Determine the degree of development
Cervical disease is a common occurrence. They occupy one of the leading places in the structure of gynecological pathology and represent a risk of developing precancerous changes and cervical cancer. This is where the main danger lies. That is why visits to the gynecologist should be regular (1-2 times a year).
Cervical erosion occurs in 30-40% of women, most of them are those who have not given birth – under the age of 25 years.
To understand the degree of development of erosion, it is necessary to pass tests:
- smears for flora, oncocytology, latent sexual infections. If necessary, we perform colposcopy, ultrasound of the pelvic organs. We take a biopsy if the results of the examination revealed a pathology.
It is also worth remembering that erosion is often called ectopia (pseudo-erosion), when the neck seems to be “turned out”, and the doctor sees the junction of cells. That is, we are talking about a defect in the mucous membrane of the vaginal part of the cervix. If cylindrical cells that are far away are injured, ectopia can turn into erosion.
Is it always necessary to cauterize erosion?
No not always. Firstly, the ectopia mentioned above, as a rule, does not require treatment – only dynamic observation. If inflammation, infection, hormonal disorders, decreased immunity are detected, then the need for treatment is determined after examinations and assessment of the condition of the cervix, and the method is discussed with the patient.
If a girl does not have a serious pathology and she is planning a pregnancy, then we observe erosion. Only after childbirth we decide on further management tactics. We can say that now gynecologists have an unspoken law calling not to cauterize erosion before childbirth. But if there are severe pathologies, despite the fact that the girl did not give birth, we take a biopsy and refer her to narrow specialists, as a rule, to an oncogynecologist. By the way, erosion of the cervix without pathological changes is not an obstacle to conception or a cause of infertility, moreover, after childbirth, erosion can go away on its own.
Modern types of treatment
To date, there are many ways to treat cervical erosion (depending on the degree of dysplasia), in general, they are divided into two categories: conservative treatment and surgical. If we talk about modern methods, then they include:
laser destruction: a laser beam affects the tissue, and the scar almost does not appear. The laser destroys cells located on the surface: they are not cut out, but seem to “dissolve”, and they cannot be taken for histology to see the structure;
radio wave method: the affected tissue is destroyed and evaporated due to radio waves. The method is ineffective in severe dysplasia, and cells cannot be additionally examined using histology.
cryotherapy: the affected cells are destroyed by liquid nitrogen. After the procedure, the scar on the cervix is not expressed;
argon plasma coagulation: this is a painless method of stopping gynecological pathologies. The bottom line is the impact on the affected area by a radio wave, which contains a slight gain in the form of an inert gas;
photodynamic therapy: as the name implies, the method is based on the action of low-intensity light radiation and a special drug-conductor – photoditazine.
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