- Cervical erosion - almost without symptoms, but with consequences
- What threatens
- Treatment
What threatens cervical erosion
Cervical erosion can proceed for years without any complications. Nevertheless, cervical erosion can cause complications during pregnancy and childbirth. During pregnancy, because of lower immune complications of cervical erosion may occur an increase in the amount of erosion and penetration of infection in the uterus.
Inflammation of the cervix may spread to the uterus and its appendages, which will lead to the development of adhesions and infertility or miscarriage
Miscarriage - why you lose the most precious thing?
. Large erosion inflammation become a cause of ectopic pregnancies, as is changing the acidity of the vagina is disrupted the forward speed of sperm to the egg. If a woman was found cervical erosion and is thus planning to become pregnant, you must first treat erosion.
The effects of cervical erosion can be in the form of scars on the neck, which resulted in the birth can be complicated breach opening of the cervix.
Dangerous if a cervical erosion? Long flowing launched cervical erosion can cause the development of dysplasia - changes in the epithelial cells covering the cervix. This is a precancerous condition. Especially prone to false dysplasia cervical erosion.
Diagnosis of cervical erosion
If you suspect that the erosion of the cervix after the normal pelvic exam in the mirror held colposcopy
Colposcopy - how to prepare it properly?
- Research area of erosion by a special optical device colposcope while taking smears for cytology. Extended colposcopy involves treating the surface erosion of special solutions to identify areas of dysplasia (abnormal cells of the epithelium) and malignancy (degeneration of epithelial cells into cancer). During the extended colposcopy and biopsy can be performed cervix
A biopsy of the cervix - do not assume the worst
.
Analyses at the cervical erosion necessarily include cytology rejects cells from the site of erosion (Pap smear, Pap test). Pap cytology taken during a routine pelvic exam in the mirror. Explanation Pap test:
- 1st class - the norm;
- Grade 2 - Change the structure of the cells caused by inflammation of the vagina or cervix;
- 3rd grade - single cells with suspected malignant pererozhdeenie;
- 4th grade - single cells with obvious signs of malignant transformation;
- 5th grade - a large number of cells with malignant transformation.
If this is doubt in the diagnosis, biopsy of the cervix, when the erosion for histological examination sufficiently small piece of tissue. A biopsy of cervical erosion is carried out immediately after the end of menstrual bleeding in outpatient settings during colposcopy. Special tools from the eroded area of the cervix pinch off or cut off a piece of tissue that is then examined under a microscope to detect dysplasia, or abnormal (tumor) cells.
Since the main cause of cervical erosion
Causes of cervical erosion - from infection to injury
is an infection, identify its causative agents (often reveal more than one) is considered to be the main objective. To do this, take smears on the flora, conduct research secretions by PCR and bacteriological seeding by vaginal flora on the culture medium.
Smear on the flora - a laboratory microscopic examination (bacterioscopy), allows you to make an overall assessment of the microflora of the vagina, the cervical canal and the urethra (the urethra). Normally seen in a smear Rod flora and isolated leukocytes. Identification of coccal flora, a large number of white blood cells and red blood cells indicates inflammation. In a smear on the flora can identify pathogens of sexual infections such as gonorrhea and trichomonas, and see the thread fungal mycelia with candidiasis (thrush).
How to determine the erosion of the cervical background dishormonal disorders? To eliminate hormonal disorders, supporting the distribution of erosion takes blood on hormones.