Inflammatory processes, localized in the cervix, constitute a significant proportion of diseases of female genital organs of inflammatory etiology. The diagnosis of endocervicitis is most often put to patients of reproductive age (60-65%), less often during the menopause period. It is difficult to establish the true frequency of the spread of the disease, because it is asymptomatic and is found accidentally when a woman addresses a woman for other syndromes or when she is scheduled for a gynecologist. Endocervicitis of the cervix - what is it? Endocervicitis - inflammation of the mucous channel of the cervix, in 50% of cases combined with vaginitis and vulvitis.
Endocervicitis of the cervix: what is it, the causes
The mucous membrane of the cervix serves as a barrier between the external environment and the upper segment of the genital tract, constantly being exposed to damaging factors. Today, the etiologic structure of the inflammatory pathologies of the cervical canal is dominated by endocervicites provoked by herpes simplex viruses, human papillomaviruses, trichomonads, gonococci, enterococci, Escherichia coli, Chlamydia, Candida fungi.
Risk factors:
- damage and mechanical injuries of the pelvic organs;
- a diagnostic scraping in the anamnesis;
- Traumatic delivery (large number of internal ruptures);
- malignant / benign uterine tumors;
- surgical termination of pregnancy;
- use of an intrauterine device;
- decrease in the immune response of the body;
- cicatricial deformities of the cervix.
Acute endocervicitis of the cervix: what is it?
Observed with postpartum infection (staphylococcus, streptococcus) and infection with gonococci. Morphological features of the disease are determined by the degree of severity of pathological deformations in the stromal / epithelial elements of the cervix uteri, the peculiarities of the course of the process. At an early stage, acute endocervicitis is manifested by vascular fullness, exudative phenomena, dystrophic changes in epithelial cells. Restorative order is accompanied by the formation of granulation tissue, the appearance of cylindrical cells on epithelium deprived surfaces, which, as proliferation (proliferation) form a multilayered flat epithelium. Characterized by the recent offensive and dynamic development.
Symptoms:
- abundant fetid discharge from the vagina (cloudy, viscous, purulent, mucous, foamy);
- Dull pains in the lower abdomen;
- subfebrile body temperature;
- burning and itching in the external genitalia;
- discomfort during urination;
- pain with coition, bloody discharge after the act is not excluded;
- Dysfunctional uterine bleeding / smearing brown discharge in the middle of the cycle;
- pain syndrome with localization in the lower back and sacrum.
Chronic endocervicitis of the cervix: what is it?
Occurs because of endocervical infection due to vaginitis. There is a thickening of the folds of the mucous cervical canal, puffiness, dystrophic altered cellular epithelium, the presence of inflammatory detritus ("dead" organic matter). Against this background, often develops cervical dysplasia (precancerous state) and cervical cancer. Chronic form endocervicitis is characterized by a weakening of pain, a decrease in the number of vaginal separable, up to complete disappearance, which is mistakenly interpreted by patients as complete recovery. The infection begins to slowly progress, gradually destroying the tissues of the cavity and cervix.
Traditional treatment of endocervicitis
The therapeutic regimen is selected taking into account the data of anamnesis, microbiological examination, laboratory analyzes. Includes:
- reception of antibiotic, antibacterial and antiviral drugs;
- neutralization of predisposing factors (metabolic, hormonal, immune abnormalities);
- use of antimycotics (with fungal lesions);
- anti-herpes therapy (with a virus of herpes simplex);
- vitamin therapy; the use of cytostatics, interferons, immunostimulants;
- sanitation of the vagina with the help of antiseptic agents;
- use of vaginal suppositories to restore normal microflora;
- application of surgical methods (cryotherapy, laser therapy, electrocautery).
Treatment with folk remedies
Before resorting to treatment with folk methods, it is necessary to consult a doctor to avoid undesirable consequences and allergic reactions.
- Mix thyme, adonis, wormwood, mint (1: 1: 1: 1), add raspberry leaves and juniper fruit (2 parts each). Physiotherapy composition is well chopped, pour 500 milliliters of boiling water, drain, cool, use inside for the next 24 hours.
- Mix the root of elecampane, herb sheep's bags, rennels, knotweed, leaves of the three-sheeted watch and cuffs in equal proportions. Grind to a uniform composition, separate 10 grams. Pour 500 milliliters of boiled water, put in a closed container, put for 10-15 minutes in a water bath. Insist in a cool dark place for 3-4 hours. Use for douches, dampings, lotions.
Chronic endocervicitis and pregnancy
HE during pregnancy can conceal a threat to the baby and the future mother. The disease often leads to spontaneous abortion, premature birth and stiff pregnancy. In addition, there is a high risk of transplacental and intrapartum infection of the fetus. If the child was infected while passing through the birth canal, a purulent lesion of internal organs and skin can occur. Especially dangerous is chronic endocervicitis in the first trimester of pregnancy - fetal infection acquires a generalized form, the consequences of which are fetal death or congenital malformations. Therapy consists in taking antibiotic and antiviral drugs sparing effect (Azithromycin). The feasibility of preserving the fetus is decided individually after prenatal screenings. In order not to question endocervicitis of the cervix - what it is, it is necessary to avoid indiscriminate sexual contacts, to observe intimate hygiene, to regularly undergo a routine examination with a gynecologist and to choose an experienced obstetrician for competent birth management.