Important aspects of the treatment of cervical erosion in nulliparous. Consequences of cauterization of cervical erosion in nulliparous What threatens cervical erosion to nulliparous

12.04.2021

Erosion in the tissues of the genital organs is a fairly common problem among the fair sex. According to statistics, in most cases, such a pathology develops after pregnancy (successful or interrupted). Nevertheless, cervical erosion in nulliparous girls is also diagnosed, because there are many causes of this disease. So what is the disease and how dangerous can it be? What should you pay attention to when diagnosing? Are there effective treatments? The answers to these questions are of interest to many patients.

Erosion: brief information about the pathology

It is considered one of the most common ailments of the reproductive system. According to statistics, about 50% of women of childbearing age suffer from this disease. The disease is accompanied by a violation of the structure of the epithelial layer that lines the cervical canal.

Cracks appear in the epithelial layer, which are then overgrown with other elements, which, accordingly, affects the properties and functioning of the organs of the reproductive system. The cylindrical epithelium begins to grow, spreading to other parts of the genital organs. As the disease develops, small sores begin to appear in the wall. Erosion of the cervix is diagnosed in nulliparous girls, mothers and even pregnant women. This problem is quite common, so you should familiarize yourself with the basic information about the disease.

Cervical erosion in a nulliparous girl: causes

Of course, to begin with, it is worth learning about possible risk factors. In what cases does cervical erosion develop in nulliparous girls? The causes of occurrence may be different:

the presence of infections, especially those transmitted during sexual intercourse;
inflammation in the organs of the reproductive system, in which there is irritation of the mucous membrane of the cervix;
violation of the natural microflora of the vagina, which is observed, for example, with thrush;
hormonal changes;
taking hormonal drugs;
improper use of mechanical or chemical contraceptives;
weakened immune system, which increases the risk of developing infectious or inflammatory diseases;
promiscuity;
injuries of the cervix, which can be obtained during gynecological procedures or too active sexual intercourse;
activation of papillomavirus or herpetic infection;
in some cases, the pathological process begins in girls even before birth, in the womb.

It is in such cases that cervical erosion most often develops in a nulliparous girl. The reasons, as you can see, can be very diverse, so you should not ignore the problem in any case.

What are the dangers associated with the disease?

What is the danger of cervical erosion in nulliparous? Its consequences can be very sad, especially when it comes to pregnancy. As the disease progresses, the tissues of the cervix lose their elasticity. Therefore, during childbirth, the risk of fetal asphyxia is high. In addition, there is a chance of a rupture of the cervix during the birth of a child. In turn, this increases the possibility of severe infectious diseases of the reproductive system. Often, after severe ruptures of the cervix, women have problems with subsequent pregnancy - the number of miscarriages increases.

According to statistical data, cervical erosion in nulliparous girls may be accompanied by malignant degeneration of tissues and, accordingly, the development of cancer. That is why it is important to diagnose the disease in time and treat it.

Cervical erosion in nulliparous girls: symptoms

Unfortunately, in most cases, the disease proceeds without any visible signs. However, some changes are still worth noting. Erosion of the cervix in nulliparous girls may be accompanied by the release of so-called whites. Sometimes women complain of pulling pains in the lower abdomen, but they quickly pass.

Symptoms include spotting, which appears regardless of the menstrual cycle - such disorders should alert the patient. In more severe cases, bleeding is possible, which occurs, for example, during or after sex.

What procedures are needed to make a diagnosis?

How is cervical erosion diagnosed in nulliparous girls? The doctors' comments suggest that in most cases the disease is discovered quite by accident, during a routine gynecological examination. When examining with mirrors, the doctor may suspect the presence of erosion, which is the reason for further tests:

Colposcopy is considered an informative diagnostic method. Using a special device (colposcope), the doctor must carefully examine the walls of the vagina and part of the cervix. To obtain more information, tissues are treated with iodine solution or acetic acid - so the doctor has the opportunity to see the boundaries of erosion sites.

The specialist also takes a smear from the vagina, because it is important to determine the composition of the microflora. The same procedure allows you to determine the presence of bacterial pathogens.
Sometimes PCR diagnostics are also necessary, especially if there is a possibility of activation of herpes or papillomaviruses.
It is necessary to pass urine and blood samples for analysis, as well as to determine the level of hormones in the blood.
carried out if there is a suspicion of malignant degeneration of tissues.

During the diagnosis, it is important not only to determine the presence of erosion in the cervix, but also to identify the causes of the development of pathology.

The main stages of treatment

This disease requires complex treatment. First, you need to restore the normal structure of the cervix and prevent an increase in erosion sites. Secondly, it is important to prevent the development of infectious and inflammatory diseases, which will only aggravate the situation.

Erosion therapy includes both taking medications and the process of cauterization of affected areas. There is an opinion that cauterization is contraindicated for nulliparous women, as this can lead to problems in the future. To some extent, this statement is correct. The simplest and most affordable method of cauterization is electrocoagulation. However, after the procedure, as a rule, rather large scars form on the cervix, which can make a subsequent pregnancy impossible.

Fortunately, there are many gentle methods of cauterization, after which there are practically no traces on the tissues. So to nulliparous girls?

Candles and other preparations for the treatment of erosion

Medicine at its disposal has many medicines for the treatment of the erosive process, mainly vaginal suppositories. For example, in modern medicine, drugs such as Depantol, Suporon, Hexicon, and sea buckthorn suppositories are used.

These medicines are easy to use at home. They accelerate the healing processes of erosion sites, contribute to the development of normal microflora, soften tissues, accelerate the removal of pathological secretions, and relieve the woman of discomfort. In addition, their cost is quite affordable. Unfortunately, treatment with suppositories only is possible only in the early stages of the development of the disease. In other cases, drug treatment must necessarily be supplemented by cauterization of the affected areas.

Cryodestruction of erosion: advantages and disadvantages of the method

What to do if cervical erosion is found in a nulliparous girl? Treatment is often carried out with liquid nitrogen. The procedure is not too painful, and does not last long. The doctor inserts a special cryoprobe into the vagina, after which he treats the erosion sites with liquid nitrogen, which has an ultra-low temperature. Thus, there is a freezing of the damaged areas of the epithelium.

The recovery period lasts no more than a few weeks. There are no scars on the tissues (with the skillful use of equipment), and the procedure is affordable. On the other hand, liquid nitrogen is ineffective for deep erosion, as it makes it possible to process only the surface layers - there is a risk of relapse.

Treatment by chemical cauterization

One of the most affordable methods is cauterization of erosion sites with the help of special medications. For example, medicines such as Vagotil or Solkovagin are quite often used. During the procedure, the doctor treats the affected epithelium with chemicals that destroy the columnar epithelium layer.

This technique is simple, and the drugs are inexpensive. However, about five consecutive treatments are needed to achieve the maximum effect. And again, this method is possible only in the case of small, shallow erosion.

Radio wave erosion treatment

The most safe and painless way is which is carried out using a special device "Surgitron", which makes it possible to destroy atypical epithelial cells. Modern equipment helps to remove erosion sites, even if they are located in the deep layers. Moreover, the procedure is almost painless, and the recovery period is minimal. There is no direct contact with the patient's blood or tissues, so the risk of infection is minimized. It is this method that is recommended for nulliparous girls and women who are planning a pregnancy in the future.

Unfortunately, not every clinic can afford to purchase the equipment necessary for the procedure. Yes, and the cauterization itself will cost the patient dearly.

Is it possible to treat with folk remedies?

Is cervical erosion treated at home in nulliparous women? Treatment with folk remedies is possible only with the permission of the attending physician - in no case should you refuse medical care. Various folk recipes can be used as adjuvants, but they can in no way replace a full-fledged therapy.

Sea buckthorn oil is considered a good healing agent. This product, by the way, contains vitamins and minerals necessary for tissues. Sometimes doctors recommend soaking a tampon in natural sea buckthorn oil and inserting it into the vagina. In the same way, erosion can be treated with honey.

Disease prevention

The issue of prevention of cervical erosion is very relevant. Unfortunately, there is no medicine that can prevent the development of the disease. Nevertheless, following a few simple rules will help to avoid the disease, or at least diagnose it at an early stage.

It is extremely important for women to adhere to the rules of personal hygiene and to refuse casual sexual contacts. You should definitely consult a doctor and choose safe, but effective contraceptives, since the causes of erosion include not only sexually transmitted diseases, but also artificial termination of pregnancy. All infectious and inflammatory diseases should be diagnosed in time and treated immediately. Patients are also strongly advised to visit the gynecologist twice a year for a preventive examination (even if there are no complaints about well-being).

All women should regularly visit a gynecologist, because some diseases proceed imperceptibly, painlessly, without unusual discharge and temperature. Such pathologies include cervical erosion in nulliparous girls and women who have given birth.

Varieties of the disease

Erosion is a shallow damage to the mucosa, localized in the cervix itself. There are several types of disease:

Ectopia is congenital - during vaginal examination, it is visualized as a red spot with even contours. It develops in young girls and adolescents. The disease is benign and heals on its own without specialized therapy.
True erosion is a lesion of the squamous stratified epithelium of the mucous membrane of an inflammatory or traumatic nature. It is a round red defect with clear boundaries. The disease lasts 10-14 days, then goes to its next stage - ectopia.

Pseudo-erosion (epithelial ectopia) - occurs when sections of cylindrical epithelium appear in place of cells characteristic of the cervix. As a rule, it exists for a long time and does not go away without special treatment. There is a possibility of a malignant tumor at the site of pseudo-erosion (in the absence of atypia). If oncogenic strains of human papillomavirus are detected, the likelihood of developing oncopathology of the cervix increases.

A gynecologist can determine the type of cervical lesion with a thorough examination. The most commonly diagnosed is pseudo-erosion, which needs regular monitoring and properly selected therapy.

Causes and signs of the disease

Erosion is a disease that leads to the development of neoplasms of the reproductive system, which is why it is not recommended to leave the disease unattended. If it is detected, it is necessary to systematically undergo examinations by a gynecologist and follow his prescription for treatment.

There are many reasons leading to the pathology of the cervix. These include:

Irregular, early or late sexual life.
Chlamydia, trichomoniasis, vaginal dysbiosis, as well as sexual infections (HPV, gonorrhea).
Injuries - mechanical damage, miscarriages.
Endocrinological diseases, irregular cycle, impaired local immunity.

Upon examination and careful history taking, the doctor can determine the cause of the epithelium defect and select a comprehensive effective treatment. Most often, erosion is an accidental finding during a routine examination, since it does not manifest itself externally.

In rare cases, a woman may complain of a feeling of discomfort during sexual contact, slight bloody mucous discharge, not dependent on the cycle.

Diagnosis and treatment

Cervical erosion can be suspected based on the patient's complaints and during a medical examination. To clarify the diagnosis in order to identify the cause and select the appropriate therapy, it is necessary to conduct a number of additional studies, such as:

Smear content on flora.
Cytological analysis (in order to detect signs of inflammation and atypia).
Extended colposcopy.
Biopsy for signs of malignant degeneration of the affected area.
Bacteriological culture of the obtained smear.
PCR diagnostics to determine HPV, herpes viruses.
Tests for syphilis, HIV.

Additional studies will help the doctor determine the etiology of the disease and prescribe a suitable complex therapy. Depending on the size of erosion, its nature of occurrence and type, medical or surgical treatment can be used.

Conservative therapy

Treatment of cervical erosion in nulliparous women is preferably carried out with a number of drugs. When an infection is detected, antibacterial drugs (Azithromycin, Clarithromycin), immunomodulators are prescribed. Local preparations are used (candles Hexicon, Depantol), chemicals that cause tissue burns with subsequent healing (creams containing acetic acid).

This treatment is suitable for young girls because it does not leave behind changes that can lead to problems with conceiving and bearing a child.

Cauterization of a defect

Surgical intervention is carried out in the case of a large size of the erosive defect, with the ineffectiveness of drug treatment, with relapses and a burdened history. When ectopic epithelium is used:

Cryotherapy - cauterization with liquid nitrogen. This method is characterized by low pain and a relatively short rehabilitation period - 1-3 months.

Diathermcoagulation is an effective method used in women who do not plan pregnancy within a year. This method is the oldest and is based on the effect of electric current on the tissue. When it is carried out, it should be borne in mind that in addition to the pathological focus, the surrounding healthy tissues are also damaged, which leads to the appearance of extensive scars.
Radio wave method - recommended for nulliparous girls and women planning to conceive a child in the near future. This new method is based on the coagulation of soft tissues without destroying them. Pathological cells "evaporate" under the influence of high-frequency radio waves.
Laser therapy is an effective method that does not leave cicatricial changes and strictures after. The pathological focus undergoes destruction due to the energy of laser radiation. The advantages of the method include its speed, painlessness, absence of cicatricial changes and a quick recovery period. Complete healing occurs a month after the procedure.

Regardless of which method of destruction is used, surgical intervention is reduced to a conventional burn, which removes pathological tissues in a certain area, while damaged and healthy cells die. Over time, a scab forms in the treatment area, after healing, connective tissue appears.

After cauterization, local antiseptics, healing ointments and suppositories recommended by the gynecologist are used. It is necessary to lead a healthy lifestyle, exclude heavy lifting for 1-2 months, carefully observe hygiene (use special shower gels, it is recommended to change pads and tampons often during menstruation, the optimal time is every 3-4 hours).

Possible Complications

With radical therapy, scars may appear, as well as narrowing or complete fusion of the cervical canal. As a result, infertility occurs. With extensive damage, the development of isthmic-cervical insufficiency is possible, which can provoke the opening of the cervix during pregnancy, and, as a result, a miscarriage.

Treatment methods must be carefully selected. For nulliparous girls and those planning pregnancy, treatment with cauterization and exposure to a temperature factor (cryolysis) is not recommended. These techniques lead to the formation of scars, channel strictures, disruptions in the menstrual cycle, exacerbation of inflammation.

Rehabilitation can take several months, during this time it is necessary to exclude sexual intercourse, visiting the pool and sauna, and physical activity.

Therapy for nulliparous

Cervical erosion and the treatment of nulliparous women is a matter of concern to many after diagnosis. This is a serious disease that requires careful medical supervision and proper therapy. If you suspect a disease, you should not delay visiting a gynecologist.

In most cases, the epithelium defect is located around the cervical canal, and during the cauterization procedure, tissue damage is possible with further scarring. In this regard, nulliparous girls and women planning pregnancy should be treated for erosion with sparing surgical methods. These include laser therapy and the modern radio wave method, or, if possible, it is enough to limit yourself to drug treatment.

Timely effective treatment will prevent the development of formidable complications and help alleviate the general condition.

Content

Currently, cervical erosion is one of the most common diseases of the female reproductive system. It is characterized by damage to epithelial cells as a result of trauma, surgery, or an infectious disease.

There are several types of erosion treatment, including cauterization. But not all women are suitable for this method. Does cauterization of cervical erosion in nulliparous girls have consequences? What alternative therapies are available? All this will be discussed in this article.

Possible consequences

Cauterization has for many years remained the classic treatment for cervical erosion. In this case, the affected areas were cauterized with an electric current. Is it possible for nulliparous girls to cauterize erosion and will this lead to any consequences? Absolutely impossible. Research in the field of medicine has proven that the effectiveness and safety of this method is very doubtful.

Cauterization has serious consequences for the body of a nulliparous girl, namely:

scarring on the surface of the neck;
damage and disruption of the functioning of healthy cells;
possible risk of subsequent miscarriages;
infection of the cervical canal;
the likelihood of infertility.

All these complications are explained by the special structure of the organs of the reproductive system. In nulliparous girls, the opening of the cervical canal leading to the uterine cavity is rather narrow and has a rounded shape. In this regard, very often cauterization of the affected cells can cause canal fusion and, as a result, infertility.

The reverse situation can also happen - the walls of the cervical canal will greatly stretch due to extensive scarring and disruption of the normal structure of the neck - as a result, isthmic-cervical insufficiency develops. In the future, this will lead to serious consequences and may cause a miscarriage. And the scarring that occurs when cauterized can lead to severe tears and profuse bleeding during childbirth.

This does not mean that you should not treat cervical erosion. This can only aggravate the situation and lead to a number of consequences. In the future, the affected areas of the epithelium can degenerate into tumor cells, which lead to malignant formations of the cervix, namely cancer. Since cauterization of cervical erosion for nulliparous girls is strictly prohibited, there are other, more benign treatment options.

Safe Treatments

All types of elimination of erosive processes in nulliparous girls must meet several important requirements: a mild effect on tissues, minimal consequences and the absence of scars or adhesions.

Taking medications. This method is used only at the earliest stages of cell damage to eliminate the focus of inflammation. If erosion is caused by various infections, then the doctor may prescribe drugs to destroy pathogenic microorganisms. Also, the use of suppositories or ointments can be prescribed as topical medicines. The complex action of these agents enhances the regeneration of the epithelium, and also significantly accelerates the healing process. Apply antiseptic suppositories, antibiotics, antiviral agents, immunomodulators, suppositories and ointments with healing components.

It is very important to strictly observe the dosage and form of the drug prescribed by the doctor. This will prevent complications, as well as successfully become pregnant and give birth later.

laser therapy. The essence of this method is the direct impact of laser beams on the affected area of the epithelium. Is it possible to cauterize erosion for nulliparous girls in this way? Yes, you can. One of the main advantages of this method is that the laser only penetrates the affected areas and does not affect healthy areas at all. In addition, there are no scars, bleeding wounds at the site of cauterization by the laser, and healing occurs much faster than with other methods. Thus, after cauterization of cells with a laser, there are no serious consequences.

Action by radio waves. The method is highly effective, non-invasive and provides a fast healing rate. The recovery process lasts 1-2 months. You may experience some bleeding immediately after the procedure. You should refrain from sexual intercourse for 15-20 days, and a month after cauterization, be sure to visit a gynecologist.

Cryodestruction. The affected areas of the epithelium are treated with liquid nitrogen, which has a freezing effect. As a result, areas of affected tissue die, while healthy cells remain intact. It is considered one of the best ways to treat erosion, since the action of liquid nitrogen does not cause scarring and deformation of healthy tissues.

Cauterization with drugs. In this case, local preparations are used, for example, Solkovagin and Vagotil. These funds in one procedure can remove the areas affected by erosion without compromising the integrity of healthy tissues.

All of the above methods are great for removing cervical erosion in nulliparous girls. Their main difference from cauterization with electric current is the absence of consequences, as well as the preservation of all healthy cells and tissues, which is a necessary condition for the successful course of pregnancy and childbirth.

In any case, the treatment of any disease, including erosion, requires an individual approach to each patient. That is why only a doctor can choose the most appropriate method for eliminating cervical erosion.

Pregnancy after erosion

Cauterization of cervical erosion by electric current is strongly not recommended for nulliparous girls, since subsequently serious problems can arise both with the conception and course of pregnancy, and with the birth process.

All other methods allow the girl to successfully become pregnant and give birth in the future. Laser exposure to the affected areas of the epithelium is still the most effective and common method of treatment. One month after the procedure, you can start planning your pregnancy.

With cryodestruction, radio wave cauterization, laser vaporization, complete recovery occurs after 1.5-2 months, but it is best to plan a pregnancy after 4-6 months. When treating erosion with chemical means, healing occurs faster.

Treatment of erosion with chemical drugs also does not lead to scarring, but its main disadvantage is the high probability of re-damage of epithelial cells. That is why this method is used only at the very initial stages of the erosion process.

It is important to remember that regardless of the type of treatment chosen, erosion cannot be an obstacle to conception. and successful pregnancy. However, before planning a pregnancy, it is imperative to undergo a complete examination, eliminate all existing pathologies and get rid of bad habits.

Timely detection and treatment of any disease is the key to a successful and speedy recovery. in nulliparous girls has its own characteristics and limitations. It is categorically impossible to eliminate erosion by cauterization with electric current, since this method can lead to a number of serious consequences. Only safe modern methods will preserve the integrity of tissues and prevent further complications during childbearing and during childbirth.

Establishing the diagnosis of ectopia during examination by a gynecologist raises the question of treatment for a woman. The doubt whether it is necessary to cauterize erosion is based on a prejudice about the pain and harm of the procedure. Delaying treatment destabilizes the body and may cause difficulties with conception in the future.

The absence of symptoms during cervical erosion does not alarm a woman and she learns about the diagnosis, most often, during a preventive examination by a gynecologist. The doctor in most cases does not detail the patient's condition and the decision on treatment is made intuitively.

Information about whether erosion can be cauterized for nulliparous will allow you to make an informed decision about timely and adequate treatment.

The diagnosis that a gynecologist voices to a woman may imply three different conditions of the mucous membranes of the cervix. This is:

true erosion, in which bleeding wounds and microcracks are found on the cervix, when pressed, drops of blood or ichor are released;
ectopia, go the appearance of red areas on the cervix. They can be of various sizes and, if severe, cover the entire neck. Red spots are formed by a specific cylindrical epithelium, characteristic of the internal (cervical) canal of the cervix;
congenital ectopia, which is a feature of the development and formation of the internal genital organs of a woman and is considered a physiological, natural condition that disappears on its own after reaching the age of 20.

Areas of red epithelium on the cervix are formed by cylindrical cells, which are located in one layer. Their functions differ from those that are performed by ordinary cells of the integumentary pink epithelium, tightly interconnected and arranged in several rows.

The cervical epithelium is single-row, unable to protect the cervix from mechanical damage that may occur during intercourse. Normally, the mucous membranes of the cervix and vagina secrete a small amount of liquid mucus, the purpose of which is to remove dead epithelial cells and bacteria.

The purpose of cylindrical cells is different - they must ensure the targeted movement of sperm to the uterus. The thick mucus that they produce hermetically closes the cervical canal, preventing third-party fluids and infections from entering the cervix.

Areas of red epithelium that appeared in the wrong place begin to produce atypical mucus, which becomes a breeding ground for various pathogenic microorganisms, which, under certain conditions, can provoke the appearance of inflammatory processes.

The state of true erosion is diagnosed quite rarely - wounds and injuries are detected within 10-14 days and tend to self-heal. The affected areas, for various reasons, are covered not with a flat, but with a cylindrical epithelium, that is, an ectopia is formed.

Causes of erosion

Many women cannot correlate the fact of the appearance of erosion with the absence of an active sex life or the absence of children. The true causes of erosion are not fully understood, the number of women who show signs of erosion or ectopia allow us to speak of pathology as a complex condition.

The cause of congenital erosion in nulliparous women is the failure of the natural mechanism of maturation of the internal genital organs of the girl. Normally, in female infants, the entire vagina is lined with cervical epithelium. As you grow older and change the hormonal background, the cervical epithelium is replaced by a flat one.

In women with congenital ectopia, the "growing up" of the epithelium is delayed due to a mechanism that has not been fully studied. The condition does not require any treatment. Fears at the doctor can arise only in case of accession of a pathogenic infection.

The causes of erosion in nulliparous women can be:

infection with sexually transmitted diseases or a specific sexual infection (gonorrhea, syphilis, chlamydia, etc.);
hormonal disorders due to prolonged use of hormonal contraceptives;
thyroid disease;
incorrect or unsuccessful setting of the intrauterine device;
previous abortions;
infection with the human papillomavirus and its activation;
development of a herpetic infection;
too hard sex;
use of simulators and mechanical vibrators;
changes in the vaginal flora under the influence of frequent sexual intercourse with different partners;
too rare sexual intercourse;
psychosomatic factors.

Acquired erosion in the early stages of development does not cause concern for a woman. Some small deviations from the norm are perceived as temporary symptoms. The increase in pain during intercourse and the appearance of secretions indicate the attachment of inflammation to existing erosion.

Manifestations of erosion

Symptoms of true erosion can be:

pain in the lower abdomen after sexual intercourse or before menstruation;
pain during sex;
the appearance of pink, brown or spotting, white with streaks of blood after intercourse;
the appearance of copious discharge with an unpleasant yellow or greenish odor indicates the attachment of an infection and the appearance of inflammation.

Ectopia can manifest similar symptoms, but more mildly. The danger of erosion and ectopia is that they support inflammatory processes in the body, destabilizing its condition.

The growth of the cylindrical and glandular epithelium into cysts can block the access of sperm to the cervical canal and prevent conception.

To correct such conditions, cauterization is used in combination with conservative treatment. This term is not entirely correct, it has been preserved since the use of the method of cauterization of ectopia with an electric current.

Erosion treatment methods

The question of whether it is possible to cauterize erosion for nulliparous girls confronts every patient whom the doctor informs about the need for treatment. Until now, most women believe that it is painful and dangerous.

The reason for the fears is as follows: a dozen years ago, diathermocoagulation (cauterization with high-frequency current) was the main way to stop erosion. This method is still used today because of the simplicity and availability of the equipment, the ability of most doctors in the antenatal clinic to work with it. The specificity of the method is severe pain, the cause of which is the effect of current on the muscles of the cervix, the formation of an extensive burn and scars that deform the organ.

Now the method is not applied to nulliparous. Deformation and scars resulting from cauterization do not allow the neck to stretch to the desired diameter, and become an obstacle in childbirth. Its ruptures additionally injure the woman during childbirth and can cause disturbances in the child.

Modern methods of surgical removal of the cylindrical epithelium allow you to gently and sparingly influence the mucous membranes of the internal genital organs, while maintaining the ability of a woman to conceive and normal natural childbearing.

To determine the type of cervical erosion, decide whether it can be cauterized or not, only a doctor can do after a complete diagnosis of the condition.

Is it necessary to cauterize erosion and should it be done before childbirth? The tactics of the doctor may be different and depends on the condition of the particular patient.

If a small erosion is diagnosed without traces of inflammatory processes, the doctor can take the position of dynamic observation. It means:

examination of a woman every 6 months;
taking a smear for bacteriological culture;
blood control for the presence of STDs and HPV.

If no infection is observed, cauterization of the ectopia is not performed. Often a woman's body copes with ectopia on its own after the hormonal levels are leveled. If such a woman becomes pregnant, in most cases, cervical erosion after childbirth disappears on its own without treatment.

What will happen if you do not cauterize the erosion that formed before childbirth against the background of inflammatory processes? The female body during pregnancy becomes more vulnerable to infection. The reason is a natural decrease in the immune threshold for the possibility of bearing a child.

Untreated erosion and inflammation will be a source of constant destabilization of the body, affect the course of pregnancy and the condition of the child. In childbirth, the cervix, weakened by erosion, is poorly stretched, less elastic, and often amenable to tearing.

This explains why timely diagnosis and treatment of erosion should be carried out even before conception - this will ensure normal gestation and childbirth.

Diagnostics

The initial stage of treatment is an accurate diagnosis of the woman's condition and determining the cause of the disease. Only after that, the doctor can choose the exact and correct treatment. For this apply:

examination of the cervix in the mirrors;
taking a smear to determine the flora of the vagina;
blood tests to determine the woman's condition and the presence of a sexually transmitted infection, HIV, HPV;
hormone analysis;
Analysis of urine;

Accurate diagnosis of the state of the cervix and possible cellular pathologies is possible only after examining it with a colposcope - an apparatus that allows you to examine the organ under targeted light and multiple magnification. When establishing a large erosion, the doctor can apply both conservative and hardware treatment.

Moxibustion treatment

Why is cauterization becoming one of the most optimal methods of treatment? Conservative therapy is longer and may often be ineffective. Cauterization is a shock for the body, which mobilizes internal resources and helps to eliminate the cylindrical epithelium quickly and with great efficiency.

Cauterization is used as an integral part of complex treatment, which includes:

medicines for the treatment of inflammation. The composition of drugs is determined after bacterial studies;
fortifying drugs and vitamins;
traditional medicine recipes;
hormonal preparations (if necessary);
lifestyle changes (regulation of sexual life, refusal of alcohol and smoking, weight loss).

For the treatment of nulliparous women, the latest methods of eliminating ectopic epithelium are used:

laser vaporization;
radio wave treatment;
cryodestruction.

The standard of cauterization is radio wave therapy. It is carried out with the help of special devices Surgitron and Fotek. Its positive aspects are:

painlessness - the waves “push apart” the cells, minimally injuring the tissues;
bloodlessness - vessels, when exposed to radio waves, are "soldered";
the formation of a smooth, clean surface in the ectopia zone instead of a scab, characteristic of other types of exposure to mucous membranes;
a short rehabilitation period that allows you to plan a pregnancy after 3-4 months from the moment of cauterization.

The disadvantage of the method of radio wave cauterization can only be considered its relatively high cost and availability only in large clinics.

Rehabilitation and re-erosion

The behavior of a woman after cauterization is aimed at creating the most favorable conditions for the healing of the cauterized zone. A woman is prescribed:

sexual rest;
sparing diet;
restorative procedures.

Forbidden:

heavy physical labor;
bathing in open reservoirs and pools;
steam room and hot tub;
smoking and alcohol;
use of hygienic tampons;
wearing synthetic underwear.

With the timely and complete implementation of the doctor's prescriptions, the woman recovers after 60 days and can plan to conceive.

If, after childbirth or after any period of time, repeated erosion is diagnosed, the development factor may be:

incorrect determination of the cause of erosion;
incorrect behavior of a woman who does not comply with the doctor's prescription.

Timely detection and treatment of erosion with modern methods will allow a nulliparous woman to become pregnant and give birth to a healthy child without complications.

The cervix connects the internal genital organs with the vaginal canal. Damage to the epithelium of her vaginal area can cause infertility, and the degeneration of epithelial cells leads to the occurrence of a malignant tumor of the uterus. Often a woman does not even know about the existence of pathology. Symptoms of concomitant diseases that caused damage to the epithelium may be disturbing. When examining for ailments or during a preventive examination, the gynecologist detects erosion. It is required to choose the appropriate method of treatment.

Content:

What is cervical erosion

The inner surface of the neck is covered with a mucous membrane. Moreover, the composition of the epithelium in the region of the cervical canal itself and its outer part, which extends into the vagina, is different. The cells of the inner epithelium are cylindrical in shape, and in the outer part they are flat. Erosion is formed when cracks appear on the vaginal part of the canal, into which the cylindrical epithelium from the neighboring area enters. Growing, it narrows and even blocks the opening of the cervix, which leads to infertility. Cancerous degeneration of cells is also possible.

Erosion is often confused with cervical ectopia. Ectopia is a non-hazardous movement of a small part of the cylindrical epithelium into the squamous area. At the same time, at the junction of two layers around the exit from the channel, a bright pink stripe is formed, which is easy to confuse with erosion. Ectopia is called pseudo-erosion.

Is it necessary to treat erosion in nulliparous women

Ectopia often appears in nulliparous young women. It appears as a result of hormonal disorders, inflammatory processes. After the elimination of inflammation and the establishment of a hormonal background, such a violation can pass on its own, the normal state of the epithelium is restored.

Treatment of women, especially nulliparous, from cervical erosion is not required if they are not bothered by any painful symptoms. It is only recommended to undergo regular gynecological examinations in order to prevent complications. Treatment is mandatory in the following cases:

Simultaneously with ectopia, a woman has a chronic inflammatory disease that is difficult to treat.
A woman has a papillomavirus or other infection, there are complaints of unusual bloody discharge from the genital tract, pain in the lower abdomen, in the lower back.
If abundant mucous discharge appears, there are cysts.
In the presence of cervical dysplasia. Dysplasia occurs due to the fact that the inside of the cervical canal turns outward. This condition often occurs in newborns, but by the time of puberty it goes away on its own. If dysplasia does not disappear, then the cylindrical epithelium remains outside, it can degenerate into cancer. In this case, the pathology requires mandatory treatment, regardless of whether the woman is going to give birth in the future or not.

A warning: A malignant tumor in the vaginal area of the uterus in the initial stage is difficult to distinguish in appearance from erosion, therefore, a regular gynecological examination is not enough to establish an accurate diagnosis, colposcopy is required.

Video: Causes of cervical erosion, the need for treatment

Erosion diagnostics

Erosion is detected during a gynecological examination using mirrors. The area of erosion is distinguished by a brighter color and a granular structure of the epithelium. For a detailed study of the changes and the establishment of their benign or malignant nature, the colposcopy method is used. The colposcope helps to examine the affected area with optical magnification and illumination. This allows you to distinguish real erosion from ectopia, to detect changes characteristic of a cancerous tumor. At the same time, a biopsy of the suspicious area can be taken (a piece of tissue is cut out for this). A smear is also taken to detect infection and study the microflora.

A cytological examination of the affected area is done. To do this, using a spatula and a brush, a scraping is taken from the surface of the neck (the procedure is painless). The material is then examined under a microscope. The composition and nature of the tissues of the affected area are examined. A cervical smear is taken to detect papillomavirus (a common cause of cancer).

The danger of erosion treatment in women without children

In the treatment of erosion, the affected cells are destroyed. This can also damage healthy tissue. When they are mechanically removed by various methods of cauterization, scars remain on the neck, fusion of the canal walls may occur. This leads to infertility.

Due to scarring, the tissue loses its elasticity. During childbirth, this can cause tears in the cervix. Scarring leads to the fact that the cervix during pregnancy spontaneously opens, a miscarriage occurs. Because of the fear of complications during pregnancy and childbirth, nulliparous women sometimes delay treatment for cervical erosion until the baby is born. However, it is up to the doctor to decide what to do after the examination.

Erosion is treated in two ways: cauterization and chemofixation. For cauterization are used:

liquid nitrogen (cryolysis);
electricity;
radio waves;
laser radiation.

Video: What is ectopia. How to treat erosion in nulliparous women

What methods are used to treat erosion in nulliparous women

Cervical erosion in nulliparous women is most often treated by chemofixation. Preparations are used (Vulstimulin, Vagotil, Solkovagin) containing a mixture of acids. When treating the affected surface, they destroy diseased cells without damaging healthy ones. After treatment, the wound heals quickly without leaving scars.

To cure nulliparous women, the non-contact laser cauterization method and the radio wave method are also used. Their advantage is that healing is much faster than with contact methods. Scars do not form.

For the regeneration of the mucous membrane during erosion in nulliparous women, suppositories (Depantol, Hexicon) are also used for insertion into the vagina. Other methods are used for nulliparous only in case of emergency.