Single cysts of the endocervix: causes, symptoms and treatment
Among the diagnosed «female» diseases do not last place is occupied by abnormal formation of cervix – cysts of the endocervix. The uterus connects to the vagina through a narrow cervix, inside which passes the cervical canal. Its mucous lining (endocervix) consist of a cylindrical epithelium, which produces hydrogel (cervical mucus) that form in the uterine cervix is a protective glycoprotein tube.
Cysts of the endocervix
Pathological changes of the cervical canal occurs at the retention mechanism, when sealed gland excretory duct, and its secret, not finding output begins to accumulate inside. Stretched capsule of the organ, forming a cystic bladder. Cancer of the cervix, Muco-secreting antibacterial substance, called narodowym (by the name of the scientist who described them), or endocervical.
Nabatova cysts act on other tissues, have a semicircular shape and is yellow-white. A large formation the gynecologist can see on inspection of the chair using special tools. In pathological formations of large dimensions shown their surgical removal in connection with the possibility of complications. Small cysts of the endocervix (diameter 5 mm) diagnosed rather frequently, mainly parous women. Most doctors define such entities as a normal variant.
Reasons for the formation of endocervical abnormalities
The normal functioning of the glands narodowych violate some external factors.
- Mechanical traumatic damage to the tissues of the cervix. This is possible with unskilled gynecological procedures, surgery, abortion, childbirth, during sexual contact or introduction of intrauterine contraception (IUD).
- Microbial (mainly bacterial and fungal) infection of the female genitals. The reason for invading pathogens can be unprotected sex with a carrier of the disease, poor personal hygiene. Disease-causing agents entering the vagina, causing the development of inflammation. Of course, before you assign treatment of cysts of the endocervix, it is necessary to conduct tests for pathogenic flora and to get rid of infectious diseases.
- The constant change of normal microflora of the vagina. Occurs in women who often change sexual partners. Each of them is the owner of your own unique sexual microflora.
The symptoms of cystic formations of the endocervix
The woman is usually unaware of the presence of any abnormalities of the uterus. The endocervix cysts do not cause pain, do not secrete hormone-like substances that can worsen the General condition of the patient. In most cases, abnormal formations do not affect the menstrual cycle, the possibility of conception or pregnancy.
The development of symptoms starts in those cases where the structure of the tumor reaches considerable size. Multiple or large single cysts of the endocervix, while in the lumen of the cervical canal, narrow it down and may even clog. Become painful menstruation, decreases the probability of conception. It is these manifestations that usually make a woman to consult a doctor.
Diagnosis of cysts of the cervical canal
On a routine gynecological examination the doctor checks the condition of the cervix. For this purpose, special instruments — gynaecological mirror and colposcope, which are major pathological education, protruding above the surface of other tissues.
To clarify the diagnosis on the basis of which treatment is treatments and research:
- extended colposcopy, during which the cystic structure stained with Lugol’s solution;
- microscopic examination of the specimen the mucosa of the cervical canal;
- transvaginal ultrasound study revealing black anechoic rounded formations with smooth edges on the cervix.
In addition, a differential diagnosis of cysts of the endocervix with other pathologies of female genital sphere and the definition of comorbidities.
- Cytology smear from the channel to detect precancerous cells.
- A study of the microflora to identify urogenital infections, including sexually transmitted diseases.
Why you need treatment narodowych cysts?
Small cysts of the endocervix do not cause the woman anxiety, are not a contraindication to physical activity or sexual activity. Cancer potency of such entities is very small, Nabatova cysts rarely become cancerous. In this regard, their treatment is usually not carried out.
However, it should be borne in mind that in the future the increased in size of a cyst or multiple cysts of the endocervix can cause serious complications, plug the cervical canal, can cause secondary infertility. Many doctors believe that the liquid content of the blisters infected.
Endocervical pathology tend to grow during pregnancy under the influence of powerful hormonal alterations in the body. In the process of childbirth may occur the injury and rupture of the cystic capsule; these injuries heal very long. In addition, large cysts may deform the cervix, causing its disclosure. During pregnancy it is fraught with miscarriage or premature start of labor. Therefore, treatments shown narodowych cysts women planning conception.
Therapy cystic endocervical abnormalities
Cysts of the endocervix does not dissolve and does not decrease in size even under the influence of drugs. Conservative medical treatment, herbal medicine, folk remedies usually do not give a positive result. The main method of dealing with cystic abnormalities of the cervix is surgical removal.
Before you assign the operation, the gynaecologist conducts all the necessary tests to exclude associated inflammatory diseases or assigns preliminary treatment.
The operation itself is very simple, takes a few minutes and can be performed even in outpatient. If there is evidence possibly of the patient to the hospital. The removal of the cyst may be scheduled for any day of the menstrual cycle except during menstruation. Also usually surgery is not carried out for the three days before and three days after. Surgical treatment is painless, in the tissues of the cervix there are no pain receptors, so the patient does not experience discomfort.
The operation takes place in two stages.
- Puncture of the cystic capsule and its devastation.
- Cauterization of cystic empty the bladder.
In modern medicine there are several methods of destruction of cyst: laser, radio waves (apparatus «Surgitron»), elektrotermometriya or the use of liquid nitrogen. The choice of method is carried out by the surgeon and depends on the technical capabilities of the facility.
A few days after surgery, the patient may feel pain in the pelvis. Postoperative therapy is aimed at healing the tissues of the cervix. This used irrigation medicinal solutions, physiotherapy, vaginal suppositories with healing effects. To ensure the success of the operation and no recurrence of the cyst, the patient in a month needs to re-visit the gynecologist.
Surgical removal of the cystic pathology is diagnosed during pregnancy, usually not carried out. Pregnant women are recommended to have abstinence from sex life and decrease physical activity, which could cause premature opening of the cervix.