Abdominal pain and monthly

All women know what a pain in the abdomen. It may be a sign of fast periods, constipation, accumulation of gases. In essence, there is nothing dangerous, but something really serious is also the place to be. It is important not to overlook a disease that requires immediate examination, because later may be too late. Pains are different in character, chronic or acute, and precisely the reasons on which they arise can be diverse.

Painful periods as a sign of endometriosis

Some women tend to treat heavy painful periods as the norm. In fact it's not. If this is repeated every month, it is possible, we are talking about endometriosis Endometriosis - a serious problem with serious consequences . Mucous germinates in the cervix, fallopian tubes, uterus behind. In this disease, the walls of the uterus are in a fevered state, and pain exacerbated by menstruation, mucous membrane peels off a much larger scale, hence the hemorrhage - plentiful monthly. It is important to diagnose endometriosis at an early stage, to continue to take action and make life, including sexual, more comfortable and hassle-free.

Delayed menstruation as a symptom of pregnancy

Once menstruation does not come in time, it becomes the main feature of a possible pregnancy. If a woman has delayed abdominal pain, she should also think about ectopic pregnancy, which is an indication for immediate surgery.

If a fertilized egg is not descended into the uterus, it begins to grow in the fallopian tube and can break it with negative consequences for health.

Vaginal discharge temperature - a sign of salpingitis

If the abdominal pain is accompanied by fever, it is impossible to ride. Sometimes they can be a sign of appendicitis Appendicitis - when we must act immediately But it does not exclude other serious illness - salpingitis.

Salpingitis is an inflammation of the fallopian tubes Fallopian tubes: an important part of the reproductive system   due to infection. The longer salpingitis will remain without attention, the more likely probability that the seizure of the infection of the uterus and other organs. Chronic pain with temperature is an indication for immediate doctor's advice.

Other reasons

In fact, the reasons for the emergence of pain in the lower abdomen, a lot. This could be appendicitis, ovarian cysts Ovarian cysts - normal or dangerous? Cancer, ovarian cancer, renal colic, which radiates in the front part of the body. Identify with accuracy, for whatever reason there was pain difficult. In any case, women should be aware that sharp pain, especially repetitive and seemingly unreasonable demands an immediate visit to the doctor.

Signs endocervicitis

The cervix has a very important role: it does not allow penetration of infection into the uterus, fallopian tubes and ovaries. Therefore, all diseases of the cervix should be thoroughly being treated, or the infection can spread to the internal genital organs of women. And since many inflammatory diseases of female genital asymptomatic, every woman needs twice a year to visit a gynecologist's office.

Structure and function of the cervix

Cervix - it narrows its lower part, the walls of which are composed mainly of dense connective (collagen) tissue, a small amount of smooth muscles and mucosa that covers the inside and outside of the neck. Inside the cervix pass the cervical canal that connects the uterus with the vagina.

The neck has an upper portion and a lower supravaginal - vaginal (it juts out into the vaginal cavity and an opening of the cervical canal). From inside the cervical canal is lined with mucous membrane with a cylindrical epithelium, it also has many branching tubular glands that produce mucus that fills the channel. On the outer side of the cervix is ​​covered with a mucous membrane with stratified squamous epithelium. The boundary between these two types of epithelium is called the transformation zone. The bottom opening of the cervical canal in nulliparous women has a round shape, and have given birth - the cross. Cervical edge bounding the outer opening, called the front and rear lips.

The cervix is ​​a barrier to the penetration of pathogenic bacteria into the uterus as the cervix contains a thick, viscous mucus, which consists of immunoglobulins and lysozyme (they have an antibacterial effect). Mucus condition varies depending on the phase of the menstrual cycle: it becomes more permeable during menstruation.

Endocervicitis and its causes

Endocervicitis - an inflammation of the lining of the cervical canal mucosa covered with columnar epithelium. The reason for this inflammation - infection (bacteria, protozoa, fungi, viruses). Normally, the mucous membrane of the cervix no microorganisms, it is sufficiently protected from penetrating. But with lowered immunity (for example, after hypothermia), after mechanical (tears during childbirth, abortion) and chemical (injection into the vagina of various irritating substances, including drugs) effects of increased permeability of the cervical canal, pathogens get inside and cause inflammation.

Infectious agents can be different microorganisms. Most often it streptococci, staphylococci, E. coli, Trichomonas Trichomonas - leads to infertility , At least - gonorrhea, chlamydia Chlamydia: insidious and widespread disease , Mycoplasmas, fungi, and viruses (e.g. herpesvirus).

Symptoms and course of the disease

In this disease, the woman concerned muco - purulent discharge and itching. Sometimes join voiding (if in the process involves the urethra), pain in the lower abdomen and pain during intercourse. Often the disease is asymptomatic. However, during the examination of the gynecologist revealed redness and swelling of the mucous membrane in the external opening of the cervix Cervical canal - the path traversed by every person Upper and lower lips.

Endocervicitis can occur acutely and chronically, but more often it is prone to long-term recurrent (with repeated exacerbations) downstream from the fact that infectious agents enter the convoluted gland mucosa cervical canal, where they are not available for the operation of local treatments.

Endocervicitis often complicated by the spread of infection in the uterus and its appendages (the fallopian tubes, ovaries), as well as the peritoneum - the shell covering the inside of the pelvic cavity. Usually, the appearance of complications coincides with menstruation, when the mucous membrane of the cervix produces a less viscous mucus.

Diagnostics develops endocervicitis:

• of the characteristic signs of the disease - they are identified during the inspection gynecologist;
• detection of inflammation - the presence of a smear taken from the cervix, a large number of white blood cells;
• identification and pathogen identification by growth on nutrient media, or to determine levels of the pathogen DNA by polymerase chain reaction;
• the results of colposcopy - examination of the mucous membrane of the cervical canal using a special optical device - a colposcope.

Treatment

Treatment endocervicitis Policy Pay only after the identification of the causative agent and its sensitivity to antibiotics. In acute exacerbation of chronic and endocervicitis of prescribed antibiotics, antifungal or antiviral drugs (depending on which microorganism to cause disease). After a course of antibiotic therapy is required to restore the natural microflora of the vagina The microflora of the vagina: purity   using candles with lactobacterin. Local treatments for acute process contraindicated because of the risk of infection.

In chronic endocervicitis prescribe physical therapy and local treatment (baths and irrigation with different solutions and anti-inflammatory solutions, acting on the pathogens).

If any form of the disease is required to be appointed treatment, enhances the body's defenses (immune system): vitamins and minerals, natural immune stimulants (eg, Immunal) and so on. Long flowing resistant to treatment process requires consultation immunologist, immunological studies of blood and restore damaged components of immunity.

Galina Romanenko