of treatment that does not leave scars, so it is recommended for women who have not given birth.
- Cauterization by electric current. The procedure in which the affected cells die due to the influence of an electric current of weak force on them.
- Laser therapy The use of this method is justified by the fact that during its use it is possible to simultaneously remove the affected areas and stop the bleeding. It is characterized by high efficiency, it is shown even for not giving birth to women.
- Radio wave treatment is considered the most effective technique for treating congenital erosion. Radionozh does not burn, but cuts off atypical tissue. This is a relatively new, safe and painless method that does not give complications.
- Electrical excision. This is a complete excision of the cervix using a special electrocautery. It is indicated for the malignant course of the disease.
Applicable treatment methods depend on the complexity of the disease and the characteristics of its course. Therefore, it is recommended to visit a gynecologist for the first time not after the onset of sexual activity, but during puberty (11-13 years). The doctor will determine if the girl has developmental pathologies. When congenital erosion is detected, it can be quickly cured, not allowing it to progress to a disease of the acquired type.
Is it possible to give birth with congenital erosion
Congenital erosion is not a contraindication for pregnancy planning. On the contrary, many doctors do not recommend starting her treatment before the baby is born. In most cases, the disease self-heals during gestation. Cauterize erosion should not be, because because of this, the elasticity of the cervix is disturbed, which can lead to various complications during childbirth. Read more in the article "Is it possible to give birth with cervical erosion?".
To understand what congenital erosion is, you need to study the structure of the cervix. The uterus and cervix inside are covered with a layer of epithelium, which prevents infection. During intrauterine development, the epithelium is cylindrical, then outside it becomes flat. If the process has not been completed by the time a woman is growing up, then they speak of inherent erosion.
This condition does not cause concern to the woman, is asymptomatic. On examination, a portion of brighter color around the neck opening is detected. Therefore, a woman cannot independently suspect the disease, she is usually diagnosed during a pelvic exam.
Among the reasons for the emergence of such a state, doctors distinguish
- hormonal imbalance
- hereditary factor.
For more information about erosion, we have written a detailed article for you: https://matkamed.ru/eroziya/chto-eto-takoe
How to diagnose
Due to the absence of any signs of the disease and the patient's complaints, the diagnosis of erosion occurs accidentally during a routine inspection or examination for other diseases.
Diagnostic methods are:
- Inspection using mirrors.
- Colposcopy. This is a research method with a microscope. The doctor examines in detail the lesion with a multiple increase.
If there is a suspicion of pathological processes in the cervix, then an advanced colposcopy method is prescribed. The lesion site is treated with iodine solution and examined using a colposcope. In the absence of atypical cells, the erosion site has a bright pink color.
Also, women are given swabs for flora and infections.
Usually pathology does not manifest itself. Symptoms may appear after an infection has been attached and the inflammatory process has begun.
Signs of cervical erosion in those who have not given birth can be:
- Abundant discharge with an unpleasant odor.
- Discomfort or pain during intercourse.
- Burning when urinating.
- Burning sensation, itching in the vagina, external genitalia.
- Cycle failure
- Spotting mid cycle.
- Drawing pain in lower abdomen.
These symptoms are the result of sexually transmitted diseases: chlamydia, ureaplpmoz, trichomoniasis, papillomavirus. It can also be a sign of an inflammatory process in the female genital organs.
If there is no infection and inflammation, then congenital erosion should not be treated. It is necessary to undergo regular examinations in order not to miss the onset of complications.
Often this state goes away after childbirth due to changes in hormonal levels. Especially do not recommend cauterization of erosion to unborn women, it can affect the elasticity of the neck and create problems in the process of childbirth. Therefore, young women who do not have children, doctors are advised to take the tactics of waiting.
However, if the pathology remains after childbirth, this can be a sign of serious hormonal disorders.
Therapy begins with the elimination of infections and the inflammatory process. To do this, the doctor prescribes drugs, depending on the pathogen, the stage of the lesion. Sometimes hormonal treatment may be required if an imbalance of hormones is the cause of the ailment.
For the treatment of erosion, the following methods are used:
- Cryodestruction That is, freezing with liquid nitrogen. This method is sometimes used to treat unborn women.
- Radio wave therapy. The affected area is contacted by radio waves.
- Laser coagulation. The affected areas are treated with a laser beam. This method is highly accurate and most effective.
- Electrocoagulation. This is the most ancient method, contraindicated nulliparous. It has many complications, leaves scars on the neck. Recently used quite rarely and in those institutions where there is no modern equipment.
- Chemical cauterization solution Solkovagin.
- Drug therapy with healing ointments and suppositories.
The doctor chooses the method of treatment individually, depending on the age of the patient, the presence of children, the degree of development of the disease.
Usually congenital erosion of the cervix has no complications, as it refers to non-tumor processes. In some cases, it becomes the cause of acquired erosion. Then permanent inflammations may appear, provoking the deformation of the cervix.
In addition, the consequences are:
- Adhesions on the cervix.
- Chronic inflammation of the appendages.
- Poor cervical dilatation during labor.
- Formation of flat warts on the affected area.
Rebirth of erosion into cancer occurs extremely rarely, only in case of infection with the papilloma virus.
Birth Congenital Erosion
There are no contraindications to pregnancy in childbirth in this condition. As well as there is no threat to the health of the child. On the contrary, doctors recommend having a baby, it can contribute to a cure.
In the case of extensive lesions, it may be difficult to open the cervix, which will complicate the process of delivery and require a cesarean. However, this situation is extremely rare. Basically, a woman successfully bears and gives birth to a healthy child.
Congenital erosion is not a disease, but a feature that can pass on its own as the body matures. This condition does not show any symptoms, does not require treatment. It is necessary to regularly undergo medical examinations in order not to miss the onset of a possible complication.
Since congenital erosion of the cervix in its pure form does not manifest itself, only a doctor can detect this disease:
- on routine inspection,
- during examination for symptoms of other diseases.
To diagnose erosion, the gynecologist uses the following methods:
- inspection of a woman using a mirror
- coloscopy - examination with a microscope, a multiple increase in the affected area,
- sampling of smears for the identification of pathological microflora, oncology, infections.
Detect congenital disease is possible at any age: both girls and women.
Danger of illness
Congenital cervical ectopia is not dangeroustherefore, complications in the case of this disease are very rare. But sometimes it can turn into acquired erosion. Then, in the woman's body, cervical deformity will occur, caused by constant inflammatory processes. This is dangerous with the following consequences:
- adhesions on the cervix,
- chronic inflammation of the appendages,
- during labor the cervix will not open well,
- flat warts are formed on the erosion-affected area,
Caution must be exercised if the woman is infected with the human papillomavirus.In this case, cervical erosion can be reborn as a cancer.
This disease does not create contraindications for pregnancy and childbirth. On the contrary, in women who have not given birth, it is not recommended to treat erosion in order to preserve the elasticity of the cervix. Especially gynecologists note that erosion does not threaten the health and life of the child. It often happens that it is after childbirth that congenital ectopia is self-cured.
Congenital ectopia is not a disease, it is a feature of the female reproductive systemwhich most often passes independently as the body matures. Treatment when this type of erosion is detected is not prescribed; only regular check-ups at a gynecologist are recommended in order to avoid possible complications.
If infections have penetrated into the woman's body in the presence of erosion and the inflammatory process has begun, then the doctor prescribes treatment. Each method of treatment is chosen by the doctor individually, depending on the age and health of the woman.
Most often, antibacterial agents in the form of suppositories are prescribed for the treatment of concomitant diseases during cervical erosion. This form of the drug is convenient for the following parameters:
- the drug acts locally on the inflammation itself,
- soft and gentle impact
- removal of abnormal secretions from the female organs,
- natural microflora is not disturbed,
- reduced pain,
- easy application independently and at home
- affordable cost.
More serious intervention for congenital erosion is rarely taken., in cases where there is a threat of serious complications. Exposure under these conditions is carried out by several methods.
In other words - freezing or cooling. The method consists in treating the cervix with liquid nitrogen of very low temperatures - from -90 to -150 degrees, as a result of which the affected tissues are destroyed. Cryodestruction has a huge number of advantages:
- lack of blood
- preservation of cervical elasticity,
- minimal damage to surrounding tissues
- lack of scars and scars
- complete tissue repair after surgery,
- low percentage of complications.
but with this method, the treated area heals quite a long time - from a week to three, with large areas of erosion or inaccessibility is not applicable.
Contraindications to surgery:
- acute inflammation of the internal genital organs, vagina, uterus,
- the presence of sexually transmitted diseases,
- uterine deformity
- uterine diseases requiring surgery,
- suspicion of oncology,
- ovarian tumors,
- acute course of infectious diseases.
The operation is carried out by laser radiation, under the influence of which cell death occurs in the affected area. Conducted on an outpatient basis.
There are two types of this method:
- contact: during the operation, evaporation of unnecessary formations occurs,
- innovative: penetration of a green laser at different depths of tissue.
After the operation performed in this way, there are no complications for the health of women.
Radio wave treatment
The safest and most modern treatment for cervical erosion. High-frequency waves evaporate altered tissue without causing incisions or burns. The low-temperature vapor secreted seals the blood vessels and cells, thereby eliminating bleeding during surgery.
Also during the process the wound is disinfected.Fabrics after surgery are restored fairly quickly and without complications.
- high temperature before surgery
- the presence of genital infections
- mental problems
- diseases of the pelvic organs,
Despite the eerie sounding name, congenital erosion of the cervix is not a serious disease and a cause for strong experiences. Most often, she passes by herself, without special treatment. But in any case, every woman should listen to her body and visit a gynecologist twice a year, even if there are no health complaints.
Actually, "erosion" as a medical term refers to a wound, ulcer, destruction of the surface. This is true for only one state - true erosion, in which an organ is formed as a result of mechanical or other damage:
- thinning of the epithelium,
- microcracks and wounds are formed,
- the center of an inflammation is formed at accession of an infection.
This condition is a pathology, the injured mucous membranes bleed, causing discomfort during sexual contact. A woman notes a copious discharge of pink, brown, brown or mucous with an admixture of scarlet blood.
The diagnosis of cervical erosion includes two more conditions, which are designated by the terms "ectopia", "pseudo-erosion", "false erosion":
- acquired violation of the structure of the epithelium,
- congenital similar condition.
What happens to the mucosal surface of the cervix in these cases? Normally, the cervix and the walls of the vagina are covered with mucous membranes consisting of multiple layers of pink squamous epithelium. The internal (cervical) canal of the cervix is lined from the inside by an epithelium composed of red cylindrical cells. Each of them has its own purpose, but the common goal is to protect the internal genital organs from infection and external fluids, mechanical damage.
When ectopia in areas of pink color appear scarlet spots with a characteristic grainy surface.
- With normal ectopia, areas of altered epithelium can be formed: after healing of true erosion,
- as a response to hormonal changes in a woman’s body.
Congenital cervical erosion is visually different from acquired - when viewed, the doctor sees a solid red area, which clearly borders on the pink epithelium. Its formation is closely related to the development of the woman’s body:
- in infancy, cylindrical cells cover the surface of the vaginal walls,
- as they grow older, the red epithelium is replaced by flat pink,
- normally, the process should end by the age of 21-23,
- from time to time the boundaries between epithelium are shifted (it depends on fluctuations of the hormonal background).
Stopping the development of the epithelium at this level indicates a slowdown in the formation of internal reproductive organs. The cause of this condition can be:
- hormonal features,
- age features.
Doctors consider this condition of the cervical epithelium to be absolutely normal, not causing anxiety, which disappears on its own from a healthy woman. It should be noted that congenital ectopia is not a pathology and does not interfere with normal conception.
Symptoms and need for treatment
Since this state is a variant of the norm, no symptoms are noted. The presence of congenital ectopia can be determined exclusively by a doctor during a routine examination.
The doctor takes no action in this case, taking the position of monitoring the patient's condition. A girl should visit her gynecologist at least once every six months to monitor the state of the microflora.
In the body of a healthy woman, the process of displacement of the cervical epithelium ends in the period of hormonal surges. Most often it is the onset of pregnancy.
When planning a pregnancy, there is no need to take any action to eliminate this peculiarity, since at the first birth the elasticity of the neck and its ability to open are important for the normal course of the birth process. Any intervention, especially rough, will disrupt the natural balance and affect the process of childbirth.
After the birth of the child, the attending physician decides on further strategy - if erosion remains, but there is no inflammatory process, the doctor continues to monitor, inspecting the woman once in 6 months.
Most often after birth, congenital ectopia is eliminated on its own and does not change.
Complaints about poor health can occur if infection occurs and the development of the inflammatory process begins.
Symptoms of this condition can be:
- recurrent pain in the lower abdomen,
- discomfort during intercourse,
- abundant discharge of white, yellow or green with an unpleasant odor,
- itching and burning,
- urinary discomfort,
- in some cases, fever.
Causes of infection may be:
- decrease in the general body resistance after acute viral infections;
- systemic inflammatory diseases
- low body resistance against the background of endocrinological disorders (diabetes and thyroid dysfunction),
- infections of the genitourinary system and kidneys,
- early sexual debut with frequent changes of sexual partners
- unprotected sex and sex toys
- unsuccessful medical manipulations.
Long-term preservation of congenital erosion of the cervix uterinee may be caused by psychosomatic causes. A timely visit to the doctor, careful diagnosis and proper treatment, as a rule, gives a good result.
The control of the attending physician for the condition of the patient with congenital erosion is:
- traditional inspection,
- taking a mandatory smear to determine the vaginal flora,
- blood tests for sexually transmitted infections, HIV,
- a blood test to determine the human papillomavirus,
- ultrasound if necessary
The most accurate picture of the state of the cervix gives a study under the colposcope. It represents the study of the ectopic zone under magnification, with the development of additional coverage. For a better study of the erosion zone, the surface is painted:
- acetic acid
- solution of iodine or lugol.
The doctor examines the erosion zone through the illuminated binocular - the squamous epithelium does not absorb the staining solution, the cylindrical cells become more visible.
If necessary, a small piece of tissue is collected for examination. In some cases, the woman will need to pass a blood test to determine the hormonal levels.
If infection is detected, especially with sexually transmitted infections, the doctor prescribes symptomatic treatment. At emergence of the changed cells additional consultation of the urologist will be required.
Measures to eliminate the infection are necessary, even if pregnancy is detected - maintaining a potential source of infection is dangerous for both the mother and the baby.
Methods of treatment are selected according to the age of the woman and her condition at the time of diagnosis. Modern gynecology has enough methods of soft impact on the neck, which can preserve the reproductive health of women.
The most commonly used antibacterial drugs in the form of candles. Their advantage over other groups of drugs are:
- local effect at the point of inflammation,
- soft structure, which affects body heat,
- the ability to warm up in the affected area,
- the ability to bind and remove pathological secretions from the vagina,
- the ability not to disturb the natural flora of the genital organs,
- soften tissues, reducing pain,
- the ability to apply at home
For the treatment of nulliparous women with ectopia can be applied modern methods of burning zones with altered epithelium. There are several ways to do this:
- electrical burning (diathermocoagulation),
- freezing (cryodestruction),
- laser vaporization,
- radio wave treatment.
The most gentle and modern is considered to be radio wave treatment, which is carried out by the Surgitron or Fotek devices. Therapeutic effect is based on the use of dissecting effects on the fabric of radio waves.
When exposed to high-frequency radiation when eliminating the modified area, blood vessels are sealed, so the method does not cause bleeding, women note the absence of pain during the procedure.
After the erosion site is removed, a thin film is formed on its surface, not a scab, as with other methods of cauterization, wound overgrowing takes place faster than with other hardware methods of action. The method allows you to fully preserve the structure and shape of the cervix, which is important for the normal movement of the infant through the birth canal.
Laser vaporization is used more often than the radio wave method - it is a cheaper and more affordable method. For the treatment of used devices of various designs. Laser radiation depending on the spectrum has:
- wound healing effect
- immunostimulating effect
- disinfecting effect
- stimulating effect on blood microcirculation in the treatment area.
After the procedures, some restrictions are imposed on women; complete healing depends on the method of exposure and does not exceed 45 days. Pregnancy can be planned no earlier than after the third normal monthly period after the intervention.
Women with a diagnosed congenital ectopia, who did not eliminate at the expected time, need to reconsider their attitude towards themselves.
In the works of leading experts on the problem of psychosomatics V. Sinelnikova, O. Torsunov, it is indicated that the psychological causes of erosion can be:
- teenage problems of rejection of their appearance, conscious or subconscious ignoring their femininity,
- not established relationships with men, resentment and aggression towards them,
- repressed need to feel loved and desired.
A woman with the problem of congenital ectopia should adjust their lifestyle, method and diet, learn to maintain a positive attitude.
Regular visits to the doctor, timely treatment of infectious diseases, sexual hygiene should be obligatory.
Description of the disease
Congenital erosion of the cervix occurs when the boundaries of the cylindrical epithelium shift beyond the cervical canal.
This happens during fetal development, so the disease is considered congenital. Pathology covers a small area on the outer throat.
The color of this area is bright red, the surface is smooth and smooth, without marked changes in tissues.
Pathology appears in adolescence and even childhood and is often cured without the use of external influence. At the beginning of puberty in normal cylindrical epithelium is shifted into the cervix.
In the following video, a gynecologist talks in detail about cervical erosion:
About all the features of the appearance, detection and treatment of congenital erosion of the cervix, read on.
Characteristic external manifestations of the disease most often does not occur. The girl does not experience pain, itching, pronounced vaginal discharge or unpleasant smell are not observed.
The pathology is asymptomatic, and the diagnosis is made by accidental detection of signs during the medical examination.
In rare cases, the symptom is a failure in the menstrual cycle.
The disease has the following visual signs:
- round or irregular shape with clear, even edges.
- Small size.
- Location in the throat of the cervix.
- Smooth surface.
Methods of detection in nulliparous women
The main methods of diagnosis:
- visual inspection using mirrors.
- Colposcopy, which allows you to see the inflamed area under multiple magnification.
- Smears on pathological microflora, oncocytology, genital infections.
If you suspect the development of malignant erosion, the method of extended colposcopy is applied.. The pathology zone is treated with an alcoholic solution of iodine (5%) for a detailed examination of the erosion surface.
In this case, the woman is recommended to conduct regular inspections every 3-6 months. Over time, the majority of patients pathology healed on their own.
Treat or not
Many doctors consider these conditions of the uterus to be the norm and do not prescribe any specific treatment. The only strategy of behavior in the presence of pathology is the regular delivery of control smears in order to timely detect inflammatory processes and other changes in the epithelium.
Can erosion pass by itself? If the state of the epithelium is not normalized before pregnancy, hormonal shaking associated with conception and childbearing leads to the complete disappearance of the disease.
After pregnancy and childbirth, congenital erosion in rare cases remains unchanged.
In this case, treatment is most often necessary, as the situation indicates hormonal disruptions in the woman’s body. Learn more about when you need, and when there is no cure for this disease.
It is necessary to treat the disease in the presence of the following factors:
- the presence of inflammatory processes or genital infections.
- Disorders of the menstrual cycle.
- Hormonal disorders.
- Presence of condylomas on the cervix.
Modern medicine has a wide arsenal of methods to combat pathology. In most cases, the doctor is a gynecologist. Therapy is selected strictly individually in a particular case. When cancer cells are found in the epithelium, a mandatory oncologist consultation is appointed.
The basis of the treatment of giving birth in most cases is hormone therapy. Also apply active methods of influence on the affected area of the uterine mucosa:
- drug therapy. Antibacterial and local remedies are used. Drug treatment is currently rarely used, mainly to relieve inflammatory processes or co-infections.
- Chemical exposure. Recommended for use in the presence of warts and superficial mucosal lesions.
- Electrocoagulation. Erosion is cauterized by a special apparatus. However, the use of this technique is not recommended for patients of childbearing age, since, due to electrocoagulation, scars are formed, the neck loses its elasticity. Such consequences cause the risk of rupture and non-disclosure of the cervix during labor.
- Cryotherapy (cryodestruction). A painless method for treating erosion with liquid nitrogen.
- Laser therapy The newest technique, gradually replacing liquid nitrogen and electrocoagulation. The method is absolutely painless and affects exclusively the affected area without affecting healthy tissue. The advantage of the technique is the possibility of using it even for non-pregnant women, since after its use no scars are formed. The effectiveness of laser therapy reaches 100%.
- Radionozh. The method is based on the application of the removal of the affected area by radio waves. The site of erosion is cut and sent for histology. Radionozh is a complete surgical intervention, but it can be used for deep tissue damage and even for women who have not given birth.
- Excision of the neck. Complete removal of the cervix in case of suspected cancer cells. The operation is performed with a radio knife or a scalpel.
All listed sparing techniques are applied only in the absence of suspicion of oncological processes in the uterus. In case of detection of malignant transformations in the tissues, only radical methods are shown.
This video clip describes the main methods of treatment of ectopia:
- do you need it in your case
- how to prepare for the procedure
- how are the various operations,
- how painful it is
- whether there may be excretions and other consequences after,
- and how to behave during the rehabilitation period?
Should I be afraid of ectopia?
Finding ectopia in a girl or woman is no reason to panic and make the worst assumptions.
Ectopia does not have tendencies of transformation into oncological tumors.
In the absence of inflammation, the disease is a variant of the norm and does not require any intervention.
If you follow all these recommendations, the pathology will not cause concern and will not cause the development of other health problems.
Essence of pathology
Erosion is a broad concept that includes a mucosal defect - congenital or acquired.
The characteristic symptoms of the disease is manifested only in the presence of inflammatory or infectious processes in the cervix, as well as in advanced forms of the disease. But in most cases, the disease is diagnosed by chance.
Not so long ago, erosion was considered a harbinger of cancer education, but today the opinion of doctors on this score has changed. Modern medicine does not position pathology as a precancerous condition, however, the risk of a malignant process cannot be completely ruled out..
Erosion can be congenital or acquired (true or pseudo-erosion).
More about the types of erosion can be read here.
Congenital is usually diagnosed in fiance girls or virgins. This condition is very rarely plunged into complications, and the risk of degeneration into a malignant process in this case is almost zero.
This is the only type of disease that can occur without medical intervention.
True erosion is a bleeding wound, the cause of which can be a large number of factors:
- mechanical damage,
- infectious diseases of the genital organs,
- inflammatory processes in the uterus and its appendages,
- viral pathologies - herpes, papilloma,
- genetic predisposition
- hormonal disorders.
Pseudo-erosion or ectopia - this is what remains after true erosion (which exists no more than two weeks). The body is trying to independently fight the wound on the neck, which leads to the replacement of flat epithelial cells with cylindrical.
Congenital erosion in unborn women
The essence of the disease lies in the fact that cells of the cervical canal are shifted to the outer surface of the cervical region, as a rule, this process is associated with hormonal alteration in the body of a girl. Most often, treatment of this form of erosion is not required.
An exception is the option in which the inflammatory process develops.
The displacement of the cylindrical epithelium beyond the borders of the cervical canal occurs at the time of fetal development, therefore this form is congenital. Pathological processes occur within a small area of the external pharynx.
On examination, this type of erosion looks like a bright red smooth and even surface, without marked tissue changes.
Quite often, the congenital type is cured on its own - when the girl begins puberty, the cylindrical epithelium is shifted inside the cervix without external intervention..
If congenital erosion is not eliminated to full maturity, infection of the affected area is possible, in addition, flat warts can form in the area of pathology.
The following factors can provoke a congenital type of cervical disease.:
- maternal genetic predisposition
- hormonal hormone disorder in a child,
- intrauterine developmental lag,
- infection of the child during gestation or childbirth,
- birth trauma.
Congenital practically never passes into acquired erosion, but doctors do not say that this can not be. Therefore, after the diagnosis of congenital disease, the girl should be regularly monitored by a doctor.
No congenital erosion or symptoms. Therefore, the girl herself cannot guess the presence of the disease.
But when joining an infection or when an inflammatory process develops, erosion may be accompanied by a clinical picture that cannot be overlooked.
The following should guard symptoms:
- Pain in the lower abdomen, which becomes more intense on critical days.
- The presence of atypical discharge - intermenstrual bloody discharge, discharge with unaccepted odor, purulent discharge.
- Burning and itching in the vaginal area, these unpleasant symptoms, as a rule, disappear or diminish after the contrast shower, but after a while appear again.
It must be said that similar symptoms are characteristic of many gynecological diseases, therefore, if it occurs, it is necessary to immediately contact a specialist and find out the reasons.
What is the danger?
Very often the question arises about the danger of erosion in adolescence. As a rule, puberty in girls begins at 11-13 years.
In the first two years during this period, there are significant fluctuations in the hormonal level, which leads to irregular menstruation. Since menstruation is accompanied by various discomfort sensations, it is rather difficult to detect the development of erosion at this moment..
If a girl doesn’t observe hygienic rules properly, she is often overcooled, enters into early sexual relations, it is possible that chronic inflammatory processes can develop that can provoke infection.
As already mentioned, congenital erosion can be cured independently, but in some cases it does not happen and the disease progresses.. In very rare cases, the pathology can turn into an acquired one, and then the danger of an illness grows - chronic acquired erosion can lead to dysplasia, which is fraught with the development of an oncological process.
Can prevent pregnancy?
Congenital erosion is by no means a contraindication for pregnancy and childbirth.. Moreover, very often this type of illness takes place in the process of carrying a child.
But cauterize before, and even more during pregnancy, absolutely not worth it, because this procedure can lead to complications during childbirth.
The presence of erosion does not affect the fetus, but only if the disease is not complicated by inflammation. In the inflammatory process, the infection can spread to the uterus and cause fetal abnormalities, especially in the first trimester..
Therefore, it treats inflammation during erosion without fail.
Infection, provoking erosion
The following infections can be the cause of cervical erosion:
- herpes virus type two
- human papillomavirus infection
Trichomoniasis and chlamydia occur through pain and burning during urination and sexual contact, frothy discharge from the vagina. Trichomonas and chlamydia multiply in the epithelium, therefore, in the absence of immediate treatment, the risk of infection of the uterus through the damaged cervix is enormous. Diseases can cause inflammation in the appendages and ovariesthat can lead to infertility. Mycoplasmosis and ureaplasmosis have similar symptoms and often join other infectious diseases (trichomoniasis, chlamydia).
Gonorrhea is characterized by profuse purulent secretions, the rapid reproduction of the infection leads to inflammation in the cervix (cervicitis), and then to erosion, therefore, requires immediate treatment. When late treatment of human papillomavirus infection, characterized by the presence of dead particles on the cervix and the presence of an erosive state, the woman risks acquiring cervical cancer in the future. When infected with genital herpes (the second type) for a long time there are no symptoms, but lesions of the mucous membrane of the cervix over time inevitably arise and lead to the formation of erosion.
Genital inflammation resulting in erosion
Inflammations (vaginitis, colpitis) can occur in the female body. in violation of the balance of vaginal microflora. Characterized by the presence of an unpleasant smell, cheesy discharge, itching in the genitals. Inflammation in the genital organs can be provoked by disrupting the hormonal balance of the female body, taking antibiotics that provoke intestinal dysbiosis, and a general weakening of the body's immune forces. Vaginitis left unattended can lead to erosion. Candidiasis (thrush) is a common disease in women, with symptoms similar to vaginitis. Reproduction of yeast-like fungi is manifested by the presence of unpleasant sensations, and can also lead to an inflammatory process in the cervix.
Erosion of traumatic origin
Cervical injury can occur for a variety of reasons. The most common of them - impulses during childbirth. Even if these are microcracks that do not require filing, the mucosal disorders that occur in the cervix become eroded. Therapeutic proceduressuch as abortion, removal of polyps, cryodestruction, electrocoagulation, chemical and laser treatment violate the integrity of the cervical epithelium, then a crust forms, under which a layer of healthy mucous membrane is formed.
If the process of separation of the crust occurs prematurely, then part of the unformed epithelium will be susceptible to infection or traumatic damage and recurrence of erosion. Therefore, during the specified period after the procedures, it is necessary to refuse sexual acts and to carry out all appointments of the treating doctor.
The defeat of the epithelium of the cervix in birthless
Cervical erosion in an unborn girl may occur if she subject to the following risk factors:
- early sexual debut
- hormonal imbalance
- menstrual disorders
- general weakening of immunity
- frequent change of partners
- hormonal drugs
- thyroid diseases
- use of chemicals: hygiene and lubricants
The female organism is a self-adjusting system; therefore, factors of a psychological nature can also cause erosion; weaken the immune status of the body. These include:
- Rejection by a woman of her individuality. If a woman does not believe in her beauty and uniqueness, her body's hormones are disturbed, manifested as infertility, uterine fibroids, ovarian cysts, erosion.
- Bad relationship with a man. Prolonged exposure to a state of stress, anger, hidden resentment cause irreparable damage to the female body. It is impossible to cure acquired diseases without getting out of a stressful state.
Congenital cervical erosion
Some girls have this congenital anatomical featureas a delayed movement of the internal epithelium, which is located outside at the birth of a girl, to its place. The color of the inner epithelium is darker than the color of the outer one, therefore often this reddening is taken for the erosive state of the neck.
Congenital erosion is manifested if there is a hormonal disorder, congenital malformation, heredity. Congenital erosion of the cervix in birthless women is not considered a disease if there are no symptoms of its manifestation. This condition does not require treatment. After childbirth, women with such an inborn feature should pay attention to the condition and regeneration of the cervical mucosa due to the risk of complications.
Diagnosing Cervical Modifications
Erosion is diagnosed by a gynecologist during a routine examination or when a woman has symptoms such as bloody issuespain during intercourse. Inspection is carried out using a special probe, in contact with which the affected areas immediately begin to bleed. In more detail to investigate the condition of the mucous membrane, the doctor can, using the device colposcope. This study is called colposcopy.
To determine the cause of the disease, the doctor prescribes a series of tests:
- smear to determine the state of microflora
- tests for chlamydia, mycoplasmosis, trichomoniasis and other genital infections, using the method of DNA detection of the infectious agent (PCR),
- seeding scrapings from the mucous membrane of the vagina, which detects the growth of bacterial colonies,
- Cytology and biopsy are performed to exclude cervical cancer.
The results of the research will allow the doctor to determine with accuracy the erosion, and to prescribe procedures that will be most effective for a particular case.
Treatment of cervical erosion
The most commonly used in the treatment of cervical erosion are:
- cauterization (diathermocoagulation)
- laser therapy
- cryodestruction (freezing with liquid nitrogen):
- excision of the affected epithelium
After carrying out these procedures, it is necessary to give up sex for a month. At this time, a healthy mucosa is formed under the crust at the site of the lesion. Earlier separation of the crust can cause even greater deterioration of the cervix. At this time, you need to limit physical activity, not to lift weights.
Causes of cervical erosion in unborn are also inflammatory, infectious and traumatic. Treatment of cervical erosion in unborn women is not performed by such aggressive procedures due to their negative effect on the flexibility of the cervix. Their use may subsequently lead to the threat of a breakdown or an unborn pregnancy. In order to determine how to treat erosion of uterine cervix, it is necessary to determine the cause of its occurrence. Then the doctor prescribes therapy with disinfectants and wound healing agents. Next, carry out a complex of procedures aimed at stimulating the body's immunity. Examination by a gynecologist should be performed twice a year.