Cervical erosion in nulliparous girls: causes, symptoms, treatment. Important aspects of the treatment of cervical erosion in nulliparous Cauterization of cervical erosion in nulliparous

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 methods treatment? 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 static 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 may include bloody issues that appear 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 reception medicines, and the process of cauterization of diseased 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 has many medicines for the treatment of an 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 for early stages 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 folk remedies it is possible only with the permission of the attending physician - in no case should you refuse medical care. Different folk recipes can be used as adjuvants, but can not 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. However, doing several simple rules 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 means contraception, 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).

Cervical erosion is a defect in the mucous membrane that occurs for a variety of reasons. Pathology appears at a fairly young age and is often found in nulliparous women. The peak incidence occurs in 20-30 years, that is, at a time when many of the fair sex are seriously thinking about motherhood. Any problem during this period is seen as a potential threat to pregnancy, and erosion is no exception. But is this condition as dangerous as they say?

The issue of possible complications and risks is directly related to the problem of treating cervical erosion in nulliparous women. Contrary to popular belief, it is possible and necessary to treat pathology, but only when there are real indications for this. For the treatment of cervical diseases in women planning a pregnancy, only safe and gentle methods are used. After a well-conducted therapy, it is possible to successfully conceive and bear a child and to give birth independently on time.

Erosion that can be left untreated: myth or reality?

If you take a walk through the numerous Internet forums, you can find very interesting facts about the treatment of cervical pathology. For example, many young women are sure that erosion does not need to be treated. It is believed that the disease that occurred before childbirth is not dangerous, and after the baby is born, it will go away by itself without medical intervention. Is it really?

There is only one form of erosion that does not really require treatment at a young age. We are talking about (pseudo-erosion). In this condition, the columnar epithelium cervical canal switches to outer part organ. Spot visible on examination Pink colour- erosion. Such a defect usually covers the opening of the cervical canal around, but may be located in the form of a small spot only on the upper or lower lip of the cervix.

With ectopia (pseudo-erosion) of the cervix, the cylindrical epithelium is found in the region of the vaginal part of the cervix.

Ectopia that occurs before the age of 25 is considered a variant of the norm. This is not a disease, but only an individual feature of the body. Over time, the columnar epithelium will shift towards the cervical canal without any treatment. Pathology is detected in 40% of all gynecologist patients and is usually detected during the first examination in the mirrors after the onset of sexual activity.

On a note

Bloody discharge after intercourse is one of the main signs of erosion. When such a symptom appears, you should see a doctor.

Uncomplicated cervical ectopia does not require treatment. Regular observation by a gynecologist is recommended (at least 1 time per year), compliance with the rules of personal hygiene. Treatment is carried out only if there are indications:

A pronounced inflammatory process against the background of ectopia;
Frequent contact bleeding;
The combination of ectopia and other pathology (leukoplakia, CIN);
Identification of atypical cells and suspicion of cervical cancer.

Uncomplicated ectopia resolves on its own after 25 years. Often, erosion disappears soon after the birth of the first child due to changes in hormonal levels.

Erosion to be treated

Not only cervical ectopia is detected in nulliparous women. After the examination, another pathology is often found:

True erosion is a mucosal defect after a burn, injury or inflammatory process;
Leukoplakia - keratinization of the mucous layer of the cervix;
Dysplasia, or CIN - cervical intraepithelial neoplasia;

Against the background of any of these diseases, acute or chronic cervicitis (inflammation of the cervix) can occur. When HPV is infected, papillomas are often detected - specific formations on the skin and mucous membranes.

Inflammation of the cervix (cervicitis) is associated with the activation of pathogenic microorganisms. Without proper treatment, it can lead to deep tissue damage and increase the risk of cervical erosion.

Important point

If any pathology of the cervix is detected, it is necessary to undergo an examination for STIs, including the human papillomavirus.

All diseases of the cervix, except for congenital ectopia, are subject to mandatory treatment. They do not go away on their own, and even a change in the hormonal background after childbirth does not affect their course too much. Deep mucosal lesions (dysplasia II and III) are considered precancerous diseases and pose a real threat to a woman's life. The choice of a specific method of therapy will depend on the form of pathology.

Diagnosis before treatment of pathology

Therapy of diseases of the reproductive sphere is not carried out without preliminary diagnosis. Mandatory examinations include:

Screening for infections (including HPV and other STIs);
Colposcopy.

An analysis of the epithelium of the cervix (a smear for oncocytology) is a prerequisite for examining the patient before starting treatment.

According to indications, a biopsy is taken from the mucous membrane of the cervix. Further tactics will depend on the results obtained.

Possible options:

If uncomplicated cervical ectopia is detected, treatment is not carried out, the girl is recommended to visit a gynecologist every 6–12 months (if complaints appear, you should see a doctor as soon as possible);
With the development of cervicitis against the background of erosion, the treatment of inflammatory processes is indicated, after which the tests are taken again, the tactics of therapy are revised if necessary;
In the case of true erosion, its main cause is necessarily eliminated - cervicitis, the consequences of injury or burns;
When dysplasia, leukoplakia or ectropion is detected, the optimal treatment regimen is selected (drug and destructive methods);
If cancer is suspected, a woman is referred for a consultation with an oncogynecologist.(Further tactics will depend on the results of the survey).

Modern methods of treatment of cervical erosion in nulliparous women

All therapies must meet the following requirements:

Efficiency: low percentage of recurrence;
The ability to capture the entire affected area at once and perform all the manipulations in one step. Sufficient depth of penetration into the mucous membrane;
Safety: low risk of complications, including bleeding, infection;
Absence of scars on the cervix after the procedure;
The ability to take material for a biopsy (important if a malignant tumor is suspected).

Under these conditions, manipulation is considered safe and can be used to treat cervical erosion in women planning a pregnancy. The following methods of therapy meet all these requirements:

Chemical coagulation

The essence of the method: the use of various drugs for direct application to the cervix.

An effective non-contact method that allows you to get rid of the defect on the mucous membrane without damaging healthy tissues. Does not require anesthesia, performed on an outpatient basis. It is considered one of the best ways to treat erosion in women planning a pregnancy.

On a note

After radio wave exposure, no scars remain, the cervix is not damaged, conception, gestation and birth of a child pass without any features.

Radio wave coagulation is carried out by the Surgitron apparatus. During the procedure, the doctor acts on the focus with pathology with high-frequency radio waves. This method recommended for nulliparous women, as it does not leave scars on the cervix.

Laser coagulation

The essence of the method: cauterization of the pathological focus with a laser beam.

It is used for the treatment of erosion, as well as the removal of warts, cysts and other formations on the cervix. Allows you to accurately remove only the affected tissue, without touching healthy areas. Penetrates to a depth of 3–5 mm, therefore it is not used for deep defects.

Argon plasma ablation

The essence of the method: the effect of argon on the defect of the mucous membrane.

It is a non-contact and improved version of the DEC. Unlike electrocoagulation, it does not leave scars, does not provoke the development of bleeding. Effective for shallow lesions of the mucous membrane (up to 3 mm).

On a note

Numerous positive reviews about modern methods destructive treatments indicate that laser and radio wave coagulation are the preferred treatment options. Both procedures are painless. Recovery after manipulation takes 3-4 weeks. Reviews indicate that women tolerate these procedures quite well and in the future do not experience problems with the birth of a child.

In modern gynecology, DEC () is not used to treat cervical erosion in nulliparous women. After this procedure, rough scars often remain, which further interferes with the conception and bearing of a child. Natural childbirth after DEC is also not always possible, which significantly limits the use of this method in young girls.

Regarding cryodestruction, gynecologists did not come to a consensus. The use of liquid nitrogen in nulliparous women is possible, but the method has its limitations. Cryotherapy is effective only for shallow mucosal defects, and often the doctor fails to capture the entire affected area. High recurrence rate, long recovery period, discomfort during and after the procedure - all this makes cryodestruction not the most suitable method of therapy for nulliparous women.

Medical treatment as an alternative to cauterization

Gynecologists are in no hurry to cauterize cervical erosion in young women. When the situation allows, the doctor prefers to take expectant tactics. But if regular monitoring is sufficient for uncomplicated ectopia, then in the case of other diseases, special therapy is indispensable. Since most erosion occurs against the background of inflammation, the doctor may prescribe such remedies:

Antibacterial drugs;
antifungal agents;
antiviral drugs;
Means that stimulate the immune system;
Drugs that accelerate tissue regeneration.

With erosion that occurred against the background of inflammation, the attending physician will definitely prescribe a medication course of treatment.

The treatment is carried out locally, medications are prescribed in the form. The course of therapy can last up to 2-3 weeks. Be sure to restore the microflora of the vagina with probiotics. Such therapy, as a rule, does not allow to remove the erosion itself, but makes it possible to get rid of the accompanying inflammation, eliminate unpleasant symptoms and reduce the risk of contact bleeding. In the future, the doctor may leave the woman under observation or suggest other methods of influence.

Surgical Treatment: Is Surgery Necessary?

Surgical treatment of erosion in nulliparous women is extremely rare and only for special indications:

CIN II and III with a high risk of degeneration into cancer;
Malignant tumor of the cervix;
Inability to carry out treatment by other methods;
Erosion in combination with cicatricial deformity of the cervix.

Removal of the pathological focus is carried out in the operating room under general anesthesia. A loop excision or conization of the cervix is performed, depending on the form and severity of the pathological process. After such an operation, the risk of scarring is high, which further leads to the appearance of natural problems during pregnancy and childbirth.

During conization, a cone-shaped section of the cervix with pathology is surgically removed.

It is important to understand: not the size of the erosion is critical when choosing a treatment method. A large defect does not mean a mandatory operation. Small but deep erosions sometimes require more serious intervention than surface formations of considerable size. The final decision is made after a complete examination of the patient, including cytological examination and colposcopy.

Rehabilitation after treatment of cervical erosion

The reproductive health of a young nulliparous girl depends not only on how quickly erosion was detected and treated. Much is determined by the rehabilitation after the procedure. In order for the healing of the mucosa to pass without complications, the following recommendations should be followed:

Restriction of sexual life until complete healing of the mucous membrane of the cervix. On average, the ban on intimate relationship lasts up to 4 weeks or until the next menstruation. Exact recommendations will be given by the gynecologist after the control examination;
Ban on sports and heavy physical labor for a month;
Compliance with the rules of intimate hygiene: regular washing with neutral products, refusal of soap;
The use of drugs that enhance the regeneration of the mucosa and restore the microflora of the vagina (as prescribed by a doctor).

If pain, burning, spotting and other undesirable symptoms appear after the procedure, you should consult a doctor as soon as possible.

If during rehabilitation after treatment of cervical erosion pain occurs, it is urgent to contact a medical institution.

Practice shows that well-conducted rehabilitation significantly increases the chances of a favorable outcome of the disease. And vice versa, non-compliance with the recommendations of the doctor threatens. Any factors that interfere with the normal healing of the mucosa can provoke the appearance of scars, which in the future will negatively affect the reproductive health of a woman and may interfere with a long-awaited pregnancy.

Complications: what will happen if erosion is not treated?

Is it necessary to treat cervical erosion for a young nulliparous girl? Yes, if there are strong indications for this. Otherwise, the disease will develop according to one of the undesirable scenarios:

Erosion will grow, capturing all new areas of the mucous membrane, which in the future will lead to the development of complications;
Frequent inflammatory processes and contact bleeding will interfere with normal life, including in the intimate area;
Some diseases of the cervix can develop into cancer, which will create a direct threat to a woman's life.

Dysplasia II and III, leukoplakia and some other diseases are considered precancerous conditions. The disease can last for years without showing itself. Symptoms of cancer occur already in the later stages of the pathological process. Sometimes, to save a woman's life, the uterus and appendages are removed. Of course, after a radical operation, the desired pregnancy is no longer in question.

Consequences of therapy

What are young women afraid of? The fact that after therapy it will not be possible to conceive, endure and give birth to a child on their own. Unfortunately, such fears in some cases are quite justified. Until recently, serious complications were observed after the use of DEC. After cauterization, scars remained on the cervix, the cervical canal narrowed, which led to serious problems:

Infertility due to severe stenosis of the cervical canal (spermatozoa could not enter the uterus);
Isthmic-cervical insufficiency - a pathology in which the cervix opens ahead of time, a miscarriage or premature birth occurs;
Anomalies of labor activity - scars do not allow the cervix to open during childbirth, which naturally leads to the need for a caesarean section.

After the advent of radio wave therapy and other progressive techniques, the risk of undesirable consequences for nulliparous women has become minimal. It is impossible to completely exclude the development of complications, and therefore gynecologists are in no hurry to cauterize erosion in young girls without obvious indications. The success of the operation largely depends on the qualifications of the doctor and the equipment at his disposal. A properly conducted rehabilitation period also affects the further reproductive health of a woman.

Qualified treatment of cervical erosion and well-conducted rehabilitation have a positive effect on the ability to become pregnant and give birth to a healthy child.

Planning pregnancy and childbirth against the background of cervical pathology

The main question that worries a woman: is it possible to give birth with erosion? Diseases of the cervix usually do not interfere with the conception of a child. If erosion is not accompanied by scarring and stenosis of the cervical canal, spermatozoa can easily enter the uterine cavity, and fertilization will take place without interference. Difficulties arise only when erosion is combined with other gynecological diseases.

The pathology of the cervix does not interfere with the bearing of the fetus and does not affect its development. During pregnancy, the likelihood of infection of erosion and the appearance of contact bleeding increases, but other problems are not expected. Ectopia of the cervix (pseudo-erosion) can completely disappear after the birth of a child due to the restructuring of the hormonal background.

On a note

If the ectopia has not disappeared within a year after childbirth, you should undergo a second examination by a gynecologist.

Independent childbirth with erosion is possible, but complications are not excluded. In childbirth, a rupture of the cervix may occur, which will provoke an increase in erosion or an eversion of the mucous layer of the cervical canal to the outside. After the birth of a child, it is strongly recommended to be observed by a gynecologist in order to control the state of erosion and not to miss the development of complications.

Does this mean that? Not at all. No one knows how the disease will behave in the face of a changed hormonal background. Gynecologists strongly recommend undergoing treatment before conceiving a child. You can plan pregnancy 2-3 months after cauterization (in the absence of complications).

An interesting video: is it possible to cauterize cervical erosion for a nulliparous woman

Expert opinion: when cervical erosion in a nulliparous woman requires treatment

Cervical erosion is diagnosed in every second woman. Half of them do not know about the disease, since this gynecological pathology in the early stages is asymptomatic. Very often, nulliparous women are at risk.

Untimely therapy can lead to infertility and cause the development of a malignant tumor. In order not to bring the body to a state where the treatment will be long and difficult, it is necessary to regularly visit a gynecologist. The doctor detects erosion of the cervix in a nulliparous woman during examination, but in order to establish the cause of the onset of the disease, an additional examination will be required.

The most common causes of cervical erosion in nulliparous patients are hormonal disorders and inflammation in the genital area. If the work of the body and reproductive organs is normalized, the damaged epithelium can recover on its own.
In addition to inflammation and hormonal disruptions, the occurrence of erosion is provoked by:

sexually transmitted infections;
injuries during sexual intercourse;
abortions, miscarriages;
early sexual life;
improperly selected contraceptives;
endocrine diseases;
weak immunity.

If, in the presence of erosion, a nulliparous woman does not experience pain symptoms, they do not resort to treatment. Very often, signs of erosive damage disappear after the birth of a child. Visits to the doctor in such cases are not canceled, since the identified disease can return at any time. Relapses happen frequently. To avoid the development of complications, visit the gynecologist 1-2 times a year.

Hidden and overt symptoms

Dangerous conditions include large erosions in nulliparous. Such a pathology is accompanied by obvious symptomatics, that is, it is impossible not to notice the problem. The menstrual cycle goes astray, thick discharge is observed, and pains and cramps are regularly felt in the lower abdomen.

The hidden form of erosion in nulliparous girls also has its own signs. It is difficult to recognize them, but with a careful attitude to oneself and atypical manifestations, deviations can be detected. Pay attention to any changes in the body: the appearance of copious whites, an increase in the duration of menstruation, pulling pains in the lower abdomen. If such conditions have not been noted before and become regular, go to the doctor.

Diagnosis and treatment

Nulliparous girls can live with erosion until childbirth, but in some cases it is unsafe. Without treatment, the disease progresses. If the doctor decides to postpone therapeutic measures, the course of the disease must be monitored.

Damage to the uterine mucosa is detected during examination by a gynecologist. The affected area of the epithelium is visible through special mirrors. The erosive ulcer has a bright red color and a granular structure. For a deeper study of the internal defect and erosion testing for good quality, they are carried out. This type diagnostics makes it possible to detect any changes that are characteristic of malignant tumors.

Mandatory measures during the examination include a biopsy, smears for the study of microflora and the detection of dangerous infections.

Thanks to the emergence of new technologies and drugs, doctors know how to cure cervical erosion in a nulliparous girl effectively and painlessly. Depending on the size and type of pathology, conservative or surgical methods are used.

Conservative therapy

Conservative treatment is considered the safest for eliminating an erosive cervical defect in nulliparous girls. Medicines help to cope with the disease. The doctor may prescribe Azithromycin, Clarithromycin, immunomodulators, Hexicon and Depantol suppositories. Vitamins and tonics are always involved in the elimination of small erosions in nulliparous women.

Chemofixation has proven itself well using preparations that contain a mixture of acids: Vagotil, Vulstimulin,. During the treatment of affected tissues with chemical compounds, diseased cells are destroyed. Healthy tissues are not damaged. There are no scars after the procedure.

Cauterization erosion

When conservative treatment of erosion in nulliparous is ineffective, it is prescribed surgery. It is an ordinary burn, with the help of which damaged tissue is simply removed. The difference is only in the way of influence. Before childbirth, radio waves, liquid nitrogen are used. The use of the method of diathermocoagulation (cauterization with electric current) is contraindicated, since subsequently a woman may have problems with childbirth and conception.

Main danger

Erosion treatment allows you to isolate and eliminate damaged parts of the epithelium, but healthy cells can also be affected during the procedures. Radical therapy leads to disruptions in the menstrual cycle and exacerbations of chronic diseases. The greatest danger of erosion treatment is the possible splicing of the canal and rough scars. Atresia of the cervical canal (fusion) often leads to infertility, and the presence of scars and scars negatively affects the structure of tissues. During childbirth, the loss of elasticity causes complications in the form of ruptures.

In addition, scarring often causes the uterus to dilate spontaneously during pregnancy. This may cause a miscarriage.

Congenital ectopia is not considered a pathology. According to experts, this is one of the stages in the formation of the genital organs. Therefore, cervical erosion in virgins is not treated. The same approach is often practiced for nulliparous women. Due to the high risk of complications and serious consequences, doctors do not recommend therapeutic measures before the birth of the first child. But such decisions are made only after a thorough examination. There are critical cases when non-intervention can be dangerous to the health and life of the patient.

Women's diseases overtake patients at the earliest ages, but the worst thing is when an illness puts an end to health at reproductive age, making it impossible to conceive a child and happy motherhood.

But sometimes it happens that diseases of pregnant women overtake those who are not yet expecting a baby.

There can be many reasons for this phenomenon, and the consequences are different, which once again hints that you do not need to self-medicate so as not to aggravate the situation.

This article will talk about such a problem as in nulliparous girls and women.

What is uterine erosion?

Ectopia (erosion, pseudo-erosion) of the cervix is a violation of the integral structure, a defect in the mucous membranes of the vaginal part of the cervix, which manifests itself in women at any age and requires a detailed examination and mandatory timely treatment, because erosion of the cervix can be the beginning of an oncological lesion of epithelial tissues.

Particular attention is given to patients with(HPV) high-risk oncological factor (16, 18, 31, 33 types), infected with the herpes virus, in this case, the risk of manifestation increases several times.

When viewed through a probe, erosion looks like a red area located around the external pharynx, of different sizes from 3 mm to 2.5 cm. Pseudo-erosion can progress over months and years.

Reasons for the appearance

In addition to childbirth, there are many cervical erosion. For example, trauma after an abortion (or “vacuum”), infectious and viral diseases, herpes and papillomas. Quite often, the disease also causes disruptions in the hormonal balance of the background or running inflammatory processes.

Causes of occurrence include:

Sexual infections;
immunological diseases;
Hormonal failures;
Diseases of the kidneys and genitourinary system;
Trauma and systemic infections.
AIDS (indirectly).

The genetic factor also plays an important role..

NOTE!

If the patient has a hereditary tendency to uterine disease, then erosion can occur at a very early age and recur several times if the disease is not completely cured.

Nevertheless, no matter what the cause of erosion is, the result is always the same: cracks begin to appear, which are overgrown with cells that “migrated” from adjacent areas of the epithelial tissue, for example, from the cervical canal. (In gynecological practice, this process is called ectopia).

Foreign cells that penetrate the cervix have different properties and can be the cause of cancer.

Symptoms in nulliparous

In most cases, cervical erosion takes place in a "quiet mode". In other words, they do not crawl out, and the diagnosis is established during examination by a gynecologist.

But it also happens that the patients themselves turn to the gynecologist with a complaint about, which occur in a period far from the menstrual cycle. Often after .

Women note pain during sex, purulent masses and bloody smudges. The reason for this is the inflammatory process that occurs inside the uterus and nearby tissues.

Also observed:

Sleep disturbance;
Failure of the menstrual cycle;
Iron deficiency in the body due to blood loss;
Change of mental and emotional state;
Panic attacks;
Tremor of the limbs;
Pain in the lower abdomen;
digestive problems;
Nightmares.

Diagnosis of the disease

At the appointment with the doctor, you need to pass a list of tests for :

Mirror gynecological examination.
Specialized examination with the help of optical equipment (colposcopy).
A smear that will show the state of the vaginal flora.
Cytological studies.

If the gynecologist diagnosed ectopia, then before starting therapy, you need to check the eroded area for the presence of a malignant tumor. This will help a lot, which consists in analyzing a sample of the affected tissue. The examinations themselves are painless, with a biopsy there are slight pains that quickly pass.

What is dangerous pathology?

A prolonged and uncontrolled inflammatory process leads to. A systemic infection can begin, which will affect healthy organs through the bloodstream.

Moreover, such violations will provoke a failure of the hormonal system and a background shift towards catabolic processes.

The level of cortisol rises, which is a stress hormone that destroys the tissues of internal organs and affects the psycho-emotional state. A woman thinks about blood all the time, which creates complexes and fear of sexual intercourse.

Whether it is necessary to treat?

The answer is unequivocal - yes. Inflammatory processes not only disrupt the functioning of the body, but also take strength from the body, which is trying to get rid of the disease and cure the inflammatory process.

It is advisable to do this after pregnancy, because not all methods can cure the disease without a trace or with minimal changes, and the scar will provoke problems during pregnancy and childbirth. If the treatment method does not foresee the formation of a scar, it can be treated at any stage, even during pregnancy.

Treatment Methods

Traditional ways

If foreign cells are already contained inside the cervix, then they themselves will not go away, but on the contrary will only multiply.

Classical methods of treating cervical erosion involve the removal of the area where erosion develops.. This is done through physical therapy. The method of electrophoresis, shock and k, vibration massage and UV radiation is widely used.

The main contribution to the fight against the disease is made by antibiotics, which destroy not only exogenous cells, but also their own. The longer the affected area in the body, the smaller body fights with him, mistaking him for his own tissue.

The surgical method of treatment shows a high percentage of efficiency and a low percentage of recurrence and complications, but leaves postoperative traces (scars).

Why is there danger?

It is the scars after cauterization that are the main problem in nulliparous patients, since they can cause great problems during pregnancy and childbirth.

For this reason, many women do not pay due attention to this problem, and every year the situation is getting worse. In some cases, they practice the technique or the so-called - these methods are very effective, but require an experienced doctor and are used in advanced medical clinics.

The process involves a complex combination of polybasic acids, which aggressively affect foreign organisms and cause minimal damage to their own cells.

Benefits of Chemofixation

The main advantage of chemofixation is that the wound after cauterization heals without scarring, which means that it can be treated even before pregnancy.

It is also important that the treatment of the disease in this way is completely painless and does not require specialized equipment and the participation of surgeons. The cauterized area heals completely in three to four weeks, but within a few days after the completion of treatment, you can return to your normal lifestyle: have sex, visit public places (pool, bath).

As a rule, several sessions are needed for a complete cure.

CAREFULLY!

Childbearing function is not directly inhibited. The chance of conceiving a healthy child decreases in direct proportion to the decrease in the volume of uterine tissue.

After operation

To consolidate the result of treatment, avoid complications, eliminate the chance of relapse, you need to follow some doctor's instructions and be observed by him for half a year.

No matter how the erosion was eliminated, you can have sex no earlier than 6-7 weeks after the completion of the operation. Since all organisms are different, a more accurate period should be clarified with a gynecologist.

It is necessary to postpone visiting saunas, baths, do not swim in open water, so as not to bring the infection. Physical and aerobic exercise should be performed without fanaticism and only with the permission of the doctor.

Folk remedies (tampons, lotions) are of extremely dubious effectiveness and you should not rely on them in the treatment of the disease. They won't get worse, but they won't get better either.

In the first 10-20 days, brownish or orange discharge from the vagina is possible. This is nothing more than the decay products of foreign tissue that are excreted from the body. This is a normal process, which indicates an improvement in the condition.

Disease prevention

Systematic diagnostics

The main preventive measures involve gynecological diagnostics several times a year, even in the absence of obvious signs disease. As mentioned above, people seek help already at the extreme stages, when a significant area of \u200b\u200buterine tissue is affected.

Diet

It is also important to follow a diet in order to eliminate the chance of growth of cancer cells due to the consumption of carcinogens. Margarine and trans fats (store-bought pastries, sweets, ice cream, etc.) should be excluded from food, and less fried and fatty foods should be consumed.

Hormones

Control hormonal background, because it is the violation of its balance that creates favorable conditions for the progression of the disease.

sex life

There is no need to be promiscuous, not only because of the risk of contracting STDs, but also because of the fact that the affected uterus is more susceptible to diseases and foreign organisms.

Do not use peptides or tanning products containing Melanotan-2. This substance is extremely dangerous for the immune system and for health in general.

Daily regime

Follow the daily routine, allocate 6-7 hours for sleep, because it is in a dream that the body restores its strength and all damaged areas, and it is lack of sleep that strikes at health no worse than ecology and unhealthy nutrition.

Hygiene

Do not use for hygiene procedures. plain water, because the bacteria that are contained there are not terrible for healthy person, but can strike at the immune system of a woman with erosion.

Conclusion

In order not to become a victim of an oncological disease, it is necessary to respond in a timely manner to all changes in the body. Set aside a few hours for a visit to the gynecologist, perhaps this will save you from problems with women's health in the future. The number of germ cells is limited and no one is able to cure female infertility caused by their deficiency.

Useful video

From the video you will learn what causes cervical erosion:

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Today, the diagnosis of “cervical erosion” is quite common, in almost every third woman. Erosion is called defects on the surface layer of cells covering the cervix. There are two of its forms: true and false (pseudo-erosion).

Erosion: forms, signs and causes of occurrence

The first form is an ulcer that occurs on the walls of the cervix due to damaged epithelial cells as a result of mechanical action, for example, surgical abortion, traumatic insertion of a tampon, rough sexual intercourse. In the absence of infections and hormonal disorders, such erosion can heal on its own. But the second form, false erosion, is much more dangerous.

It is a response to the formation of cervical defects. In their place, the mucosa begins to grow, as it were, and a large inflamed area forms. Such erosion should be treated to prevent its growth. After all, the places of damage are a very favorable environment for various kinds of infections.

The insidiousness of this disease is that it practically does not manifest itself in any way, especially in the early stages. Sometimes there may be spotting after intercourse or just for no reason in the middle of the cycle. As a rule, women do not pay attention to this, and they learn about the existence of erosion only at a scheduled appointment with a gynecologist. However, the absence of symptoms does not mean that it is worth leaving this fact unattended and postponing treatment. Many nulliparous women do this, because there is an opinion that cauterization can lead to complications during childbirth. Let's see how true this is.

Burn or wait

It is believed that nulliparous women are forbidden to cauterize erosion. The reason for this prohibition is that after the cauterization procedure, a scar remains, which prevents the opening of the cervix during childbirth, as a result of which it begins to stretch poorly and tear. Therefore, all methods of treating erosion in nulliparous women should be excluded, the consequences of which may be:

scar formation;
severe damage to soft tissues;
spontaneous opening of the cervix, which during pregnancy threatens miscarriage.

Until recently, the most common method of treating erosion was cauterization with electricity, which led to all of the above consequences. That is why it does not apply to nulliparous women. But this does not mean that they do not need to treat erosion at all, since postponing therapy can lead to dangerous complications. We are talking about malignant degeneration of the cells of the damaged area.

Cauterization in the traditional sense, of course, is undesirable for the cervix of a nulliparous woman. However, today there are various ways erosion control, which are suitable for everyone, including those who have not yet become a mother.

Gentle treatments

Treatment of cervical erosion in nulliparous women and girls is carried out only by sparing methods, after which scars and adhesions do not form. To date, there are several such methods. Which one to use, only the doctor decides individually for each patient.

Medical treatment. This method is appropriate for unstarted erosion, accompanied by inflammatory processes. Such treatment is carried out immediately for both sexual partners. In this case, for the duration of treatment, you should refuse sexual intercourse or be sure to use a condom.
Cryosurgery or freezing. Treatment consists of applying liquid nitrogen to the affected area. As a result, damaged cells freeze and die. In this case, healthy cells are not affected. The procedure is painless and does not cause bleeding after the procedure. There are no scars on the cervix, it is not deformed.
laser therapy. The essence of the method is the direct effect of the laser beam on the affected tissue. The laser beam penetrates to the required depth and destroys the affected cells, while not affecting neighboring healthy tissues. Vessels are immediately brewed, so there is a rapid healing, and no traces remain at the site of the wound. The method is highly efficient and safe.
Cauterization by radio waves. It is carried out using the Surgitron apparatus. The procedure is painless, but bleeding may occur for several days after it. You should abstain from sex for 2-3 weeks. And after 4-5 weeks, visit a gynecologist for a follow-up examination.
Burning with drugs. Impact on the affected areas and the destruction of diseased cells is possible with the help of drugs such as Solkovagin and Vagotil. The first drug allows you to cope with erosion in one procedure. In the second case, several procedures may be required.

Each method is aimed at destroying the affected cells, however, unlike electrocoagulation, the above methods do not entail undesirable consequences for women who are yet to have pregnancy and childbirth. Often slight erosion on initial stage only observed by a gynecologist before prescribing treatment.

It should be remembered that there are no universal methods for treating erosion, especially in nulliparous women. Only a doctor can assess its nature and prescribe the most appropriate treatment with minimal consequences for the patient.

In any case, you can not leave the state of the cervix unattended, let the disease take its course. Over time, it progresses and can lead to undesirable dangerous consequences. Therefore, you should regularly visit a gynecologist for a routine examination, even if nothing bothers you.