Erosion of the cervix is quite commona disease that is associated with malfunction of the mucous membrane - that is, the epithelial cover of the cervix. There is this pathology in 15% of women under the age of 45 years. As a rule, erosion is detected during a routine gynecological examination. The doctor easily distinguishes the altered area from the surrounding healthy tissues by pink-red color and characteristic granularity.
What is the difference between the usual erosion of the cervix from the congenital?
Congenital erosion of the cervix is considereda natural process that takes place in the body of a young woman or girl. Uterus - the main organ of the female reproductive system, consists of 3 main parts: the cervix, the neck and the body of the uterus. The cervix externally resembles a cylinder with a channel inside that connects it to the uterine cavity. The cervical canal (that is, the cervical canal) is internally lined with a thin layer of a unique integumentary tissue called the cylindrical epithelium. This fabric protects against bacteria, physical and chemical damage. Epithelium is of two types: cylindrical - inside the neck, and flat - outside. Initially, the newborn girl has a cylindrical epithelium located outside. However, with age, he gradually moves inside with normal physiological development. There are often cases when this process slows down, because of which the woman maintains a cervical condition, as in girls. There are several reasons for this: age, heredity, hormonal background. When such a pathology is discovered, the doctor diagnoses - congenital erosion.
Erosion: will we treat?
In most cases, congenital erosion of the cervixIt is not necessary to treat it, as it passes independently after a hormonal shake. Typically, this happens during pregnancy, puberty in a girl, or after childbirth. In the body, natural processes occur that lead the cervix to a normal state. Therefore, it should not be surprising if the doctor claims that erosion is best left untreated. It carries no danger to the fetus, and during pregnancy it most often resolves. Of the methods of treating congenital erosion, the coarse is considered moxibustion. Before delivery, such treatment is extremely undesirable, as this can negatively affect the elasticity of the cervix and the process of its opening. And as a result of cauterization these natural moments are violated. When such a phenomenon in a woman is not accompanied by an inflammatory process or other infections or diseases, it is sufficient to observe annually at a gynecologist. If an inflammation or infection is detected, the doctor will perform the necessary examination, and then prescribe the appropriate treatment. In addition to examining and consulting a doctor, you should regularly sow and swab the infection (chlamydia, ureaplasma, HPV, myco-plasma, etc.) and vaginal flora. But the main procedure for today, which allows for accurate diagnosis, is examination of the cervix under a microscope, that is, colposcopy. It allows you to see the exact clinical picture. It should be especially cautious for pregnant women who have HPV, since erosion can occur. In this case, erosion treatment is postponed until the birth of the child, followed by surveillance and the safest way to treat infections. The fact is that infections can bring both mothers and children, much more harm than prenatal elimination of congenital erosion of the cervix.
Methods of treatment
To date, doctors offer many methods for treating cervical diseases, among which:
- Medications. The use of antibacterial drugs (tetracycline ointment, synthamycin emulsion, etc.), as well as agents that promote faster healing (rosehip oil, sea buckthorn oil, etc.), is now considered an outdated and ineffective method of treatment.
- Chemical removal of erosion. It is used if there are condylomas or only superficial tissues are affected. When pathological processes affect the deeper layers, the chemical drug partially affects the affected tissue, as a result of which erosion remains at the same place or progresses.
- Diathermocoagulation (electrocoagulation). The method is used only to treat erosion in women giving birth, since it promotes the formation of scars that constrict the cervical canal, which can lead to a rupture or serious damage to the cervix during childbirth.
- The use of liquid nitrogen - cryotherapy. This is a fairly sparing and painless method that does not contribute to the formation of scarring. The depth of penetration of the substance is sufficient only for the treatment of minor superficial lesions of the cervix and the removal of condylomas. The procedure is not carried out in the presence of deep or serious damage. The effectiveness of the method is 54.96%. It is prescribed to nulliparous women.
- Laser therapy. This is an effective modern method of treatment. During the procedure, the affected tissue is simultaneously removed, the bleeding stops. The method is painless and safe, it is possible to use it for nulliparous women, because it allows you to remove the existing damages with high accuracy.
- Radio - knife - radio wave surgery. The procedure using a radio wave is considered to be the most effective and gentle surgical technique. The mechanism of radio-knife action on radio wave energy is based. The main advantage - cuts (does not burn!) The damaged area, after which it can be sent for histological examination and clarify the diagnosis. This technique is a safe method, since the device not only removes tissues, but also stops the bleeding that began as a result of the surgery. The method is suitable for different women, including those who plan to conceive in the future.
- Excision of the cervix. When the results of the biopsy show malignant formation, treatment should be continued with the oncologist. Treatment is successful in most cases, especially if the problem is found at an early stage of development. The operation can be performed using a radio-knife.
Sometimes erosion does not resolve either duringpuberty, or during pregnancy and childbirth, developing into a more serious pathology. In this case, it is impossible to delay treatment, otherwise the consequences can be the most sad.