Congenital cervical erosion in women
Erosion of the cervix is called the defect of the squamous epithelium of the cervix, located in the area of the external OS. The most frequent reasons of development of this defect are inflammation and hormonal disorders. The disease can occur without symptoms or with a small purulent-mucous and bloody discharge. Among the main ways of diagnosing it is possible to allocate the inspection of the cervix and colposcopy. For treatment using diathermocoagulation, lazarovici, cryotherapy, radio wave method.
True congenital cervical erosion
One of the forms of erosion true cervical erosion. This form begins its development due to tissue damage of the squamous epithelium about the external OS. For the true erosion of the peculiar appearance of the wound surface, and inflammation. The most common cause of true erosion is an irritation of the mucous membranes due to the discharge of a pathological nature, which take place in endocervicitis and emanate from the cervical canal.
True erosion often has an irregular round shape, red color and at the slightest touch starts to bleed. When colposcopy and microscopy readily visible dilated vessels, oedema, blood and secretions. After one to two weeks begins the healing period.
Congenital cervical erosion is formed when the boundaries of the columnar epithelium, which is located in the cervical canal, moves beyond it. This shift usually happens at the stage of fetal formation of the fruit. That is why this form of erosion is called congenital.
Congenital erosion is often formed in a small area in the region of the external OS. Has a red color and smooth surface. When viewed with the aid of colposcopy not detected in any inflammation, or any discharge from the cervical canal.
Congenital erosion is detected in childhood or adolescence, and often resolves on its own. In cases where erosion has survived to Mature age, then there is a risk of infection, inflammation development. Sometimes on the background of congenital erosion can develop warts, but for the development of malignant cells in gynecological practice were noted.
The reasons for the development of congenital erosion of the cervix
At birth, the columnar epithelium girl is outside, he then enters the womb and takes its place. This process proceeds as they get older, but for some reason could slow or even not start.
If erosion does not change its appearance until puberty, then it can start to become inflamed. The onset of this stage it is important to detect and treat, and then observed for some time by a doctor.
Symptoms of congenital erosion
Erosion is a pretty sneaky disease, because it almost does not show any symptoms, and learn about the disease only when examination by a gynecologist.
On examination, the gynecologist can detect changes on the cervix. In this case, the doctor recommends a colposcopy, which can now accurately confirm the presence of disease. Thanks colposcopy erosion can be considered in more detail, under multiple magnification: the doctor determines the exact size of the affected area. During the procedure, the gynecologist takes a smear and bacterial seeding of microorganisms. Be sure to take the material for cytological examination.
The results of the tests should show what changes have occurred in the number of lactobacilli, bifidobacteria and pathogenic organisms, and to determine if there are infections that can be transmitted by sexual contact. When the number of conditionally pathogenic microorganisms above normal, it can lead to strong changes in the structure of the affected surface. Cytological examination allows to identify the different pathological processes at an early stage.
If there is suspicion of a malignant tumor at the site of erosion, the doctor is obliged to appoint an expanded analysis, which is carried out by covering the entire affected area with a solution of iodine. Then under a microscope the doctor will see the changes that occur in the zone of erosion. Itself erosion need to purchase a light pink shade, the area of dysplasia to turn yellow, and inflammation should turn white. If you see a yellow color, must be assigned to an additional examination with a biopsy. So you can determine whether benign or malignant tumor.
Treatment of congenital erosion
For congenital forms of erosion special treatment is not required as it can in the process of puberty to change and gradually the fad to its normal condition. In rare cases this can turn into a pathological condition which should be treated necessarily. The risk of disease is increased in cases when there is any disease, such as chlamydia or human papillomavirus infection.
Although congenital erosion and requires no special treatment, she should be watched constantly to avoid a possible transition into the pathological form.
Often congenital erosion can be cured in the process of pregnancy. Erosion does not interfere with either normal pregnancy or childbirth. And after birth often disappears, and the epithelium at the site of the lesion is fully restored. However, such an outcome is possible only when the pregnancy is planned in the near future.
In modern obstetrics, there are many ways in which doctors are struggling with changes in structures of the cervix. Among them are:
- treatment chemicals;
- radiowave surgery;
- laser therapy;
- surgical intervention (such a treatment is possible in cases when it was discovered malignancy).
If there is a need to eliminate the disease, then you need to discuss any treatment option with your doctor. And after going through the prescribed treatment, regular medical observation should last for years.
The erosion in nulliparous
Causes of cervical erosion in nulliparous women often become:
- termination of pregnancy by artificial means;
- the presence of venereal disease;
- HPV or herpes infection;
- abnormalities in hormonal background.
Pathology of the cervix in nulliparous may be either acquired or congenital. The point is that the columnar epithelium begins to expand its borders. This disease can heal itself in the process of puberty, and if not, requires medical intervention.
The symptoms of erosion can be diagnosed only when preventive examinations by a gynecologist. The doctor will find:
- Erosion on the cervix or other changes in the body.
- The occurrence in the period between periods bleeding or purulent discharge.
- The appearance of wanton secretions after sexual intercourse or during the inspection.
If the gynecologist diagnosed women erosion, the question arises on the appointment of an optimal treatment. You should know that every woman has to be painted individual treatment depending on its personal pattern of disease, General condition and form of the disease.
Usually therapy for this form of pathology is chosen complex, which includes moxibustion and the use of pharmaceuticals. The main objective is the elimination of inflammation.
At the moment there are several different methods that can be considered gentle compared to the body as nulliparous and parous women, which again wants to get pregnant, but faced with the problem of erosion.
After applying one of these methods, a woman can cure the problem and further give birth to a healthy child:
- Heliopolice. This procedure is chemical coagulation, which is carried out with the help of medicines.
- Cryosurgery. The process of cauterization of erosion by the substance with low temperature. In this case, apply liquid nitrogen, which freezes the affected areas, after which they disappear, and in their place remain healthy tissue, which gradually heal. The period of full recovery of epithelial tissue lasts about six weeks.
- Laser therapy. Such therapy is carried out not later than the seventh day of the cycle, after reorganization. The efficiency of this method is quite high.
- Radiowave coagulation. This method does not require neither the preparation nor the large amount of time and rehabilitation to last for only two weeks.
For nulliparous women, the best option would be a radio wave or laser therapy. It is worth noting the following advantages of these procedures, as the lack of scarring, which could then interfere in childbirth, and almost complete painless and quick rehabilitation.