Cervical erosion in unborn women

Most women who have not given birth learn about cervical erosion only after visiting a gynecologist, because the disease is painless and has almost no symptoms. But even after learning about the disease, girls often do not take any action. This is absolutely not true. So this pathology can cause cancer, of course, not instantly, and not in 100% of cases. You do not want to experiment on yourself to find out whether a simple erosion can turn into a malignant tumor of the uterus!

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Causes cervical erosions in unmarried women

As medical research shows, the causes of cervical erosion in women who have not given birth can be:

• A woman's history of artificial termination of pregnancy (vacuum abortion).
• Presence of sexually transmitted diseases. These may be trichomoniasis, syphilis, coccal infection, chlamydia, and others.
• Activation of papillomavirus infection.
• Herpes infection.
• Hormonal imbalances.

The pathology in question has both acquired and congenital nature. The essence of the problem is that the cylindrical epithelium, which is the lining of the cervical canal, begins to grow, expanding its boundaries. This pathological process can begin even during development in the womb. Therefore, congenital erosion of the cervix in nulliparous women can be diagnosed in childhood and adolescence.

A disease of this nature can be cured on its own against the background of the girl's growth and sexual maturation. If this does not happen, only then is medical intervention allowed.

If this pathology persists until puberty, the risk of infection of wounds and development of an inflammatory process increases, which entail complications and provoke the appearance of other diseases.

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Symptoms cervical erosions in unmarried women

This pathology can only be diagnosed during a routine gynecological examination. The doctor can observe:

• Small cracks that form gradually become overgrown with neighboring epithelium. This process is called ectopia in medicine. Such a replacement can become a "provocateur" of a malignant process in the cervix.
• The occurrence of spotting bloody or bloody-mucous discharge is noted between menstrual periods.
• Unexplained bleeding may occur after sexual intercourse or a gynecological examination.

If symptoms of cervical erosion are diagnosed in women who have not given birth, the gynecologist raises the issue of treatment. Then it is not clear why there is a popular belief that it is impossible to cauterize erosion in such a contingent of women?

The answer to this question is simple. Not so long ago, the main method of stopping the problem was the method of electrocoagulation, after which, impressive keloid sutures remained, which subsequently interfere with the normal course of labor due to the lack of elasticity in them.

The inelasticity of the cervix did not allow it to stretch as the newborn passed through the birth canal, which had a negative impact on the outcome of the birth.

But it is worth reassuring girls who are still planning to become mothers that modern methods of cauterization of erosion are quite gentle for the female body and are not contraindications for future births.

Large erosion of the cervix in nulliparous women

The methods used to treat the pathology largely depend on the size of the cervical layer integrity violation. If a large cervical erosion is diagnosed in nulliparous women, the therapy can be both conservative and surgical. The decision on this issue remains with the attending physician. In this situation, the approach to each clinical picture should be individual.

First of all, it is established what became the causal factor of the development of pathology, only after that adequate treatment is determined. Mainly for girls who are still planning to become mothers, conservative therapy is prescribed, including taking medications with immunostimulating and anti-inflammatory characteristics, as well as hormonal drugs.

But if necessary, surgical treatment methods can also be used: diathermocoagulation (cauterization with high temperatures) and cryodestruction (cauterization with low temperatures). The recovery period for such treatment is long, and the consequences may include the formation of scars.

A more optimistic result is obtained after using laser treatment, which is considered to be the most effective and safe method today. It has one drawback - high cost.

Complications and consequences

To understand how important the process of treating the pathology is, it is necessary to understand what consequences of cervical erosion in nulliparous women can occur when the disease is ignored and treatment is not carried out.

It turns out that this disease, which does not manifest itself until a certain time, leads to changes in the cells of the cylindrical epithelium of the cervix. These transformations are atypical and dysplastic.

If the congenital nature of the disease is diagnosed, then for the time being it does not reveal itself in any way. The absence of clinical symptoms is observed until the onset of sexual development of the girl. It is the change in the hormonal background that can cause further progression of erosion.

During a gynecological examination using a mirror, the doctor can observe limited areas of bright scarlet epithelium at the entrance to the uterus. Usually, there are no signs of a progressive inflammatory process. No pathological secretions are observed.

Congenital erosions mostly heal on their own, without medical intervention. At the same time, the layer of cylindrical epithelium at the site of the erosion is completely restored, without forming scars and altered areas. When an infection gets in, signs of classic inflammation appear. Such erosions are not prone to malignant degeneration.

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Diagnostics cervical erosions in unmarried women

Diagnostics involves conducting a series of examinations that confirm or refute the specialist's suspicions, and also allow determining the type of cervical erosion in nulliparous women. Usually, in such a situation, the gynecologist:

• Trying to collect the patient's medical history.
• An examination is carried out on a gynecological chair using a mirror. At this stage, it is possible to determine the erosive lesion if it has already acquired significant dimensions.
• Colposcopy is performed - diagnostic visualization of the entrance to the vagina, its walls and part of the cervix using a colposcope - a special device that is a binocular and a lighting device. This study must be carried out no later than the seventh day of the menstrual cycle. Many gynecologists believe that this procedure should be periodically performed by all women who have already turned 30 - 35 years old, even in the absence of changes visible to the eye. During the study, acetic acid is applied to the surface being examined, which (based on the reaction of blood vessels) allows us to differentiate healthy and eroded tissue. The second stage is to apply iodine solution or Lugol's solution to the same surface. Cells that are not burdened with changes absorb this composition, while affected ones do not.
• A smear is taken to determine the microflora and, if necessary, material for histology. Allows you to determine the state of balance of the microflora in the organs of the female reproductive system. It is in this place that neoplastic processes are most often formed.
• If epithelial changes are detected, then it may be necessary to conduct PCR diagnostics. This study helps differentiate the pathogen. Mostly, it is herpes and the papilloma virus.
• The material is sent for biopsy if there is a suspicion of the development of a tumor process.
• The patient also undergoes urine and blood tests for immunological examination and hormonal background.

The results of these analyses make it possible to obtain a complete picture of the disease and determine the type of pathology:

• Absence of disease – the woman is healthy.
• True erosion, which appears from a week to ten days and passes on its own, without the use of medications. Unless, of course, some provoking factor arises. For example, a viral infection.
• Pseudo-erosion is a condition in which erosive wounds do not heal (they are not covered by several layers of cylindrical epithelium), but proceed along the path of ectopia formation. That is, there is a displacement of the boundaries of the cylindrical epithelial layer to the areas of the cervix that pass into the vagina.
• Congenital nature of the disease. When diagnosing erosion, the movement of the cylindrical structures of the lining to the outer area of the organ in question occurs even during the time when the child was in the womb.

Only after receiving the results of all studies and analyses can we talk about making a final diagnosis.

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Treatment cervical erosions in unmarried women

It should be remembered that the treatment of cervical erosion in nulliparous women is prescribed individually for each patient, depending on the clinical picture of the pathology, the woman's condition and the type of disease.

Therapy for this pathology is usually complex, including both cauterization of erosive areas and the use of pharmaceuticals. Its main task is to eliminate the source of infection and inflammation. For this purpose, cauterization of the affected tissues is usually performed. Today, there are several of these methods.

Electrocoagulation, or as it is also called - diathermocoagulation, is carried out using an electric arc. The healing process proceeds normally, and the effectiveness of the procedure is high. Another advantage is the low price. But, despite this, it is used less and less in modern clinics.

The method mentioned above is very effective, but there is also a negative side to its use.

• The procedure is painful and requires patience and endurance from the woman, or the administration of anesthesia.
• Quite a long recovery period.
• After these procedures, rough, inelastic scar formations begin to form on the surface of the treated area.

These negative characteristics may be the reason why the attending physician would not recommend it for girls who are still planning to become mothers. Fearing the consequences of cauterization, many women delay this moment and come to the doctor after the child has been born and she does not plan to have children in the future.

But it is worth reassuring this category of women that today several methods have been developed and implemented that can be called gentle for the woman's body. After such a procedure, a woman can get rid of the problem and calmly give birth to a healthy baby later.

Gynecologists include the following methods among such methods:

• Chemofixation, that is, chemical coagulation with drugs.
• Cryodestruction, the use of low-temperature substances for the cauterization process. In this case, we are talking about liquid nitrogen, which freezes the affected cells from the surface, leaving a healthy layer for further recovery. The period of complete healing can last from a month to a month and a half.
• Laser therapy. This method is performed no later than the seventh day of the menstrual cycle and only after preliminary sanitation. After its completion, the woman undergoes a relatively long course of antimicrobial and anti-inflammatory treatment. But, nevertheless, the effectiveness of this method is considered the highest and more acceptable for a woman who still dreams of having a child.
• Radio wave coagulation of cervical erosion with the Surgitron device. This is an innovative method of solving the problem, called by specialists the "gold standard of treatment". This method does not require any special preparation from a woman. It lasts several minutes. The rehabilitation period is the shortest of those listed above and is two weeks. But there is a downside - the high cost, which not every woman can afford.

These procedures should be performed only in specialized clinics, by a qualified specialist. The positive aspect of using these methods is that they are practically painless, do not leave scars that would subsequently interfere with childbirth, and also have a short rehabilitation period.

Cauterization of cervical erosion in nulliparous women

As noted above, cauterization of cervical erosion in women who have not given birth somewhat limits the use of some methods, but the choice still remains.

The first and most acceptable process of stopping the problem is cauterization of erosion by means of pharmacological substances, which are certain chemical compounds (chemofixation). This procedure is effective, well tolerated by the patient and has a low cost. But it can be used only in the early stages of the disease.

Electrocoagulation, also inexpensive, is not recommended for the treatment of cervical erosion in women who have not given birth, due to the fact that subsequently, rough scars begin to form at the site of cauterization. They can become an obstacle to normal childbirth, since their inelasticity will not allow the uterus to open sufficiently for the baby to pass normally through the birth canal.

More gentle in this regard can be called cryodestruction, which is carried out using liquid nitrogen, which has a very low temperature. It simply freezes the affected cells, leaving a clean surface for further recovery. The procedure is well tolerated and subsequently allows the woman to give birth on her own.

But the most acceptable in this situation can be called the methods of laser treatment of erosion and radio wave cauterization. They are the safest and most painless, have a short recovery period. But their main disadvantage is that they require a highly qualified and experienced specialist, as well as special, expensive equipment, which not every clinic can afford. Accordingly, the price of this procedure is high, which is unaffordable for many patients.

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Radio wave treatment of cervical erosion in nulliparous women

Today, the most innovative, safe, painless and with a minimal rehabilitation period is the method carried out using such a device as "Surgitron". This is quite expensive equipment, which not every clinic can afford. But the advantages of this method are obvious.

The problem is especially relevant for women who are still planning to have children. In such a situation, radio wave treatment of cervical erosion in women who have not given birth may be the most acceptable. This innovative method has significant advantages over the procedures already mentioned.

The advantages of this cauterization method include:

• High safety. While attacking erosion, healthy cells remain untouched.
• Low level of pain.
• Well tolerated by the female body.
• It prevents the formation of colloidal scars, which enables a woman to subsequently give birth on her own and protects her from uterine bleeding, since the presence of scars increases the likelihood of ruptures.
• The recovery period is minimal compared to other cauterization methods, taking on average about two weeks.
• It is approved for use by both women who have given birth and women who have not given birth.

The disadvantages include the high cost of the procedure due to the need to use special expensive equipment, the doctor must have high qualifications and experience working with the device. In this regard, this technique is not yet so widespread. It is included in the price list of not many specialized clinics.

After completing the treatment, the following are contraindicated for about a month:

• Heavy physical exertion.
• Having sex.
• Hypothermia and overheating of the body.
• Active participation in sports.

This therapy is carried out no later than the seventh day of the menstrual cycle. This will allow the epithelium that has undergone treatment to recover normally before the next physiological bleeding, allowing the owner to return to normal life faster. During treatment, spotting of whitish or dark beige shade may be observed.

Cryodestruction of cervical erosion in nulliparous women

Another fairly effective method for solving the problem is cryodestruction of cervical erosion in women who have not given birth, which is a gentle cauterization procedure.

The essence of the method is the removal of erosive areas by freezing with nitrogen, which has a low liquefaction temperature.

This method differs from cauterization in that freezing does not leave behind rough scars, which allows the tissues to retain elasticity.

The procedure is performed on an outpatient basis using a special device - a cryoprobe. During the treatment, the eroded tissues are destroyed and healthy epithelium is restored in their place.

Advantage of the method:

• Minimum pain.
• The procedure takes several minutes.
• The treatment is bloodless.
• Complete healing occurs four to six weeks after the procedure.

The preferred period for carrying out the procedure is from the fifth to the tenth day of the menstrual cycle.

The disadvantages include:

• Watery discharge may be observed for two to three weeks.
• In cases where the lesion is shallow, relapses are possible.
• Low efficiency in case of deep damage to the cervical canal mucosa.

Immediately after treatment, the patient may experience dizziness and a decrease in overall tone.

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Traditional methods of treatment

Quite a large percentage of people are "too lazy" to seek help from a doctor at the first signs of illness. They turn to the experience of their ancestors, passed down from generation to generation. This often leads to complications and deterioration of health.

Of course, you shouldn't throw these recipes off the boards. They can be included in your treatment protocol, but only with the permission of your doctor. Traditional methods of treating cervical erosion in nulliparous women are very effective, but in combination with other methods.

Here are some of the most common recipes that can help alleviate the problem.

• Sea buckthorn oil has been known since ancient times as a healing agent, which has a high content of various microelements and vitamins. It can be used for erosion if pathogenic microflora is not active in the vagina. For therapy, take a cotton swab and soak it thoroughly in oil. After that, place it in the vagina as far from the entrance as possible. The tampon can be purchased at a pharmacy or made by yourself. But it must have a thread that will help to get rid of it later. It is better to do this procedure at night (or at least leave it on for a few hours).
• Honey is a unique natural product that is used in many treatment protocols. Regarding the problem under consideration, its introduction is recommended once a day. This procedure is similar to the previous one. Gauze is soaked in this natural product. It is inserted into the vagina and left for three to four hours.
• Onion with honey. The medicinal composition is made as follows: a hole is made in a juicy onion. A little honey is put into it. This "pie" is baked in the oven. The cooled composition is placed in gauze and inserted into the vagina. Ten such procedures should be carried out daily.
• Propolis has active antibacterial and anti-inflammatory properties. To carry out the treatment, make an ointment by mixing 100 g of Vaseline and 10 g of propolis. Mix well. Soak a cotton tourniquet in it and place it in the affected area for several hours (10 - 12 hours). Duration of therapy is 10 days.
• Calendula tincture (10%) and propolis are a fairly successful combination of medicinal components. Take a 1:1 ratio of these substances and mix thoroughly. Dilute a teaspoon of the composition with a liter of warm boiled water and douche once a day before bedtime. Such procedures should be carried out daily for up to two weeks. But it is worth noting that such treatment can provoke the development of dysbacteriosis of the vaginal microflora. Subsequently, such a picture increases the likelihood of progression of candidiasis or gardnerellosis.
• Honey, especially collected in May (5 tablespoons), propolis or mumiyo (5 teaspoons), butter or lard (150 g). Combine the ingredients and melt in a water bath. Form candles from the slightly cooled warm mass and use one per day at night. Store the rest in the refrigerator. The course is seven to ten days.
• Combine Kalanchoe or aloe juice with honey, take a similar amount of fish oil. Take 150 g of butter or lard as a base. Melt all ingredients in a water bath, stirring constantly. Cool. Make candles from the resulting composition. The course and method of treatment are similar to the previous one. Store the product in a cool place (in the refrigerator).
• You can also use an infusion of medicinal herbs with antiseptic properties for douching. The following herbs are suitable for this procedure: St. John's wort, succession, calendula, oak bark, celandine, chamomile. The injected liquid should be warm, close to room temperature.

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Treatment of cervical erosion in nulliparous women at home

If a woman regularly visits a gynecologist, and the disease was diagnosed at an early stage of development, it is quite possible to treat cervical erosion in nulliparous women at home, using available conservative means.

In addition to the already familiar sea buckthorn oil, propolis, calendula tincture, medicinal preparations can also be used. For example, this can be: vagotyl, polycresulen, klioron and other analogues.

The anti-inflammatory drug Vagotyl has a healing effect on the affected surface. It is usually recommended to use this drug locally: either in the form of tampons or for douching. But it is worth noting that when douching, a woman can get an imbalance of microflora in the genitals and, as a result, the development of candidiasis (thrush) or gardnerellosis. When preparing the liquid for the procedure, you should dilute 1 - 3 teaspoons of the drug in a liter of water at room temperature.

In the form of tampons. Before insertion, clean the vaginal opening with a dry sterile napkin. A cotton swab is soaked in the medicine and placed in the cervical canal for a minute or three. After the time has elapsed, the tampon is removed and the remains of the medicine are removed with a dry napkin.

Another treatment option is to use onion heads in therapy. Peel three medium onions, pour half a liter of water brought to a boil and leave to infuse for an hour. After cooling, strain the infusion and use it to wash the affected area.

Eucalyptus tinctures used for douching also show good efficiency in complex treatment. The solution is prepared by mixing 200 ml of boiled water at room temperature and one teaspoon of tincture.

Similarly, you can use the root of bergenia - an excellent antitumor, antimicrobial, anti-inflammatory, hemostatic plant. To prepare the tincture, take a glass of boiling water and pour it over three tablespoons of crushed root. The resulting extract (two tablespoons) is diluted with half a liter of warm boiled water. The solution for douching is ready.

You can also remember mumiyo (an organic mineral product), which is quite highly valued in medicine. 2.5 g of natural mumiyo is dissolved in a third of a glass of water. A cotton swab is soaked in this composition and inserted into the vagina at night. This procedure should be done daily for two weeks. If the erosion process is not advanced, then this time is enough to get rid of the disease.

Suppositories for cervical erosion in nulliparous women

The use of such a medicinal form as vaginal suppositories in the treatment protocol is effective, safe and gentle for the female body. This method has proven itself well in stopping the early stages of the disease. At the same time, suppositories for cervical erosion are especially relevant for nulliparous women.

This form of medicine has its advantages:

• They act locally directly on the site of erosion and inflammation.
• The medicine has a soft, melting structure. When heated by the human body, the composition melts, spreading evenly over the treated surface.
• Soften tissues, reducing discomfort.
• They promote the effective removal of pathological discharge from the vagina.
• They promote rapid healing of erosion without suppressing the work of “healthy” bacteria.
• Restores the epithelium of the cervix.
• Easy to use and suitable for home use.
• Can be purchased at any pharmacy.
• They have a relatively low cost.

Modern pharmaceutical companies are ready to offer a wide range of these products. Let's remember some of them:

Cocoa-phyto-candles - nourish, soothe and moisturize the epithelium. They have antiviral, antifungal and bactericidal properties, do not cause allergies.

Recommended treatment protocol: one suppository daily for ten days, then a break and repeat the course the following month. Do three courses of ten days each. It is recommended to put the suppository in at night. The first day of taking it is the tenth day after the end of menstruation.

Depantol suppositories are an excellent antiseptic that activates tissue regeneration and wound healing. It is recommended to insert one suppository at night every day for ten days.

Hexicon suppositories are an excellent antiseptic that effectively suppresses a number of infections. They are taken twice a day (morning and evening) for ten days.

Suporon suppositories – effective wound healing, inflammation relief, healthy epithelium restoration. Single administration, one suppository at night. If therapeutic effectiveness is not achieved, repeated administration of the drug is allowed after a week.

Sea buckthorn suppositories are an effective antiseptic of plant origin. Perfectly heals wounds. Schedule: one suppository, inserted in the morning and evening. Duration of treatment is from eight to ten days.

It is worth reminding women who have encountered this problem that a specific drug should only be prescribed by a specialist. Self-medication is fraught with negative consequences and deterioration of women's health.

Prevention

Prevention of cervical erosion in women who have not given birth is quite relevant. To reduce the risk of developing the disease, it is necessary:

• Regular visits to the gynecologist for preventive examinations.
• Adherence to the rules of personal hygiene by both the woman and her other half.
• Timely detection and effective therapy for the treatment of diseases of the genital organs.
• Prevention of artificial termination of pregnancy.
• Correct use of quality contraceptives.
• Prevention of inflammatory diseases.

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Forecast

The disease in question is insidious in that it is quite difficult for a woman to detect it herself. After all, there are no noticeable pathological symptoms. Only a gynecologist can detect it during a routine examination.

If the disease is recognized in time and adequate treatment is carried out using a gentle technique, the prognosis for cervical erosion in nulliparous women is favorable.

Many women who underwent this procedure were subsequently able to conceive, carry and give birth to a healthy child.

However, ignoring the problem can lead to the growth of erosion, bleeding may occur, and this is a sure way to infertility. The likelihood of tissue degeneration into cancerous tumors increases, which will inevitably lead to uterine cancer. Therefore, treatment of cervical erosion is mandatory.

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