Many women, regardless of age,is concerned about the following question: how dangerous is cervical erosion for health? You can hear a variety of rumors and speculations about this disease. Some consider erosion to be almost cancer, others - a natural disease. Therefore, this issue should be thoroughly understood.

What is cervical erosion?

Данное заболевание относится к одному из самых common among women. In this case, between the vagina and the body of the uterus there is a canal - the cervix, which connects these two organs. From the inside, the cervix is ​​lined with cylindrical epithelium - a special tissue, the cells of which are tightly adjacent to each other. The outer part of the cervix, coming out into the vagina, consists of multilayered epithelium or mucous layers. Cervical erosion is a direct defect of the mucous membrane. Doctors do not diagnose true erosion very often. True erosion of the cervix has a pronounced bright red color on a pale pink mucous membrane. Sometimes, blood vessels can be damaged, so sexual intercourse can be accompanied by bloody discharge. A gynecologist, examining a patient with the help of special mirrors, observes a certain redness on the outer surface of the cervix, mainly in the area of ​​the external os of the cervical canal. The area of ​​redness often looks small, sometimes its area occupies the entire surface of the cervix, it can form to the side of the external os or around the cervical canal. Modern medicine knows more than 20 types of diseases that are outwardly similar to erosion of the uterus. They can look like a red spot on the mucous membrane of the cervix, only for this reason an inexperienced doctor can take this fact for this disease.

Why there is erosion of the cervix

Damage to the mucosa, which occurs due touse of chemicals, such as medicaments or soap containing inappropriate components, is called true erosion of the uterus. And also include: light injuries with tampons, diaphragms and intrauterine spirals. In this case, it very often passes by itself, without any treatment.

Often, the appearance of erosion of the cervix is ​​due tosexual infections, dysbacteriosis of the vagina and various diseases of the female genital area of ​​an inflammatory nature. Thus, various microorganisms, for example, chlamydia and myco-ureaplasma, constantly terrorize the mucous membrane of the cervix, after which it reacts with the appearance of uterine erosion.

In female genital organs, the mucous membraneusually ripens to 20-23 years. But the beginning of early sexual life can serve the emergence of various infections, and hence, the erosion of the uterus to a young woman can not escape.

Cervical injuries that can occur during childbirth or abortion are among the most frequent factors in medical practice that cause the appearance and development of uterine erosion.

Violation of the menstrual cycle and malfunction of hormonal activity is another reason that as a result of women there is erosion of the cervix.

The beginning of the development of this disease can serve as a decrease in immunity.

In itself, such a disease as erosioncervical erosion does not lead to the development of cancer, but against its background, a woman has a high risk of developing a predisposition to oncological and malignant neoplasms. Therefore, every woman should know that cervical erosion is a benign process that can be cured. Many doctors mistakenly call a whole group of diseases, for example, chronic and acute cervicitis, ectropin and other benign diseases, erosion. This is a gross medical error. Therefore, when a specialist makes a diagnosis of "cervical erosion", the patient is advised not to panic, but to ask the gynecologist to clarify what he means by this. Doctors allow such a combination: cervical erosion and pregnancy, which is quite normal. But directly during childbirth, such a cervix does not stretch well and tears very easily. During pregnancy, it is not recommended to cauterize erosion, but it is better to try to treat it with the methods suggested by the doctor, both traditional and folk.

What should a woman do when she is diagnosed with cervical erosion?

In this case, there is no need to rush with treatment, butit is better to undergo a thorough examination again. Such an examination should consist of a study of cells taken from damaged areas of the cervix and their examination under a special microscope. There is an important point here: if a woman has an inflammatory process at this time, it should first be cured. After which it is allowed to take the necessary material for analysis. It is important that the doctor warns the patient that after the biopsy, sexual intercourse is strictly prohibited for the next 10 days. This is done so as not to infect or further injure the area of ​​the mucous membrane from which the tissue was taken. Why is a cytological examination of the upper tissues of the cervix and colposcopy performed? To identify the exact condition of the cervical erosion, and if there is a precancerous predisposition, to detect it in time. After all, even the most advanced disease can be quickly cured, and at the same time a healthy cervix can have a predisposition to oncology. As a result, at the slightest suspicion, even with mild erosion, doctors recommend that a woman undergo observation with a repeated cytological examination every 6 months. And at the slightest changes or deterioration of health, you should immediately seek help from a specialist. If any changes are detected, when the main culprit is an injury to the mucous membrane of the cervix, further development of dysplasia is possible. Such consequences can occur after: a large number of births, long-term use of hormonal contraceptives, vitamin deficiency, genetic and individual predisposition. This also includes a constant change of sexual partners, HPV infections, AIDS and some other cases.

Characteristics

• At obvious changes at the woman on a mucous neck it is possible replacement of a normal flat epithelium with a cylindrical epithelium of a cervical channel.
• Focal damage has clear boundaries.
• There may be inflammatory changes of varying severity.
• The appearance of changes is distinguished by the absence or presence of signs of atypia. This sign is the most significant.

Cervical erosion can be:

Congenital, with characteristic displacementthe boundaries of the cylindrical epithelium that extend beyond the outer throat of the neck. The presence of erosion proceeds asymptomatically or with mildly marked secretions. Most often found during adolescence with preventive examinations.

Acquired, in which a multilayered flat overlap of the cylindrical epithelium is characteristic. This type can occur after the onset of sexual activity, difficult labor and abortion.

What to do if cervical erosion is confirmed?

• First of all, it is necessary to exclude fungal, viral, bacterial and parasitic infections. In this case, the most common diseases include genital herpes, trichomoniasis and candidiasis.
• It is important to study the cytological smear. If the analysis of the smear does not confirm a predisposition to oncology, then, depending on the size of the lesion, colposcopy can be performed.
• Now it is important that the analyzes of cytology and colposcopy coincide, otherwise it will be necessary to conduct a second analysis in 3 months.

Treatment of uterine erosion

If a woman is diagnosed with this diseasetreatment must be carried out without fail to prevent any development of complications and tumors of various degrees. Treatment of uterine erosion is carried out comprehensively, with the identification and consideration of the cause of occurrence. During treatment, a woman should follow all the doctor's recommendations and carry them out in a timely manner. Recommended tests for the treatment of uterine erosion:

smear on the flora;

bacteriological culture on the dysbacteriosis of the microflora of the vagina;

biopsy;

cytological examination;

DNA tests for Trichomonas, Chlamydia, Herpes, HPV, Mycoplasma and Ureaplasma;

a blood test for syphilis, hepatitis B, C and HIV infection.

If cervical erosion is detected in young womengirls and proceeds without complications, then you can do without cauterization. In this case, the doctor prescribes baths with medicinal herbs, antibiotics and homeopathic remedies. After which all areas subject to pathological changes on the cervix are removed. Such treatment, although long-term, gives positive results.

Modern methods of treatment of uterine erosion

Chemical coagulation is carried out heretreatment of the cervix with preparations that destroy abnormal cylindrical epithelium. After which the flat epithelium remains untouched, and the area of ​​tissue where the erosion was located closes quickly. This is the most gentle treatment method for women. Its disadvantages include the fact that healthy tissues on the cervix are affected during treatment.

Radio wave treatment of uterine erosion - this isthe most modern method of treatment, in which pathological cells are not cauterized, not excised, but evaporated. At the end of such treatment, the woman is not tormented by pain, heavy discharge and unpleasant odor.

Cryodestruction of uterine erosion - with this method, the erosion area itself is frozen with liquid nitrogen. During the procedure, healthy tissues are practically not affected.

Laser coagulation – in this case, a certain area of ​​tissue is exposed to a low-intensity laser beam.

Diathermocoagulation of uterine erosion - herewhen exposed to electric current, a burn occurs with damaged tissue. This method of treatment is considered outdated and is recommended to be avoided, because the tissues of the cervix are deeply affected and deformed. In the future, this may create certain problems during pregnancy. The advantage of this method of treatment is its simplicity and low cost.

Diathermoconization of uterine erosion - in thisThe method also uses electric current. But the treatment is not limited to one burn, during the therapy the altered tissues are removed. In this way, cervical erosion is well treated in case of extensive lesions and some background complications.

Symptoms after treatment of uterine erosion

• After the treatment of the first few days, a drawing pain in the lower abdomen is possible.
• Within 2-4 weeks, vaginal discharge is possible with or without smell.

To relieve pain, you can takepainkillers. Also, after treatment of uterine erosion, it is forbidden to lift weights, perform heavy physical work, douche and use tampons for 4 weeks. Sexual intercourse is not recommended during this period. Failure to comply with this rule entails trauma with bleeding and infection of the cervix.

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