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Are pregnancy and cervical dysplasia compatible?

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During the planning period of pregnancy or after its onset, during examination of a woman, various pathologies, including dysplasia, are sometimes detected.

The doctor is not able to diagnose early dysplasia, the disease does not manifest itself, does not make adjustments to the intimacy of the partners. Pregnancy can occur on the background of dysplasia, but during the planning period of the future child should be examined, to cure possible hidden diseases, avoiding complications during the carrying of the baby. There are a number of types of dysplasia during pregnancy.

Cervical dysplasia

The presence of dysplasia detected during the pregnancy of a woman will not affect the course of the pregnancy or the health of the baby. If it is established that it is possible to endure a healthy child, you should not have an operation to remove dysplasia, the possibility of infection of the fetus, miscarriages, the risk of fetal fetal death is high.

An important point during pregnancy in time to conduct a cytological examination and the results obtained to discuss with your doctor further treatment. With a positive picture, one should not agree to have a colposcopy; acetic acid is used in the study; unnecessary intervention in the body of a pregnant woman is at least impractical. It is better to refuse a biopsy, the procedure is carried out in case of urgent need.

Treatment of dysplasia is desirable to hold before pregnancy, in severe cases, part of the cervix is ​​removed. For conception and childbirth, fact does not matter. Births occur naturally in any degree of dysplasia, in the absence of other contraindications.

Dysplasia during pregnancy, revealed in the cervix, must be cured in time, preventing a chance to degenerate into a malignant tumor. Dysplasia is a change in the cell structure of the epithelium, the layer that forms the cervix. Three degrees are known. Easy degree - simple in treatment, but it is not worth delaying the process. With a mild degree, dysplasia easily passes into the middle, where the deep layers of the epithelium are affected. Then comes the severe degree, where consultation of the oncologist and gynecologist is required, and part of the cervix may be removed.

The causes of the syndrome, methods of treatment

The causes of dysplasia in women aged 15 to 45 years, leading a vigorous sex life, are elementary. Premature onset of sexual life, periodic active change of partners, possible infections and sexually transmitted diseases. This includes the lack of a healthy and sporting lifestyle, smoking. Long-term use of hormonal oral contraceptives or KOKOV, possible hormonal disorders in the body of a woman of any child-bearing age. The cause of the origin of dysplasia is the presence of human papillomavirus, weakening of the immune system during pregnancy or stressful experiences.

Cervical dysplasia occurs without symptoms, but the appearance of discharge with a characteristic color should alert the woman. The only way to detect the disease is to undergo an annual examination by a gynecologist, passing the analysis for cytology. In the period of pregnancy planning, it is required to first cure the disease, then prepare for a happy motherhood.

The attending physician will prescribe medication, at the same time prescribe the treatment of concomitant infectious diseases. In the absence of positive dynamics in the treatment, the doctor will advise operable intervention. A number of methods are known for removing diseased epithelial cells. For example:

  • Cryodestruction - the effect of low temperatures strictly on the affected tissue.
  • Laser vaporization - removal of damaged cells by a laser, tissue burn becomes a side effect of the intervention.
  • An excision, or biopsy, is the removal of the affected area by an electrocautery.
  • Electrical excision, or cauterization with electric current, during the operation, coarse scars are formed, which do not allow the cervix to fully open during delivery.
  • Radio wave coagulation using high frequency current.
  • Argon plasma coagulation, non-contact method of tissue removal, a clear effect of argon on the depth of the focus. The method does not leave scars on the fabric.
  • Amputation of the cervix. The operation is possible in two ways: knife or ultrasound.

During pregnancy, it is better to refuse treatment and return to the disease after the birth of the long-awaited miracle.

The operation during the planning period of the child will reduce the risk of abnormalities during pregnancy. 2-3 months after the operation, it is permissible to try to get pregnant, the attending physician is called to monitor the condition of the cervix.

During pregnancy, when folic acid deficiency occurs, many women develop cell pathology in smears. It is inadmissible to undergo folate treatment, after a couple of weeks it will again undergo an examination, cellular changes should return to normal, DNA synthesis is stabilized.

Cervical dysplasia shows a reversible process, it is important to monitor health and in time to seek medical help. Women's health is important for the future of children.

Placental mesenchymal dysplasia

During pregnancy during routine ultrasound examinations, the specialist can detect an enlarged placenta that does not correspond to the degree of development of the calendar or obstetric period of pregnancy.

After obtaining the results of the ultrasound study, an urgent visit to the doctor is required. Perhaps the doctor will offer to pass tests or conduct additional tests. An enlarged placenta is dangerous to the fetus and is diagnosed as a disease - mesenchymal dysplasia of the placenta.

Causes of dysplasia

The functioning of the placenta in a pregnant woman may fail. With careful clinical research, histological examination, it is possible to identify the formation of complications in the mother, perinatal abnormalities in the fetus. The state of the placenta in pregnant women with forms of mesenchymal dysplasia is characterized by villus immaturity, signs of infection of the placenta in pregnant women, in combination with a low prevalence of placenta in the uterus. The consequence of a violation of the structure of the placenta becomes insufficient development of the fetus, including slow growth.

The causes of placental mesenchymal dysplasia are not fully understood, most practitioners suggest the presence of congenital pathologies of the mother. Dysplasia of the connective tissue found in the future father can affect the development of the joint fetus. When an ovum is fertilized by a sperm cell with dysplasia, part of the DNA is transferred to the unborn child, and diseases are inherited, respectively.

Pregnancy complications in diagnosing mesenchymal dysplasia

It is possible to diagnose the disease using ultrasound, similar signs have a vesicular skid. You will need to make a control ultrasound examination in two weeks and confirm or deny the presence of the syndrome of mesenchymal dysplasia. After confirming the syndrome, the pregnant woman is placed in the hospital, the woman has various threats and degrees of their development associated with an unfavorable pregnancy:

  1. A natural abortion or miscarriage can happen in any week of pregnancy, possibly in the early stages. A woman may not be aware of the occurrence of pregnancy, blame everything on a long delay of menstruation or an unusual indisposition during her course, without realizing the possibility of becoming pregnant.
  2. Premature birth in the early weeks of pregnancy. Deliveries can start from the 20th week of pregnancy, which carries strong risks to the health and life of the baby. As a rule, with the observance of a number of recommendations, bed rest, the absence of stressful situations, this threat can be avoided and carried to the baby up to 36 weeks.

Careful control of pregnancy, the general condition of the mother, control of the development of the fetus are the main points after a careful study of the analyzes of the pregnant woman for the purpose of early diagnosis of various pathologies and early planning of the mode of delivery. In the presence of the disease, doctors often allow a natural childbirth, with stable indicators of the mother and fetus, constant monitoring of the cervix. Apply local anesthesia during childbirth.

Mesenchymal dysplasia of the placenta represents the growth of placental tissues exceeding the duration of pregnancy several times. Such an anomaly will lead to impaired blood flow to the fetus, causing chronic hypoxia. The disease is not treated.

With the birth of the child, the placenta will be removed, the new pregnancy passes without complications. In case of a favorable outcome of delivery, the disease will not affect the child in any way, if not transmitted at the gene level of connective tissue dysplasia.

It is possible to plan the subsequent pregnancy already in 1,5-2 years from the moment of safe delivery. Dysplasia during pregnancy is detected in the early stages and is carefully monitored throughout the gestation period.

Is pregnancy possible?

If a woman has dysplasia of 1 degree, she can become pregnant without problems, because the disease does not affect the process of conception and carrying a child. Moreover, during this period the level of hormones normalizes, so the pathology can self-recover. However, at the planning stage of the birth of a baby, you must pass a series of tests. In the process, the doctor will determine the speed with which atypical cells develop.

In some cases, it is recommended that you first completely cure the disease, and only after that make an attempt to become pregnant. Indeed, during the carrying of the fetus, treatment is contraindicated, so dysplasia can progress to 2 and even 3 degrees, which is associated with a significant decrease in immunity during this period.

Pregnancy with disease grade 2 is not recommended. A woman must first be completely cured, and only then become pregnant. The moderate form of pathology is rarely inclined to self-healing - only in the case of high immunity. Therefore, during gestation, the disease can progress.

During severe dysplasia, pregnancy is contraindicated. The immunity of women is reduced, treatment is prohibited, which is an excellent condition for the transformation of atypical cells into cancer. If for the treatment of the disease sparing methods were used, the woman’s reproductive function is preserved.

Sometimes she cannot become pregnant in a natural way, therefore artificial insemination is required. But if the doctor has performed a conization or amputation of the cervix, the patient becomes sterile. True, if one of the ovaries is functioning normally and can produce a healthy egg, you can use surrogate motherhood.

Is it possible to endure and have a baby with dysplasia

In case of grade 1 dysplasia, the process of carrying a child does not differ from the usual one. A woman is recommended to visit the doctor once or 2 times a week. The doctor should monitor the progression of the disease. If at the beginning of pregnancy there is a high probability of complications, the gynecologist may prescribe an abortion. In the last months of pregnancy, if the dysplasia is not self-healing, the patient should go to the hospital for preservation.

In the case of a disease of degree 2, the process of carrying a fetus proceeds without complications. However, a woman should regularly undergo a medical examination, and once every 2 weeks she should undergo tests (PAP smear, biopsy, undergo an ultrasound examination) to make sure that atypical cells do not regenerate into cancer cells.

If a woman becomes pregnant with grade 3 dysplasia, abortive intervention is required. It is not recommended to bear the fruit until the disease is completely cured. Already after the pathology you can become pregnant, but all 9 months should be kept on conservation.

Features of carrying

Dysplasia during pregnancy practically does not make itself felt. However, in this case it is necessary to take into account a number of features of carrying a baby:

  • Since there is a temporary decrease in immunity, foreign particles in the body multiply much faster. As a result, the likelihood of developing dysplasia increases significantly. Therefore, it is necessary to consult with your doctor so that he prescribes suitable immunostimulating drugs.
  • As a result of changes in hormonal levels, a large amount of estrogen is produced. Under their influence, the cells of the epithelial layer change, the uterus shortens, and its diameter increases by several cm. As a result, the inner layer of the mucous membrane turns to the vagina, where the medium is more acidic. Under the action of acid, the surface of the epithelium is destroyed, ulcers appear. This leads to the fact that the virus is easier to penetrate the mucous membrane, leading to mutation of cells. Therefore, in 30 cases out of 100, dysplasia progresses to more than a complex degree, and in 25 cases it disappears without a trace. That is why during the period of gestation it is necessary to visit the gynecologist more often - at least once a week. He monitors the state of dysplasia and may prescribe a treatment suitable for a pregnant woman.
  • With 5 months of pregnancy, the question arises about the placement of women in hospital. The need for this is observed only if the process of gestation proceeds with complications.

Sometimes during pregnancy with dysplasia, cancer develops. This condition is dangerous for the parturient woman, since due to the weakening of the body, it may not survive during labor. Cancer that has appeared during pregnancy does not affect the child. After birth, the cervix is ​​removed.

Childbirth

Cervical dysplasia and pregnancy are compatible, but a number of difficulties may appear during childbirth. If the disease is severe, the birth process may begin prematurely. In some cases, pathology leads to a forced abortion.

If the pathological process has spread to a large surface of an organ, its channel may be damaged during labor. When an organ is injured, bleeding begins. Too much blood can be fatal to the parturient.

Infant dysplasia can also be adversely affected. If a child is born naturally, then as he passes through the damaged area, some of the pathological cells may end up in his mouth. As a result, the papillomavirus can get into the respiratory tract of an infant, which will adversely affect the respiratory function. However, such a complication after birth is extremely rare - just 0.01% of children.

Pregnancy after treatment of the disease

Can I get pregnant with cervical dysplasia? It is possible to conceive, bear and give birth to a healthy baby both during the course of the disease and after its treatment. However, when applying various therapeutic methods, it is necessary to take into account a number of nuances.

Pregnancy after diathermocoagulation (cauterization) of dysplasia can be planned in 5-8 months. But trying to conceive a baby can be no earlier than complete healing of the wound. In most cases, a woman can become pregnant naturally without the help of doctors. If a large scar appears after cauterization, the patency of the fallopian tubes may decrease, making it harder to get pregnant. In such cases, resorted to artificial insemination.

Pregnancy after cryodestruction can be planned at any time, starting from the end of the first menstrual period after the procedure. Freezing with nitrogen is painless, almost not accompanied by complications. Therefore, there are no contraindications to conceiving a baby.

Laser vaporization is a safe method that is suitable for women and girls planning to become pregnant. Laser radiation kills atypical cells, but the integrity of healthy tissues is not disturbed. The period of complete recovery after the procedure is 2-4 weeks, after which the woman may become pregnant.

In the case of radio wave surgery, the affected area is burned with radio wave radiation. Scars in this case is not formed, so the pregnancy after such therapy proceeds without complications. You can conceive a child within a few weeks after the procedure.

More about dysplasia

The cervix from all parts of the reproductive system is most susceptible to change. After all, it binds the vagina and the organ itself.

This condition is called dysplasia and is characterized as precancerous. Its other name is cervical intraepithelial neoplasia (CIN).

Changes in the epithelium of the disease are not irreversible. If dysplasia is detected at an early stage, it can be eliminated with medicines. With the development of pathology, surgical treatment is indicated.

Types of dysplasia

The flat epithelium that covers the outer part of the cervix has several layers:

  • deepest basal,
  • next in between,
  • superficial functional.

Вид дисплазии в каждом случае заболевания определяется в соответствии с тем, насколько глубоко зашли патологические процессы. В норме клетки всех слоев имеют округлую конфигурацию и такое же ядро. Чем ближе к поверхностному, тем более плоскими они становятся. При дисплазии очертания клеток нарушаются, они лишаются правильной формы, укрупняются, приобретают множественные ядра. If such changes occur:

  • in the outer layer of the epithelium, occupying 1/3 of the coverage, the disease has a 1st degree and is considered to be light,
  • in the surface and middle layer, localized in 2/3 of the mucous membrane, pathology is assigned a 2nd degree, called moderate,
  • throughout the entire thickness of the cervix, without touching the nerves, blood vessels and muscles, this is already a severe degree of illness, that is, the 3rd.

Symptoms of dysplasia

The risk of dysplasia is that it does not have clear clinical signs, especially at the beginning. The cervical coating changes externally, but only a gynecologist can see this, and an additional examination is needed to establish the culprit for the formation of the pathological area. Further development often leads to the accession of infection or the occurrence of an inflammatory process.. Therefore, all manifestations are caused, rather, by them:

  • The discharge is obviously unhealthy. They can be cheesy, with blood, pus, scanty or abundant. The discharge can cause itching and burning, or not have such an accompaniment. In short, it all depends on the diseases associated with dysplasia, which are also provocateurs of cellular changes in the epithelium.
  • Pain. This symptom is mostly found at the last stage of the pathology. But it can disturb even earlier if endometritis, adnexitis, salpingitis has joined the dysplasia. The pain occurs against the background of elevated temperature in the first case, it is very strong in the second, increases at the end of the cycle in the third. When dysplasia enters the last stage, it is aching, long lasting, complemented by bloody secretions with a smell and an unusual consistency.
  • Formation of genital warts on the vulva, vagina and anus. This is due to HPV, found in 95% of cases of CIN.

Diagnosis of the disease dysplasia

The potential danger of dysplasia and the impossibility of making a diagnosis based on clinical signs require careful examination to determine the disease and the degree of its development. To do this, use:

  • Gynecological examination. The mirror will allow to see the areas changed in the form of brilliant spots, growth of mucous.
  • Colposcopy. The device makes it possible to consider the violation of the development of epithelial cells in the increase and with the use of reagents.
  • Cytology smear. The study will confirm or deny the presence of atypical cells in the tissues. They are taken from different sites. In addition, cytology reveals one of the perpetrators of dysplastic changes - the papillomavirus.
  • Histology The method establishes the potential danger of the disease based on the analysis of the tissues taken during colposcopy. Cell structure, morphology and number of layers are considered.
  • PCR. The study will let you know about the presence of HPV in the body, determine the type of virus, its concentration.

Planning pregnancy with dysplasia

Whether cervical dysplasia is compatible and planning a pregnancy should be answered by a physician, relying on a specific diagnosis. It is necessary to consider the possible influence of the condition on the development of pathology. After all, pregnancy changes the hormones that can stimulate the abnormal development of cervical epithelium cells. But this can not be called one hundred percent provocative factor.

And yet, in most cases, the initial and 2nd stages of dysplasia planning is possible. After all, the disease is able to remain for a long time at such a level that it requires not treatment, but observation. But before becoming pregnant, a woman should:

  • to undergo another examination in all areas of the dysplasia diagnosis,
  • get rid of associated pathologies, especially HPV (the same should be done to her partner),
  • determine your own hormonal status.

We recommend reading the article on menstruation during pregnancy. From it you will learn about normal and pathological secretions in the period of childbearing, the reasons for the appearance of secretions, the prevention of disorders.

If dysplasia is detected during pregnancy

Not everyone is responsible for family planning, therefore, the diagnosis of “CIN” is possible after the fact of pregnancy has been established. This does not mean that the unborn child will have to be abandoned in order to save the woman’s life. But pathology greatly complicates the management of the patient, as it requires constant monitoring, which is different from what healthy future mothers need. The risks that exist at different levels of the development of the disease, doctors divide as follows:

  • At stage 1, they are minimal. The probability of progression of the tumor process and turning it into cancer is very small. In addition, this type of CIN is amenable to conservative treatment, which is not contraindicated in pregnancy. And for some, against the background of hormonal changes, the epithelium restores its properties on its own.
  • Cervical dysplasia 2 degrees and pregnancy coincide in 5% of cases waiting for the addition. Here, medical treatment is also advisable, but due to more serious changes, it does not always give the desired result. A surgery during pregnancy is contraindicated, it is done after childbirth. During this time, dysplasia develops to the next degree in 15–20% of women.
  • Stage 3 CIN in combination with pregnancy is dangerous because it forces us to postpone the only correct surgical treatment in this case for the postpartum period. And in the absence of it in 20-30% of patients, it turns into cancer.

Prevention

Preventive actions will save women's health and allow you to give birth to a healthy baby without the risks of diagnostic interventions and treatment during pregnancy. To prevent the development of pathological changes of the cervix by following simple tips:

  • adhere to the rules of hygiene,
  • be tested for HPV
  • plan pregnancy in advance.

And most importantly - to undergo a routine examination by a gynecologist every six months. The sooner the problem is detected, the more successful the treatment will be.

Cervical dysplasia in pregnant women carries certain risks for the baby, but with a systematic examination does not have a significant risk. Running pathology requires a more serious approach - a cesarean section is recommended for a successful delivery.

What is dysplasia?

The malignant process in the cervix today occupies the third place among all cancer pathologies and is 16%.

This is preceded by 3 degrees of dysplasia.

Dysplasia is a change in the structure of the cells that make up the epithelial layer of the cervical mucosa..

A healthy cervix has three layers that have boundaries between themselves. Pathology leads to the erasure of these boundaries due to the formation of atypical cells, which, as the disease progresses, replace healthy cells.

In accordance with the spread of the pathological process, dysplasia is divided into 3 degrees:

  1. First degreecalledeasy In this case, the pathology extends to a third of the epithelial layer of the mucous membrane, and affects only the lowermost basal layer.
  2. Second degreecalledmoderate. Atypical cells can be observed in half of the epithelial layer.
  3. Third degreeheavy The pathological process extends to all layers of the epithelium, but it does not extend beyond the neck. That is, neither nearby tissue, nor nerves, nor vessels, nor muscles are involved in the process.

Causes of pathology

The main cause of pathology is the papillomavirus.. It, being on a mucous neck, is built in healthy cells, causing changes in them.

The papilloma virus has several varieties, but 16 and 18 are considered the most dangerous, since their oncogenic index is the highest.

As shown by numerous studies, almost all women after 25 years have papillomavirus in their blood, but not everyone has dysplasia.

The fact is that for the activation of papillomavirus are needed certain factors:

  • low immunity
  • endocrine disorders
  • heredity,
  • inflammatory and infectious processes that are not treated for a long time,
  • the presence of condylomas in the vagina or on the labia,
  • sexual relations and childbirth to 16 years,
  • mechanical damage to the cervix - childbirth, abortion, surgical procedures,
  • avitaminosis,
  • smoking,
  • frequent change of intimate partners.

Symptoms of the disease

As already mentioned, dysplasia is rarely accompanied clinical picture, in this and its cunning.

Symptoms can be seen only in the more severe stages of the disease, or when complications such as inflammatory and infectious processes occur.

A woman may be disturbed by the following.:

  • pain during sexual contact
  • spotting after sexual contact,
  • increase in the number of whiter,
  • violation of the menstrual cycle,
  • burning and itching in the vagina.

As such, dysplasia in the early stages of pain almost never provokes, so the appearance of pain may indicate a serious degree of illness.

Can I get pregnant?

Dysplasia itself has no effect on the possibility of conception, since this ailment does not affect the ovarian work. However, its combination with pregnancy is a rather alarming state..

Much certainly depends on the degree of illness, on the age of the future mother, on the presence of background pathologies, but in general a woman should understand that if pregnancy occurs during dysplasia, the treatment of the illness will have to be postponed for a couple of years.

A mild dysplasia may well be corrected during childbirth, but it is better to treat moderate and severe disease before conception..

What is the impact?

What if dysplasia and pregnancy are diagnosed at the same time?

If a woman is diagnosed with grade 1 dysplasia, her pregnancy will proceed as usual, but a visit to the doctor should be as often as possible.

With grade 2, bearing a fetus is also almost never complicated.. But in this case it is very important to pass tests for the control of atypical cells as often as possible - it is necessary to ensure that they do not transform into malignant cells.

If the doctor diagnoses Grade 3 dysplasia in the presence of pregnancy, unfortunately, it is recommended to terminate the pregnancy.s Pathology has no effect on the process of carrying a baby, the only threat may be joining an inflammatory or infectious process to the pathology.

Dysplasia may affect childbirth. The fact is that this ailment leads to a deterioration of the elasticity of the cervix, and during delivery it may not open up in the right amount. This can cause tissue breaks, and in severe cases, an emergency cesarean may be required.

Can it disappear?

During pregnancy, hormonal changes occur periodically in the woman’s body, which affect the entire body, including the cervical mucosa.

Improvement of the condition of the mucous membrane during pregnancy can be observed only if dysplasia has a mild.

In 2 and 3 degrees, the condition of the mucous membrane may deteriorate.

Do I need to treat?

Treatment during pregnancy is carried out in two cases - if the disease was provoked by a virus, and if dysplasia developed amid hormonal disorders. In the first case, active antiviral therapy during childbirth is not prescribed, and preference is given to local exposure.

As for the application folk methods, they are permissible with the permission of the doctor.

The future mother should understand that not all folk recipes are absolutely safe, and that many of them are contraindicated during the carrying of the baby.

Appearance after childbirth

Dysplasia before and after childbirth occurs with the same frequency.

If a woman was diagnosed with dysplasia before birth, the following changes may occur after delivery.:

  • a disease regress of 25%
  • stable stage in 45%
  • transformation into cancer (at grade 3) at 20%.

After childbirth, a woman must be observed by a doctor, because dysplasia may appear initially, or an already existing ailment may be complicated as a result of difficult childbirth with ruptures..

Treatment methods

Conservative treatment includes the followinge:

  • antiviral drugs
  • antibacterial agents
  • anti-inflammatory drugs
  • immunomodulators,
  • vitamin complexes.

If drug treatment for three months does not lead to a positive trend, surgical treatment is prescribed.:

  • diathermocoagulation,
  • radiowave treatment
  • laser vaporization,
  • freezing with liquid nitrogen - cryodestruction.

With regard to therapy during the carrying of a child, no active treatment is carried out during this period of time. The doctor only oversees the process using colposcopy and PAP tests..

In some cases, it may be necessary to reorganize the vaginal cavity with local antimicrobial and antifungal agents. This is necessary to eliminate irritation in the cervical area.

Active treatment of dysplasia is possible only one year after birth - when the uterus is fully restored.

A pregnant woman with dysplasia should timely come for routine check-ups and pass all necessary tests.

Traditional methods of treatment during pregnancy is recommended to use with great care. It is important to carefully observe the discharge, and with the slightest changes, report them to your doctor.

Conclusion and conclusions

As for the prognosis of the birth of a healthy baby, it is positive. Pathology of the fetus itself has no effect, and therefore nothing threatens the health of the child..

But the forecast for the mother may not be so good. Therefore, it is necessary to correct this pathology immediately after childbirth, and at the end of the postpartum period, it is urgent to begin active treatment of the pathology.

Of course, it is best to treat dysplasia before conception, and, in order to prevent this disease altogether, you must follow one very simple rule - you should regularly and regularly undergo routine check-ups at the gynecologist.

Content:

Cervical dysplasia - a disease of the neck, in which there is a change in the growth and differentiation of the cells of its epithelium. There is also another name for dysplasia, as recommended by WHO: cervical intraepithelial neoplasia (CIN). This pathology is referred to as precancerous: i. in the absence of timely treatment, the risk of cervical cancer increases significantly compared with healthy women.

Cervical dysplasia and pregnancy are a rather dangerous combination. First of all, this is due to the fact that in the period of childbearing, significant changes in hormonal levels, in particular, estrogens and progesterone, occur: this leads to a rapid growth of malignant tumors.

informationAccording to recent numerous studies, it is believed that pregnancy in extremely rare cases can provoke the formation of cancer, to a greater extent it affects existing tumors.

However, the risk is not worth it: you should plan for conception only after complete cure of the cervical neoplasia and the permission of the attending physicians (obstetrician-gynecologist, oncologist).

Diagnostic measures

During the entire period of childbearing a woman must repeatedly undergo various diagnostic procedures to control the degree of cervical neoplasia.

  • Taking smears for oncocytology from the surface of the cervix and cervical canal (the material should be taken from the canal very carefully using a cytobrush). The first time a survey is carried out when a woman registers, then according to the testimony, but preferably not less than 3-4 months later,
  • Screening for sexually transmitted infections. This examination is very important not only in terms of diagnosing cervical neoplasia: the presence of an untreated infection can lead to pathology of fetal development and various complications during the entire period of gestation,
  • Colposcopy (method of examination of the neck under a special microscope - colposcope). This method is not dangerous for the future mother and at the same time very informative. For cervical dysplasia 1 degree and pregnancy, one study is enough. With the second degree of pathology, colposcopy is carried out at least 2 times over the entire period of the child's bearing, with the third degree - every 3 months,
  • Biopsy followed by examination of the material obtained. This procedure is quite risky and is performed only for patients with tertiary CIN. The material should be taken only with special tongs from the most suspicious area,
  • Diagnostic curettage of the cervical canal. This method is dangerous in terms of the occurrence of various complications (bleeding, premature termination of pregnancy), so it is performed only in the first trimester when an invasive cancer is suspected,
  • Cone biopsy of the cervix (a piece of tissue for examination is cut with a surgical knife). The procedure is also performed only if oncology is suspected, since pregnant women significantly increase the risk of massive bleeding from a wound,
  • Consultation oncologist. Cervical dysplasia is grade 3 and pregnancy requires mandatory consultation with an oncologist and his further observation during the entire period of the child's birth.

Treatment of cervical neoplasia always carried out in two stages:

  1. Anti-inflammatory treatment sexually transmitted infections
  2. Surgery.

dangerouslyIn the period of childbirth, surgical treatment is categorically not recommended, since any manipulations increase the risk of complications: premature birth, spontaneous miscarriage, fetal death, fetal cervix and others.

Pregnant women are given only conservative therapy with antibacterial, antiviral and immunomodulating drugs. Treatment should be prescribed only by the attending physician, selecting medications based on their possible negative impact on the development of the fetus.

Consequences of CIN in pregnancy

The course of cervical neoplasia in the period of childbearing depends largely on its degree:

  1. First-degree cervical dysplasia and pregnancy. A mild degree occurs most often in expectant mothers and proceeds favorably, almost never turning into cancer. This form often passes after a course of anti-inflammatory therapy or even independently without any treatment.
  2. Cervical dysplasia 2 degrees and pregnancy. This degree is characterized by deeper changes. Conservative treatment is not always effective, in which case surgical interventions are carried out after delivery of the woman. Transition 2 degrees to 3 in the absence of therapy occurs in 15-20% of patients,
  3. Cervical dysplasia 3 degrees and pregnancy. The most severe form, which can turn into cancer in 20-30% of women without treatment. Maintaining a pregnant woman should be carried out under the mandatory supervision of an oncologist.

Causes of cervical dysplasia during pregnancy

Among the etiological factors of the development of dysplasia, even before pregnancy, infectious agents are in the first place - viruses or bacteria. Among viral agents, it is most often the infection of a woman with the human papillomavirus. This virus has a tropism for the female genital organs and causes the development of another disease - condyloma or cervical papilloma. But a long-term infection can cause the development of cervical dysplasia. Other possible agents are herpes viruses, which have tropism for cervical epithelium and high oncogenicity, so they can be a trigger for the development of dysplastic processes in the cell.

Among the possible bacterial infections, only intracellular microorganisms can be an etiological factor in the development of dysplasia - these are ureaplasmas, toxoplasmas, chlamydia, gonococci. These microorganisms penetrate into the cell and remain there for a very long time, while protecting themselves from immune cells and maintaining a chronic focus of inflammation. This is not the true cause of dysplasia, but similar changes may develop in its background, which will entail further dysplasia.

If all these processes occur against the background of physiological immunosuppression, then the probability of developing cervical dysplasia during pregnancy is very high, and this is very dangerous, because then it is very difficult to predict and treat this condition.

Risk factors

Pregnancy is a condition when a woman's body is rebuilt in such a way that it becomes more vulnerable than in any other situation, since a state of physiological immunosuppression occurs. Therefore, the disruption of the normal barrier function of the microflora of the vagina and the reduction of local protective reactions allows various concomitant conditions to develop, which in turn may contribute to the development of dysplasia.

The development of cervical dysplasia during pregnancy does not happen often, most often this condition develops before pregnancy. There are risk factors for cervical dysplasia and causal factors. Common risk factors include unhealthy habits, smoking, drinking alcohol, eating disorders and consuming carcinogenic foods, and influencing environmental factors. All these changes are accompanied primarily by a decrease in the reactivity of the whole organism, and against this background, functional, and then morphological changes in organs and systems develop. But such a lifestyle is strictly contraindicated during pregnancy, so cervical dysplasia during pregnancy is not prone to aggravation of the condition, which allows women to bear a child even with metaplasia.

If we take into account the fact that dysplasia in a woman was diagnosed before pregnancy, then risk factors for this could be frequent changes of sexual partners, early onset of sexual activity, infectious and inflammatory diseases of the female genital organs, frequent surgical interventions with trauma to the birth canal, and hormonal disorders.

With regard to the pathogenesis of dysplasia during pregnancy, it is necessary to know some of the normal anatomical features of the structure of the cervix to know when to talk about dysplasia. The histological structure of the cervix in a healthy pregnant woman is the alternation of epithelial cells:

  • flat multilayer non-keratinized epithelium - located in the endocervix closer to the vaginal canal and is a continuation of it,
  • intermediate zone - is located further and is the boundary on the way to the cervix,
  • cylindrical epithelium - lines the cervical cavity and cervical canal.

Normally, there is a clear boundary between these layers. Dysplasia is a violation of the normal anatomical structure and alternation of these zones, in which the epithelium of one zone can move to another, for example, the cylindrical epithelium is located among the cells of the squamous epithelium. This occurs when a certain etiological factor disrupts the normal life cycle of the cell, disrupts the process of its normal division, and there is an abnormal cell in numerical quantity on the site where they should not normally be. The genetic apparatus of the cell is disturbed in such a way that cell atypia is formed, that is, the process of cell division can stop at a certain phase of mitosis, and further development of numerical cells with the wrong set of chromosomes can be initiated. Such cells can not provide normal metabolism in the cytoplasm, which is the cause of dysplasia. Such changes pose a particular danger in terms of the fact that these cells already carry a potential threat due to the disruption of their normal division and at any time there may be their uncontrolled reproduction. In the case of dysplasia during childbearing, the process of such cell proliferation is even more active, since hormonal influence promotes the growth and reproduction of fetal cells, and accordingly the entire female body, therefore cervical dysplasia during pregnancy is a more dangerous condition.

Complications and consequences

First of all, it should be noted that malignancy can be a consequence of dysplasia, therefore this disease should be amenable to compulsory treatment. Given the development of this pathology during pregnancy, there may be complications in the form of miscarriage, threatened miscarriage, premature birth, intrauterine infection of the fetus. All this requires careful monitoring to prevent such complications.

First of all, it is necessary to plan the pregnancy with the conduct of all mandatory research and treatment of the pathology of the female reproductive system in advance. If cervical dysplasia was diagnosed during pregnancy, it is necessary to monitor the condition with colposcopy and cytology every three months. In the case of a concomitant hormonal pathology or infectious process, it is necessary to treat these conditions.

Diagnosis of cervical dysplasia during pregnancy

Since the course of this pathology is often asymptomatic, an important element in the timely diagnosis and prevention of complications are preventive examinations at the gynecologist, which the woman should undergo annually. During pregnancy, this pathology is detected more often, which is connected with the mandatory regular examinations and examinations of women not only during the childbearing, but also at the planning stage of pregnancy. With a simple examination of the woman in the mirrors, this pathology is not visualized, because these changes are not visible to the naked eye. But, as with any examination, when a woman is examined, a histological examination of the cervical canal is performed. It is very important that the smear is taken using the correct technology. To do this, take a smear with a special brush bent at a right angle from three zones of the cervix - the endocervix, the intermediate zone and the cervical canal, that is, all three types of epithelium must be present. After this, a histological examination of the smear is carried out with the definition of its type. There are six main types of smears:

  1. the histological picture of a healthy woman,
  2. inflammatory and benign changes in the smear,
  3. cervical intraepithelial neoplasia
    1. mild cervical dysplasia (CIN-І),
    2. moderate cervical dysplasia (CIN-II),
    3. severe cervical dysplasia (CIN-III),
  4. cancer suspicion
  5. crayfish,
  6. non-informative smear (not all types of epithelium are presented).

This analysis allows you to accurately determine the diagnosis.

If dysplasia is suspected, that is, if the smear is of the third type, then additional instrumental methods of research are carried out, but since the results of this examination can be in 3-4 weeks, then during pregnancy a screening method for determining such conditions is carried out according to plan for all pregnant women in the first trimester. This instrumental method of research - colposcopy. This method allows you to examine the cervix with a special device that has a magnifying capacity from 7 to 28 times, depending on the power. This increase allows you to see those areas of dysplasia that are not detected during a routine inspection in mirrors. They also conduct special methods for staining areas of the cervical epithelium that are being examined using trichloroacetic acid, iodine solution or Lugol, and look at the degree of staining. Areas of metaplastic epithelium will be pale against the background of normally colored epithelium. In addition to simple colposcopy, colposcopy is also performed with a targeted aspiration biopsy. Such a diagnosis allows one to confirm the presence of dysplasia during pregnancy, even if visually nothing can be detected, and the result of the histological examination will provide an opportunity to accurately determine the degree of dysplasia and determine the tactics of observation.

Differential diagnostics

Cervical dysplasia during pregnancy must be differentiated from other precancerous conditions and benign tumors of the cervix: polyps or condylomas, erosion, leukoplakia without atypia, adenomatosis, since the management of these conditions is different in pregnant women.

Cervical erosion is a defect of the mucous membrane, which during colposcopy has a characteristic appearance and is easily distinguished from dysplasia.

Leukoplakia is the appearance of the sticking epithelium on the cylindrical epithelium of the cervical canal itself or on the flat epithelium of the exocervix. These areas are easily distinguished, since they look like whitish islets among the epithelial cover, unlike the intact mucosa with dysplasia, which is not visible to the naked eye.

Polyps and condylomas can be as a concomitant state in case of dysplasia and they have a characteristic appearance - new growths like a cauliflower on a wide or narrow stem.

In any case, the morphological study of the epithelium smear allows differential diagnosis with other precancerous diseases and accurately establish the clinical diagnosis.

Treatment of cervical dysplasia during pregnancy

Treatment of cervical dysplasia during pregnancy has its own distinctive features, since it is necessary to eliminate the harm of a particular treatment method for the fetus, along with the high efficiency of this method for the mother's body. The main task of treatment is the preservation of pregnancy against the background of dysplasia and the active treatment of this pathology after giving birth. The question of preserving pregnancy is decided by the woman herself, but the main tactic is determined by several points. In case of dysplasia 1 and 2 degrees, pregnancy is recommended to be maintained with appropriate medical treatment; in case of dysplasia 3 degrees, a repeated biopsy with morphological examination is recommended. If the diagnosis is confirmed, it is possible to recommend an early termination of pregnancy under certain conditions, but this is not a direct indication and this is decided by the woman herself.

Drug treatment of cervical dysplasia during pregnancy used in two cases - it is dysplasia on the background of infection and on the background of hormonal disorders. In the case of dysplasia on the background of infection with viruses, mainly human papillomavirus, active antiviral therapy during pregnancy is not carried out, as this can harm the fetus. When infected with bacterial agents, active antimicrobial therapy is carried out by local anti-inflammatory drugs, the choice of drug is individual and depends on the type of pathogen. Preference is given to means of local influence.

Cervical dysplasia during pregnancy, which develops against the background of hormonal imbalance, can have consequences in the form of threatened abortion, and therefore requires treatment with hormonal replacement drugs. Such treatment is carried out in the first trimester, and in the second and third trimester, tocolytic therapy is carried out with the threat of abortion. One of the hormonal drugs that can be used in case of insufficiency of the luteal phase of the ovary is the drug progesterone.

Duphaston is an oral hormonal drug that is a synthetic analogue of natural progesterone. The mechanism of action of this drug is replacement therapy in case of insufficiency of the second ovarian phase, which leads to the development of cervical pathology and progesterone deficiency for normal pregnancy. The drug is available in the form of tablets of 10 mg, is used according to an individual scheme with general dosages in the form of receiving 10 mg twice a day from the 5th day of the cycle or from the 11th day of the cycle. Features of admission depend on the type of violation and can be adjusted individually with admission throughout the first three months of pregnancy.

Contraindications to the use of the drug are acute liver damage, acute heart failure and lactation. Side effects are allergic manifestations, dyspeptic manifestations in the form of nausea, vomiting, discomfort in the mammary glands, impaired libido.

Surgical treatment of cervical dysplasia during pregnancy has its limited use, since any invasive intervention may contribute to the threat of termination of pregnancy. According to the dysplasia treatment protocols during pregnancy, the use of laser vaporization, cone excision, scraping of the cervical canal, electrocoagulation is not recommended. These methods can be used only in the postpartum period after a comprehensive diagnosis and clarification of the diagnosis.

Traditional methods of treatment It has its own priorities due to the limited capabilities of operational and medical methods. This makes women look for simpler and harmless methods of treatment, but it should be remembered that they can also be dangerous for a child in certain conditions, therefore, you should consult with a doctor before using any methods.

The main recipes of folk treatment are the use of herbs and tinctures from them, as well as natural healing agents.

  1. Honey, as a natural source of nutrients and trace elements that enhance local immunity and stimulate regeneration, is widely used to treat the pathology of the female genital organs, including dysplasia. To create a medicine from honey, it is necessary to make a solution of three tablespoons of honey, five drops of linseed oil and three tablespoons of water, insist day and night, wetting a tampon in this solution, inject into the vagina, which is repeated 10 days. Such a tool does not have a negative effect on the fetus, but has a pronounced reparative effect.
  2. Honey can be combined with another natural source of vitamins - aloe. This plant has a pronounced bactericidal, anti-edematous, regenerating, immunomodulating effect. Aloe leaves are squeezed into a glass with two teaspoons of honey and, wetting a tampon, they are inserted into the vagina, repeating the procedure once a day for a month.
  3. Herbs infusions are widely used. Prepare herbal collection of mint leaves, raspberries and currants - take them in equal amounts, pour hot water and boil for another 5 minutes, then cool and drink in the form of heat for half a cup every other day for a month.
  4. The infusion of chamomile and blueberry is prepared from three tablespoons of chamomile leaves, to which is added three tablespoons of fruits or blueberry leaves, and then it is brewed in a liter of boiled water. Before taking, add a spoonful of honey and take half a cup 3 times a day.

Homeopathic remedies, которые используют в лечении дисплазии шейки матки при беременности, стимулируют регенерацию эпителия и уменьшают воспалительные проявления. Применение гомеопатических средств во время беременности несколько ограничено и требует индивидуальной консультации у доктора. Perhaps the use of such drugs:

  • Dysmenorm is a complex homeopathic drug that affects the hormonal imbalance in cervical dysplasia in pregnant women against the background of hormonal disorders with progesterone deficiency. The drug is produced in the form of tablets and used 1 tablet 3 times a day half an hour before meals. Side effects are rare, but there may be nausea and a temporary worsening of the condition. Not recommended for patients with celiac disease.
  • Ginekohel - a combined homeopathic medicine, which is produced in the form of drops and is applied 10 drops three times a day, before this it is necessary to dissolve it in warm water. The principle of action - the regulation of hormonal disorders. Side effects are rarely observed in the form of allergic skin manifestations.

The prognosis for the birth of a healthy baby with dysplasia during pregnancy is positive, since pathology does not have a significant effect on the fetus itself. There may be a negative prognosis for the mother with the wrong tactics of correcting this pathology in the postpartum period, so the treatment of dysplasia after childbirth is obligatory, and operational methods are preferred.

Cervical dysplasia and pregnancy is a frequent and urgent pathology precisely because of its frequent detection and threat to the mother herself. Considering that this disease has an asymptomatic course, it is necessary to diagnose and start treatment immediately after delivery, since the risk of malignancy is very high, and treatment during labor is limited. To prevent this pathology before pregnancy, it is necessary to follow very simple rules - to undergo preventive examinations at the gynecologist in a timely manner.

Dysplasia and pregnancy

The diathermocoagulation or electrocoagulation method is the most traumatic method of cauterization of cervical dysplasia. It consists in cauterization of parts of the pathological focus by electric current.

Under the influence of current cells of the mucous layer die off. The disadvantage of this method is that the electric current affects not only pretumor cells, but also healthy tissue.

At the same time, large mucosal defects are formed, which are replaced by scar tissue.

The appearance of extensive scarring leads to:

  • violation of the menstrual cycle,
  • shortening of the cervical canal,
  • narrowing of the cervical canal,
  • loss of elasticity
  • deformations of the cervical canal.

Violation of the menstrual cycle and shortening of the cervical canal can reduce the likelihood of conception or cause

. Any pathological changes in the channel adversely affect the course of pregnancy - the risk increases

and preterm labor. Due to the loss of elasticity during childbirth, the cervix may rupture. A narrowed or deformed cervical canal will be an obstacle to the passage of the fetus through the birth canal, which can lead to injuries to the fetus and rupture of the tissues of the cervix.

Therefore, cauterization by the diathermocoagulation method is not recommended for women who have not given birth or who plan to have children. But in the case of conception after cauterization of cervical dysplasia, a thorough gynecological examination with colposcopy and endoscopy is necessary to examine the scars and identify risks.

When major changes in the cervical mucosa to prevent its rupture, most often, resort to cesarean section.

The method of cryodestruction destroy the affected areas.

or carbon dioxide. Atypical cells are frozen under the influence of low temperatures (

up to minus 150 - 170 degrees

). Dead precancerous cells are rejected and replaced by new healthy epithelial cells (

mucosal epithelial cells

Laser therapy is an effective method of cauterization of cervical dysplasia, which is used in non-giving girls and those who are planning to re-pregnancy. Under the action of laser radiation, only atypical cells are destroyed without harm to healthy tissue.

The precancerous cells evaporate and are replaced by healthy epithelium. Due to the fact that the dose of laser radiation can be controlled, damage to the cervical mucosa is minimal and scars are not formed.

The period of re-epithelization of the mucous and complete recovery is short (

up to 2 - 4 weeks

Radio wave therapy involves cauterization of the affected part of the cervical mucous membrane with high-frequency radio emission. Under the influence of this radiation, the local temperature in the surface layers of the mucous membrane increases.

Atypical cells begin to release a large amount of energy, are destroyed and replaced by healthy tissue. As a result of the treatment of dysplasia with radio waves, the scar tissue is not formed, and the subsequent pregnancy proceeds without pathologies.

Radio wave treatment is the fastest and most painless method prescribed to non-birth girls. Planning for pregnancy is possible in 2 - 3 weeks.

It should be remembered that infectious and inflammatory complications of cauterization can adversely affect pregnancy, regardless of the method.

To reduce the risk of infection and excessive scarring of the cervical mucosa, you should:

  • observe personal hygiene,
  • for excreta, use only pads, not tampons,
  • avoid hot baths, saunas,
  • avoid hard physical labor and weight lifting,
  • abstain from sexual activity for the period of complete healing of the cervical mucosa.

During pregnancy, there is a temporary decrease in the immune forces of the body, especially cellular immunity. Cellular immunity is responsible for finding and destroying any foreign particles that have entered the body. A decrease in its protective functions may contribute to the development

and the growth of dysplasia.

During pregnancy, there are changes in the hormonal state of the woman with the production of a large number

. Under the influence of estrogen, a change in epithelial cells in the mucous membrane of the cervix and a change in the

. The cervix enlarges in diameter and shortens, while the inner layer of the epithelium turns inside the vaginal cavity. Here he is subject to the influence of various "aggressive" factors - the acidic environment of the vagina, microtrauma, inflammation.

In medical practice, there are cases when a woman learned about grade 3 dysplasia already during pregnancy. In fact, dysplasia is neglected and pregnancy is not so common, but such cases are found.

If such a pathology is detected, a woman needs to repeat the analysis and undergo an additional examination, that is, a biopsy. This procedure is considered quite dangerous during pregnancy, because the risk of miscarriage is too high. However, if you suspect a third stage of cervical dysplasia and serious deviations from the norm, there is a question about the health and even the life of the mother.

Most often, doctors take a wait and see position, and conservative or operative therapy is chosen for the patient after delivery. During pregnancy, the expectant mother is under the close supervision of doctors and she periodically undergoes cytology, which allows to follow the development of pathology in the dynamics.

Grade 3 cervical dysplasia is a dangerous pathological condition that must be treated. For this reason, doctors recommend first to cure the disease, and then get pregnant.

Mostly dysplasia proceeds without the appearance of a bright clinical picture, therefore, it can be diagnosed only when examined by a gynecologist. At the initial stage of pathology development, when viewed in mirrors, it will not be possible to notice changes with the naked eye.

However, as with any other examination, a cytological examination of the cervical canal is performed. After that, at the cellular level, histological examination of the material taken is carried out with the identification of its type.

Another effective diagnostic method is colposcopy, in which the uterus of the pregnant patient can be examined with a magnifying device. With its help, you can identify those areas of the pathological process that are difficult to notice during a routine inspection in mirrors.

In addition, a specialist can make the staining areas of the epithelium being examined with a solution of iodine or Lugol with an assessment of the degree of staining. Such diagnostic methods can detect the presence of a pathological process during pregnancy, even if visually nothing is visible.

Conducting pregnancy with cervical dysplasia changes. Made their own amendments:

  • Squamous atypia involves observation. Colposcopy is not performed. Repeated cytology pass a year after birth.
  • If the dysplasia has reached a mild form, observation or colposcopy is practiced. Cytology is also repeated a year after delivery.
  • If moderate dysplasia is detected, colposcopy is desirable. If severe dysplasia or cancer is suspected, a targeted biopsy is performed. If her result showed that dysplasia still wear a mild form, then repeat cytology is prescribed after one year.
  • Pregnancy and grade 3 dysplasia (severe form) lead to regular examinations. A biopsy is performed and a colposcopy is done every three months.
  • If cancer is detected, then the oncologist is involved in the process of observation and treatment.


Pregnancy does not change the course of dysplasia. Also, dysplasia does not complicate the carrying of the child. Severe dysplasia, however, can threaten preterm labor.

If the picture of the disease allows to postpone the surgical treatment, then it is worth postponing it. It is a proven fact that the surgical treatment of a disease during pregnancy increases the risk of miscarriages, stillbirths, intrauterine death and so on.

Whether cervical dysplasia is compatible and planning a pregnancy should be answered by a physician, relying on a specific diagnosis. It is necessary to consider the possible influence of the condition on the development of pathology. After all, pregnancy changes the hormones that can stimulate the abnormal development of cervical epithelium cells. But this can not be called one hundred percent provocative factor.

And yet, in most cases, the initial and 2nd stages of dysplasia planning is possible. After all, the disease is able to remain for a long time at such a level that it requires not treatment, but observation. But before becoming pregnant, a woman should:

  • to undergo another examination in all areas of the dysplasia diagnosis,
  • get rid of associated pathologies, especially HPV (the same should be done to her partner),
  • determine your own hormonal status.

Not everyone is responsible for family planning, therefore, the diagnosis of “CIN” is possible after the fact of pregnancy has been established. This does not mean that the unborn child will have to be abandoned in order to save the woman’s life.

But pathology greatly complicates the management of the patient, as it requires constant monitoring, which is different from what healthy future mothers need. The risks that exist at different levels of the development of the disease, doctors divide as follows:

  • At stage 1, they are minimal. The probability of progression of the tumor process and turning it into cancer is very small. In addition, this type of CIN is amenable to conservative treatment, which is not contraindicated in pregnancy. And for some, against the background of hormonal changes, the epithelium restores its properties on its own.
  • Cervical dysplasia 2 degrees and pregnancy coincide in 5% of cases waiting for the addition. Here, medical treatment is also advisable, but due to more serious changes, it does not always give the desired result. A surgery during pregnancy is contraindicated, it is done after childbirth. During this time, dysplasia develops to the next degree in 15–20% of women.
  • Stage 3 CIN in combination with pregnancy is dangerous because it forces us to postpone the only correct surgical treatment in this case for the postpartum period. And in the absence of it in 20-30% of patients, it turns into cancer.

Symptoms of pathology

Dysplasia of the cervix in the initial stages can occur without the appearance of pronounced symptoms. It is for this reason that doctors advise women to visit a gynecologist at least once a year, but more often. In the event that the pathology goes to stage 3, the characteristic symptoms become more pronounced, which can worsen the condition of the woman.

In that case, if cervical dysplasia is provoked by the papillomavirus, then genital warts may appear in the vagina, vulva and anus.

Diagnostic methods

Throughout the entire period of pregnancy, a woman will need to undergo several tests with the help of many methods in order to constantly monitor the development of cervical dysplasia.

The main diagnostic methods include:

  1. Gynecological examination and smear. The material is taken very carefully using a cytobrush. Initially, this study is carried out when a woman gets registered, and then at least every 3-4 months.
  2. Colposcopy. With this method, the doctor receives quite a lot of information about the state of the uterus. It does not have a bad effect on the course of pregnancy. If the first stage is detected, then it is limited to one examination, if the second is at least 2 times in all 9 months, and the third is every 3 months.
  3. Biopsy. This measure is necessary in order to identify malignant degeneration. It is carried out at the third stage of cervical dysplasia, because the names it represents the greatest danger of transformation.
  4. Diagnostic curettage. This diagnostic method can be performed only in the first three months of pregnancy and only if a cancer tumor is suspected.

In addition to these diagnostic measures, a pregnant woman still needs to visit an oncologist, especially if she has the third stage of the disease. This doctor as well as the gynecologist will guide the patient throughout the pregnancy.

The clinical picture of the disease remains identical at any stage of dysplasia, so diagnosis is crucial for drawing up a treatment plan.

A top priority in the diagnosis is an examination by a gynecologist on a chair using a gynecological mirror to see the growths and structural deformities of the epithelium.

Other informative differential diagnostic methods include:

  • cytology smear - allows detecting the presence of atypical cells, as well as establishing the etiology of the disease,
  • colposcopy - hardware diagnostics, involving the use of reagents for detailed consideration of structural changes in cells,
  • histology involves taking a sample of epithelial tissue to predict the disease and more detailed study of changes in the epithelium,
  • polymerase chain reaction or PCR allows you to establish not only the presence in the woman's body of HPV, but also to determine its concentration, type.

Warning: some diagnostic methods for detecting dysplasia are unsafe during pregnancy and can cause bleeding, miscarriage. Any diagnostic activity is carried out exclusively under the supervision of an experienced specialist after taking into account all the existing risk factors.

Treatment of pathology during pregnancy

The treatment of cervical dysplasia in pregnant women is somewhat different, because it is necessary to carry it out in order to cope with the disease and not harm the baby. The main goal is the preservation of pregnancy during the development of the disease and its elimination after the baby is born.

To leave the child or not, the woman decides on her own. Doctors recommend preserving the fetus, if the pathology of the first and second stages is revealed. At detection of the third degree advise to undergo a biopsy. If she confirms the diagnosis, then an abortion can be performed, but only in the early period. In any case, the disease is not considered an absolute indication for the elimination of the fetus.

Therapy reviews

Grade 3 dysplasia is considered a dangerous disease, especially during pregnancy. This pathology requires effective therapy, but the prognosis depends on various factors and individual characteristics of the female body. The forums can be found various reviews from women who are faced with this problem.

Elena, 34 years old, Moscow: “I was diagnosed with grade 3 dysplasia and was told that the condition was quite dangerous and it was possible to degenerate into cancer. Doctors conducted a cauterization procedure with a laser, but mena had erosion in combination with the papilloma virus, so they will conduct a study on oncogenic cells.

I underwent treatment at the oncologic dispensary, and the whole procedure took only 10 minutes. Despite the fact that dysplasia is considered quite a dangerous disease, it is still treated.

Irina, 26 years old, Kiev: ““ A few days ago I was at the doctor and I was prescribed a biopsy, because there are suspicions of dysplasia 2-3 degrees. The doctor said that if the last stage of pathology was confirmed, then cervical conization would be necessary.

I am not yet married and have no children, so I am very worried about this. I heard that after such a procedure, the risk of miscarriage during pregnancy increases. ”

Maria, 34, Minsk: “I was diagnosed with grade 3 dysplasia, and just a week ago I had an operation under general anesthesia. I transferred the procedure well and after a few days I forgot about the disease.I am very worried about whether I can give birth to a child in the future, but the doctor reassures me that I can get pregnant and there will be no problems with carrying.

Cervical dysplasia of the last degree, although it is considered as a serious precancerous condition, is not a cancer. With timely detection of pathology and effective treatment, the prognosis is quite favorable.

Can I get pregnant with the disease

The chance of conception depends on the stage of dysplasia. Depending on the depth and area of ​​damage of the uterine mucous membranes, there are 3 forms of pathology:

  1. Easy This is the first stage of the disease. The virus infects up to 30% of the surface of epithelial tissues. Only the outer layer is damaged.
  2. Average. Corresponds to the second stage of dysplasia. The pathogen penetrates deeper and captures up to 50% of the area of ​​mucous membranes.
  3. Heavy This is the third stage of the disease, another name is non-invasive cancer. The virus spreads throughout the cervix and covers all layers of the epithelium. The disease does not affect adjacent muscles, blood vessels, nerves, etc.

With mild dysplasia, in most cases, a woman can get pregnant without additional procedures. As a result of hormonal fluctuations, there is a risk that the disease will disappear on its own, however, it is recommended to be examined in advance. After receiving the results, the specialist will be able to calculate the rate of spread of the virus and damage to epithelial tissues.

It is possible that a therapeutic course will be prescribed before conception. Its necessity is connected with the impossibility of treatment during pregnancy. Procedures and medical drugs can adversely affect the development of the fetus. During childbearing, due to hormonal adjustment and lack of treatment, the rate of plaque spread may increase. Under unfavorable circumstances, the pathology can go to stage 2 or 3. Increased risk of cancer.

In the second stage, it is not recommended to become pregnant and give birth. The chance of conception is reduced, but it is possible. It is advisable to first take a course of treatment and stabilize the condition, then begin planning. Mild dysplasia rarely disappears on its own during pregnancy. This happens only with strong immunity. Otherwise, there is a high risk of complications, infection of the fetus and the transition of the disease to the next stage.

The last stage of the pathology is considered a strict contraindication. Due to hormonal changes, epithelial tissues lose their elasticity. Increased blood flow and weakening of the immune system contribute to malignant tissue degeneration. The development of cancer does not directly affect the health of the child, but threatens the life of the mother.

In the third stage of the pathology, the chances of pregnancy are reduced. The probability of conception persists if the treatment was carried out sparing methods. If it is not possible to become pregnant, artificial insemination is carried out in a natural way. With previous conization or amputation of the cervix uteri, conception is impossible, because the woman becomes infertile. If the ovaries have not lost their function and are capable of producing healthy cells, they can be used for surrogate motherhood.

Chemical coagulation

The procedure is carried out with small lesions, if the virus has not affected the deep tissues. Additionally, for cauterization can be used electricity. After the procedures, scars can form, sometimes provoking the occurrence of menstrual irregularities and infertility.

Liquid nitrogen application

In the initial stages of dysplasia, plaque freezing is carried out using liquid nitrogen. The disadvantages of the procedure include poor control of the depth of exposure. The process can be frozen more tissue than required. After surgery, women experience discharge. Cryodestruction does not occur in severe dysplasia and malignant cell degeneration.

Other methods

Sometimes cauterization is carried out using a laser. This allows point to influence the pathological lesions and limits the degree of tissue damage. However, the procedure is painful. Bleeding may occur several days after cauterization.

Cold stabbing is used relatively rarely due to the high trauma of excision and the risk of losing large volumes of blood. In severe dysplasia and cancer, cervical removal is indicated.

To restore the tissue should take drugs containing vitamins and trace elements. Means help to avoid the progression of pathology. It is recommended to use green tea to increase the overall tone.

Is IVF possible?

Cervical dysplasia is not a strict contraindication for IVF. Artificial insemination is carried out with mild and moderate lesions, if the woman cannot become pregnant naturally. For extensive lesions, treatment is first carried out to prevent the development of cancer.

Pregnancy after cervical dysplasia

In severe cases of the disease may cause pulling pain in the lower abdomen. Since dysplasia is often combined with genital infections, it is often diagnosed with genital warts of the vulva and vagina, anus, erased gonorrhea, or chlamydia.

Severe dysplasia or dysplasia III - atypical cell changes occur in all layers of multilayered epithelium, but have not yet spread to adjacent tissues (this degree of dysplasia is also called non-invasive, that is, non-invasive cancer).

Chemical coagulation (treatment of the affected areas with such drugs as vagotid, alcohol).

22% of patients are prone to the fact that dysplasia of the 2nd degree will pass into the 3rd degree.

Is cervical dysplasia treatable?

It is possible to get pregnant and endure pregnancy with cervical dysplasia. But these two conditions, namely, pregnancy and dysplasia, can negatively affect each other. So, unhealed dysplasia, first of all, can provoke infection with a specific virus of the fetus, rupture of amniotic fluid, and premature birth. That is why before planning a pregnancy, it is necessary to urgently be examined by a gynecologist.

  • We will call you back within 10 minutes and recommend a doctor
  • Cervical dysplasia is a pathological change in the structure of cervical epithelium cells. In severe form, this disease is considered a precancerous condition. And his perfidy is that clinically it does not manifest itself. It can be detected only during a gynecological examination.
  • No, sunbathe in the presence of any pre-cancerous processes, and, of course, with dysplasia is impossible. Ultraviolet rays cause a mutation of genes in cells, which aggravates the course of the disease. Therefore, both sunbathing and sunbathing in the solarium is prohibited.
  • Sexual rest for 1 - 3 (depending on the method of treatment),
  • Restoration of vaginal microbiocenosis.

Due to the fact that dysplasia does not have characteristic clinical signs, the diagnosis is established on the basis of a physical examination in combination with laboratory tests and instrumental methods:

The most important cause of dysplasia is the infection of a woman with the human papillomavirus (HPV). The most dangerous are oncogenic types (16 and 18, as well as 6, 11, 31, 35, 39, 59, 33, 45, 52, 58, 67 types). And the longer the HPV persists in the body, the higher the likelihood of development of atypia of cervical epithelium cells - dysplasia. It is known that more than 95% of cases of identified dysplasia of the cervix are detected by HPV. But infection with HPV will not necessarily lead to the development of the disease, this requires some predisposing factors:

Cryotherapy (exposure to cold with liquid nitrogen. Frozen cells die).

Gynecologists note that dysplasia does not threaten the course of pregnancy.

Is cervical dysplasia treated?

Heavy form. Dysplasia covers the entire thickness of the epithelium.

  • If you have symptoms of cervical dysplasia, or you suspect the presence of diseases that can lead to this ailment, we recommend that you contact an experienced gynecologist as a matter of urgency. You can find a qualified specialist in this field or a gynecology medical center using the help of our online service. You can also call yourself on our phones, we will select the right doctor and make an appointment without any hassle or queues!
  • ​ ​
  • Causes of dysplasia
  • This pathology is not absolute (when they say: categorically impossible) a contraindication to in vitro fertilization. However, the doctor will recommend to be examined and treated if necessary before this procedure, since the presence of HPV in the body of the expectant mother can adversely affect the development of the fetus or lead to its infection in childbirth.

The prohibition of douching and the use of tampons for the entire healing period,

What is dangerous cervical dysplasia?

The tactics of patient management depends on the degree of the process, the area of ​​the lesion, the desire to become pregnant, and age. When detecting mild / moderate pathology in young women and small pathological areas, treatment is not prescribed, only dispensary observation is shown (every quarter), since there is a high chance of spontaneous cure - regression of the disease (about 70 - 90%). But if HPV is detected, especially if it persists for a long time in the body, etiotropic antiviral therapy is prescribed (acyclovir, groprinosin, isoprinosine, panavir) topically and systemically, preparations for the normalization of immunity (polyoxidonium, roncoleukin, immunal, viferon) and treatment of the pathological area with inflammatory drugs light action (solkovagin). After antiviral therapy, therapeutic measures include probiotics and eubiotics (bifikol, bifidumbacterin, lactobacterin) in the form of vaginal tampons, which normalizes the vaginal microflora.

How and what to treat cervical dysplasia?

Routine examination often does not allow to suspect this pathology, since there are no changes visible by the eye on the neck. But in the case of moderate or severe dysplasia, a change in the color of the mucous membrane (bright red or whitish), growth of the epithelium in the form of whitish plaques, and a shiny surface around the external pharynx can be detected.

  • Parity (multiple births),
  • Surgical excision (surgery to remove the affected area, performed with a scalpel).
  • Gestation of the fetus also can not adversely affect the course of the disease. On the contrary, during pregnancy, the suppression of the disease by the body can accelerate.
  • Cervical dysplasia should not be confused with erosion or cancer. These are different diseases that have an excellent history and method of treatment.
  • One of the fairly common female diseases in the cervix is ​​dysplasia. Gynecologists note that the danger of this pathology is that without proper treatment, it can develop into a cancerous tumor of the cervix.

Yes, it is treated, but the choice of treatment method depends on the patient's age, the size of the pathology, the degree of dysplasia, the presence of related problems. In some cases, treatment is not carried out if:

The causes and mechanism of the onset of the disease are not fully understood, but there are factors that may influence its development. Among them - genital infections, hormonal disorders, early childbirth and abortion.

Separation of dysplasia into different degrees of severity

Below are some statistical information about what features are characteristic of uterine dysplasia disease:

Cervical dysplasia is a gynecological disease, indicating that the epithelium that covers the cervical canal of the cervix has abnormalities in its structure and structure.

The patient is less than 20 years old

At the same time, there are several stages of the disease - mild, moderate and severe. The diagnosis is made on the basis of colposcopy results. If dysplasia is suspected, a cytological examination is recommended.

There are point lesions of the cervical mucosa,

  • To the question whether cervical dysplasia is dangerous, the answer depends on the degree of neglect of the process. Sometimes it is necessary to resort to the removal of part of the cervix. But even in such a severe case, a woman can become pregnant and bear a child normally. Of course, it is better not to bring this up, to regularly visit a gynecologist and to carry out treatment in time for cervical dysplasia of 1 degree
  • Rita Dyomina
  • Cervical dysplasia is fraught with the following complications, which usually arise after surgical treatment:
  • Cervical cancer in the first stage,

1 severity

Treatment with radio waves (exposure to epithelium layers by high-frequency waves).

In medical practice, quite a few methods are used to treat dysplasia. The choice of treatment depends on the degree of severity of the disease.

Among other pathologies of the cervix, it is dysplasia that occurs in 16 - 18% of cases.

Dysplasia does not usually cover the deep cellular layers of the epithelium and does not affect the basement membrane.

Dysplasia does not extend to the cervical canal,

2 severity

During pregnancy, dysplasia is usually not treated, but often the condition worsens during pregnancy. In this regard, it is advisable to conduct a survey at the planning stage of pregnancy in order to avoid serious consequences of cervical dysplasia.

Cervical dysplasia is the most common form of morphological precancer of the cervix.

Bleeding during or after destruction (associated with vascular damage and eschar rejection if the recommendations are not followed),

Does 1st and 2nd degree dysplasia affect pregnancy

Unsatisfactory results of cytological smears and colposcopy when observed for six months.

The appearance of polygonal areas (mucous as if lined with lines in different directions - mosaic).

Sexual partners of patients suffering from penile head cancer,

Remember, cervical dysplasia, although a dangerous disease, but well treatable. If you suspect a disease, you must visit a gynecologist for an accurate diagnosis.

Method of treatment for the 1st degree

Most often the disease affects women in the age group of 34 years.

Some patients may confuse the diagnosis of dysplasia with the diagnosis of erosion. But in no case can they be united. Erosion is caused by mechanical injuries, and manifests itself in the violation of the integrity of epithelial tissues. The reasons for the development of dysplasia can be different factors, but its distinguishing feature from erosion is that it affects the structure of epithelial cells.

  1. Human papillomavirus is missing.
  2. The treatment consists in applying a set of measures. Among the surgical measures can be identified electrocoagulation, laser treatment, cryodestruction and cold-knife conization. The latter method is carried out in severe condition.
  3. Stage I - mild stage
  4. Development of anomalies of generic forces, due to the deformation of the cervical scars and stenosis of the cervical canal,
  5. Surgical treatment of cervical dysplasia includes:
  6. After the test with acetic acid, the cervix is ​​stained with an aqueous solution of iodine, which is called the Schiller test. It is possible to suspect atypia of the cervical epithelium upon detection of areas in the cervix unstained with iodine, which indicates a lack of glycogen in the epithelial cells and indicates a pathological process in the cervix. A Schiller test is considered positive if the entire surface of the neck acquires a uniform brown color.

Method of treatment for the 2nd degree

Weakened immunity (HIV infection, taking certain medications, stress, malnutrition, poor housing conditions, and others),

This pathology refers to serious gynecological diseases, as it is the “first bell” indicating that the cervix is ​​ready for a meeting with cancer. Therefore, dysplasia is considered to be a precancerous disease and requires timely and quality treatment. It is known that such a disease is most often diagnosed in young women (about 25 - 35 years old), and the incidence of pathology reaches 1.5 cases per 1000 women.

However, this does not mean that the patient does not need to be observed at all. The complex of treatment-and-prophylactic measures for dysplasia of the 1st degree includes:

  • Grade 3 dysplasia enters a malignant tumor in about 10–30% of cases.
  • Uterine cervical dysplasia is a very dangerous diagnosis. Over the course of the disease must be closely monitored.
  • In the case of suspected dysplasia, observation and delivery of smears to cytology is shown every 2-4 months. Please note that dysplasia of grade 1–2 is treated by a specialist gynecologist, and already a severe form is a gynecologist-oncologist.
  • ​Дисплазия шейки матки и беременность в принципе не являются взаимоисключающими понятиями, просто лучше сначала избавиться от недуга, а уже потом планировать беременность.​
  • Currently, the treatment tactics for dysplasia is mainly surgical (cervix conization). However, in recent years, the search began for sparing methods of treatment, which include biotherapy, (photodynamic therapy, homeopathic organ preparations, ozone therapy, vaccine-like drugs, enzymes of plant origin, antioxidants) yielding excellent results.
  • Infertility due to obstruction of the cervical canal (stenosis) or as a result of an ascending infection (chronic salpingitis and endometritis),
The essence of the technique consists in the destruction (destruction) of a pathological focus by high-frequency electric current, which is applied to the electrode (loop) that contacts the neck. As a result, necrosis (death) of atypical epithelial cells occurs, and a scab forms at the site of cauterization. The method in recent years has lost its relevance due to its low efficiency (about 70%) and a high risk of complications (bleeding, pain, scar deformation of the cervix, a long healing period).

The term "cervical dysplasia"

Early sex life

Cervical dysplasia is the process of changing the structure of epithelial cells covering the vaginal part of the neck. Such cells are called atypical, and the disease itself is included in the list of pre-cancerous processes.

  • Regular check-ups within 48 months after the diagnosis was made.
  • Disease in the form of dysplasia carries the body a large number of unpleasant symptoms and complications.
  • According to medical statistics, dysplasia of the mucous membrane of the cervical canal is the most common factor in the formation of cancer.

Without treatment for the disease, dysplasia progresses rapidly from a mild stage to a severe one, and then to squamous cell carcinoma.

Classification

Cervical dysplasia is curable, but until it provoked the development of oncology. In the 3rd form of dysplasia, it is sometimes difficult enough to distinguish it from a cervical cancer. In this case, an accurate diagnosis should be made by an experienced gynecologist-oncologist on the basis of a histological examination. In almost 50% of cases, dysplasia can heal itself, but this happens only with a mild form of the disease. Do not neglect visits to the gynecologist, if you have symptoms of dysplasia.

  • But your goal is HIMERA
  • Violation of the menstrual cycle (hormonal problems),
  • This method consists in treating the pathological focus with cold (liquid nitrogen with a very low temperature), as a result of which the atypical cells are destroyed and rejected. This method of treatment is suitable for women who have not born yet, but also has a number of drawbacks: a long healing time and a high risk of developing inflammatory processes in the treated focus.

Type 1 - cytological picture is normal,

  • First pregnancy and childbirth in girls under 18,
  • The vaginal part of the cervix is ​​lined with a stratified squamous epithelium, which has a pink color and consists of several layers:
  • Colposcopy and cytology are performed every year.
  • The duration of the treatment period will depend on how deep the pathological process has spread to the layers. That is, the course of the disease can be described by its degrees.
  • Under the influence of dysplasia changes on the shell of the vagina and uterine cervix can occur processes of malignancy of their cells.
  • Treatment of cervical dysplasia is reduced to such methods:
  • The main symptoms of cervical dysplasia are such moments:
  • I had. only 3 degrees. The first as far as I know is treated with medication. It is possible to get pregnant, but it is better to be treated right away. Go
  • Transition to cervical cancer.
  • The essence of the technique lies in the action of laser beams on the affected area (non-contact method), while liquid is evaporated from the affected cells and they are destroyed. Laser treatment is quite an effective method and has only two disadvantages: high price and expensive equipment, which is not available in all medical institutions.
  • Type 2 - there are inflammatory changes in the cells,
  • Heredity (susceptibility to malignant processes of the genital organs),
  • The basal-parabasal is a deep layer consisting of basal and parabasal cells and bordering on the underlying tissues (muscular, nerve endings and vascular walls), it is in this layer that young cells are found that renew the epithelium,
  • Be sure to prescribe treatment of infections of the reproductive system.

Colposcopy

  • Unfortunately, no treatment of dysplasia, even surgery, does not give a 100% guarantee of getting rid of the disease. Resumption of dysplasia occurs when treatment is inadequately carried out, for example, the destruction of the pathological focus was carried out, and the previous antiviral therapy is not. Especially often dysplasia recurs with prolonged persistence of HPV in the body. In addition, before performing surgical treatment, it is necessary not only to get rid of HPV, but also from other genital infections, as well as to correct hormonal disorders.
  • In effect, the method is similar to laser parsing, only radio waves are used instead of laser beams (the method is also non-contact).
  • Type 3 - there are separate epithelial cells with anomalies of the cytoplasm and nucleus,

Genital infections (herpes simplex virus, cytomegalovirus, gardnerella, fungi, mycoplasma and chlamydia),

Cytological smear examination

  • It is desirable that the patient refused bad habits.
  • Human papillomavirus is considered the most common cause of cervical dysplasia.
  • Severity of dysplasia
  • Cauterization of the cervix by electric current (diathermocoagulation),
  • Pain during intima,

Familiar story)). As soon as they found out - they decided to treat it, but it was not there ... I learned that I was pregnant. She carried the baby without any complications, bleeding and other things. Now I am engaged in treatment. It is better not to delay

Uterine cervical biopsy with impending curettage of the cervical canal

Complicated course of both pregnancy and childbirth occurs after cauterization of the neck (DTC), which contributes to cicatricial deformity of the cervix, causing both difficulties with conception due to stenosis of the cervical canal, as well as anomalies in labor (discovery of labor forces, rupture of the cervix). Go

In some situations, an operation on the cervix is ​​shown, either knife conization or excision (excision of the pathological focus within the boundaries of healthy tissues) or amputation of the cervix (removal). Indications for this type of intervention are:

  • 4 type - some cells with pronounced symptoms of malignancy (nuclei are large and irregular in shape, cytoplasm abnormality, chromosomal rearrangements),
  • Promiscuous sex life
  • Functional or superficial - epithelial cells of this layer die off and exfoliate, being replaced by new ones.

Treatment of negative manifestations of the endocrine gland.

9 out of 10 people experience independent suppression of the virus by the immune system. In the blood, the virus ceases to be detected after 6 - 12 months.

  • Description of the affected area
  • Treatment with low-intensity laser beams (lasers),
  • Copious vaginal discharge accompanied by an unpleasant odor

Diathermocoagulation or DTK

No, and again no. Firstly, there are no ways of traditional medicine to treat this pathology (how could our great-great-grandmothers find out about this disease?). And, secondly, all the so-called “folk” methods of therapy (tampons with sea buckthorn oil, aloe vera juice or douching) will not only have a positive effect, but also accelerate the transition to a more severe degree of dysplasia, since they will provoke the proliferation of atypical cells. The only thing that can help from traditional medicine is taking vitamin and immunostimulating teas, decoctions and infusions, and only under the supervision of a gynecologist and at a certain stage of treatment.

Operative intervention

The cells of the basal layer are rounded, have a single large round nucleus. As they mature and move into the intermediate and functional layers, the epithelial cells flatten, their nuclei decrease. With cervical dysplasia, structural disorders occur in the cell, they become shapeless and large, have many nuclei, and the division into layers disappears. When such modified cells are found, they speak of atypia.

  • The patient is recommended to observe the correct diet, as well as apply vitamin complexes.
  • In %2% of patients, the course of the disease can last for a very long period. In this case there are no movements: not in the direction of recovery, not in the direction of deterioration.
  • 1st degree
  • Elimination of the cone-shaped section of the cervix (knife conization of the cervix uteri),

After surgical treatment

Bleeding after intimacy,

  • Treatment: either cervical conization or medication. Well, usually the decision is made by a doctor.
  • Cervical erosion is a background disease, the essence of which is reduced to the proliferation of the cylindrical epithelium covering the endocervix on the vaginal part of the cervix, and normally it is lined with multi-layered epithelium. That is, one type of epithelium is replaced by another. Dysplasia, roughly speaking, is a precancer and its essence is to change the structure of the cells themselves, which, if not properly treated, quickly turns into cervical cancer.
  • Moderate and severe dysplasia, cervical cancer of the first degree, confirmed by biopsy results,
  • In dysplasia 1–2 degrees, a smear on cytology is represented by the second and third types of smears, and in severe dysplasia, the smear corresponds to the third and fourth types.

Chronic gynecological pathology,

Is a relapse of the disease possible, and how is it caused?

Get pregnant is possible. Dysplasia is not an obstacle. But the problem is that dysplasia is a precancer. At least 1.5 years pass between stages. But pregnancy in 90% of cases acts as a catalyst and the transition from stage to stage occurs rapidly. And if CMM cancer stage 1 and beyond - a woman can not be saved.

Is pregnancy complicated after surgical treatment of dysplasia?

No, the disease itself does not impose a ban on sexual activity, but the use of barrier contraceptive methods (condoms) is recommended in order not to infect a partner with HPV or other sexually transmitted infections. But in case of severe disease, contact bleeding may occur during or after coitus. And, of course, it is necessary to observe sexual rest (up to 2 months) after surgical treatment of the pathology in order to avoid complications during the healing period.

Cervical erosion and dysplasia is this one disease?

A biopsy (tissue sampling from a damaged area of ​​the cervix) is performed under the control of a colposcopy (therefore, the procedure is called an aimed biopsy). Then a histological examination of the material is carried out. Biopsy is the main method of diagnosis of this disease, as it allows to study not only the structure of cells, but also the architectonics of the epithelial layers (their number, interposition, “depth” of atypia). After conducting a biopsy and confirming the diagnosis of dysplasia, patients are required to perform diagnostic curettage of the cervical canal so as not to miss the precancerous process in it.

cervical dysplasia 1 degree who had this ?? ? How were you treated? Is it possible to get pregnant with this disease?

Yes, a very high percentage of self-reduction process with mild dysplasia (up to 90%) and slightly less (about 70%) with moderate dysplasia, but with the absence of HPV in a woman’s body.

Re-treatment in case of a negative effect from the methods of destruction.
Treatment of the disease described is necessarily complex and includes the following points:
Most often, dysplasia does not manifest itself, and in 10% it is generally an accidental finding upon inspection. There are no characteristic signs of the disease, complaints appear only when a secondary infection is connected (bacteria, fungi or viruses), in which case the patient is worried about the increased vaginal discharge, sometimes with an unpleasant smell, itching and discomfort, smelling or blood-like discharge after sexual contact, use tampons

Moderate dysplasia - cell atypia is found in the lower and middle third of the entire epithelium,

The list of methods for the treatment of cervical dysplasia of the 2nd degree includes:

35% of women can fight the disease for 2 years after it was diagnosed.

The disease covers from 35 to 70% of the epithelium layers. At this stage, there is already a violation of the polarity of the epithelium layers.

More information about the causes, effects and treatment of cervical dysplasia, read here.

Pick up
So do not risk, first be treated, and then get pregnant.
If mild or moderate dysplasia is detected, the patient is “allowed” into independent labor, that is, she gives birth through the birth canal, and operative delivery is performed only according to obstetric indications. Neither the course of the disease affects pregnancy (self-healing of the disease is observed in 60–70% after delivery at 2 and 3 degrees of dysplasia and only less than 1% of cases develop minimally invasive cervical cancer), nor the dysplasia itself has a negative effect on the fetus. Treatment of pathology is postponed for the postpartum period, so all methods of destruction adversely affect the development of the fetus. But if it is necessary to carry out cervization of the cervix (for example, in severe dysplasia), it is performed during gestation, followed by suturing of the cervix (prevention of preterm birth), and delivery is performed depending on the obstetric situation, either alone or promptly.
After the destruction of the pathological focus on the cervix, the patient is recommended:
Anti-inflammatory therapy,

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