There are “women’s diseases” that for the time being do not create much discomfort for the woman herself. Moreover, a woman often learns about such a diagnosis as “cervical erosion” only when she gets an appointment with a gynecologist. Although according to statistics, erosion is the most common gynecological disease. Where does it come from, how does it manifest itself, when and how to treat it?
These and other questions will help us answer Deputy chief physician of the Center for Occupational Medicine “Academy”, gynecologist of the highest qualification Anna-Maria Eduardovna Borodina.
What is erosion and why does it appear?
Literally, “erosion” is a defect of the mucous membrane, which is found not only in gynecology, but also in other branches of medicine, since it takes place to manifest itself in various organs of the human body.
The disease in question erosion of the cervix – is a defect in the mucous membrane of the vaginal part of the cervix.
Despite the fact that erosion is one of the most common diseases in gynecology and occurs in approximately 70% of women, many have a rather vague idea of how and when it can be diagnosed and treated.
I must say that in fact, the concept of “cervical erosion” is a common name used to denote an area of redness on the cervix, visible to the naked eye when viewed in mirrors. True erosion is extremely rare, therefore, cervical erosion most often means a defect in the mucous membrane, which is also called pseudo-erosion or ectopia.
The fact is that normally the surface of a healthy cervix is smooth, shiny, of a uniform pale pink color. If there is erosion on it, then it looks like a bright red area, usually around the external canal of the cervix.
The causes of erosion can be very different. Often, erosion is caused by hormonal disruptions in the body, which can be caused by pregnancy, difficult childbirth, weight problems, and mechanical damage. It is worth noting that, contrary to popular belief, erosion occurs both in girls who are not sexually active, and in women who have given birth and have not given birth.
A special role in the appearance and development of erosion is played by infections – chlamydia, ureaplasma, gardnerella and others. Penetrating through lesions in the mucosa, they lead to an inflammatory process that destroys the epithelium and, as a result, causes defects in the mucous membrane of the cervix.
There is a fairly common misconception that in a nulliparous woman, erosion should not be treated. In addition, there is an opinion that such a problem will generally “pass by itself” and you should not pay special attention to it. Meanwhile, cervical erosion is not a harmless condition at all.
If it is not treated for a long time, changes in the properties of the cells of the cervix lead to the formation of neoplasms, which can be both benign and malignant. Risk factors for such a development of events are infection with sexually transmitted infections, especially the human papillomavirus, early onset of sexual activity and a large number of partners, abortion. Therefore, it is extremely dangerous not to treat cervical erosion, including for young women.
A distinctive feature of erosion is that for a long time it may not manifest itself in any way, not cause any discomfort and problems in a woman. How, then, to diagnose it? Here it is important to be regularly observed by a gynecologist and up to 35 years old to undergo an annual examination by your doctor.
Sometimes, during erosion, women are concerned about unusual discharge (in cases where erosion is caused by an infection that has entered the body), rarely (with extensive erosion), pain and spotting after intercourse may occur. In this case, the visit to the doctor should not be postponed.
Erosion of the cervix is detected during a gynecological examination. Before performing erosion treatment, its causes are identified. To do this, you need to take a general smear, as well as pass tests for diseases and STDs, check hormone levels, conduct colposcopy, histological examination, oncocytological examination, and in some cases, an erosion biopsy. This is important to make a decision about the method of treatment.
For example, if the examination revealed ureaplasmas, cervical erosion may be due to them, and therefore, before treating erosion, it is necessary to treat the infection. Otherwise, erosion will make itself felt again and again. Treatment of infection must necessarily precede the treatment of erosion.
Firstly, the cure of the infection can lead to the self-disappearance of erosion; secondly, surgical treatment of any organ, including the cervix, is impossible in conditions of “contamination” with microbes, this can lead to the development of complications.
When and how to be treated?
Often in women erosion is detected when contacting a gynecologist due to missed periods during pregnancy. There is an opinion that in this case, treatment is delayed until delivery. In fact, in some cases, after childbirth, erosion is delayed on its own. But nonetheless, treatment of erosion during pregnancy is possible.
Naturally, not operational, but therapeutic methods. And the method of treatment again depends on the causes of erosion: hormonal, infectious or others.
There are the following methods of treatment of cervical erosion:
It is important to understand that the approach to the treatment of any gynecological diseases, including erosion, must be comprehensive, strictly individual and, in most cases, with the participation of related specialists.
The fact is that hormonal disorders, irrational treatment, self-medication, environmental and social problems most often underlie the decrease in immunity in women in recent years. That’s why, before proceeding with the elimination of the actual erosion, it is necessary to assess the general health of the woman, increase immunity by correcting hormonal indicators, suppress infection and relieve inflammation.
IN “ACADEMIES” It is very easy to combine visits to different doctors: all specialists are at the same address, and a woman can save her time. In addition, a well-established dispatch service organizes the reception time for her in such a way that she does not have to lose patience in the queue in the corridor. There are simply no queues at the Academy!
Be attentive to your health and be healthy!
CENTER FOR PROFESSIONAL MEDICINE “ACADEMY”
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