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Cyst of endocervix

 
, medical expert
Last reviewed: 23.04.2024
 
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Mucous, lining the inner surface of the cervix (cervical canal) is called endocervix. Endocervix cysts are enlarged endocervical glands in a form corresponding to cystic formation.

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Causes of endocervical cyst

The manifestation of this pathology today is often stated by gynecologists. In connection with the widespread prevalence of this pathology, it would not hurt to learn more about what the causes of endocervical cysts are.

  • The healing process of erosions affecting the cervix can lead to the formation of hyperechoic inclusions, which subsequently can degenerate into cysts of endocervix.
  • Endometriosis. This is important in cases where the endometrial cells enter the cervical canal.
  • Injuries.
  • Blockage of gland ducts with dead cells. This failure in the work of the body leads to the accumulation of secret in them.
  • Leukoplakia of the cervix (white spots (radius of 0.5 cm) on the mucous membranes).
  • Inflammatory processes of a chronic nature.
    • Kolpita (infectious and inflammatory disease of the vaginal mucosa).
    • Salpingo-ophariitis (inflammation of the appendages of the uterus, fallopian tubes and ovaries).
    • Cervicitis (inflammation of the cervix, the part that protrudes into the vagina).
    • And others.
  • Infectious diseases.
    • Cytomegalovirus. This causative agent is constantly in the human body, not showing itself. And only in the case of reduced immunity begins to manifest its first symptoms.
    • HPV (human papilloma virus).
  • Application of an intrauterine device.

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Symptoms of an endocervical cyst

Most women do not even suspect that they have this disease, since there are no signs of its manifestation. But there are still the symptoms of the endocervical cyst, which can be revealed by any woman who is attentive to her health. This will allow, as soon as possible to sound the alarm, consult with your treating doctor-gynecologist, undergo an examination, diagnosis, and pass the necessary tests.

  • Large cystic formations can cause narrowing of the cervical canal, which leads to a malfunction of the menstrual cycle.
  • This can also become a problem in the conception of a child, which leads to temporary or complete infertility.
  • If the localization of the endocervical cyst serves as the posterior lip of the cervical canal, there are often minor bleedings (especially if they are activated after going to the gynecologist or sexual intercourse).
  • With a significant size of the neoplasm, a woman feels some discomfort, a sense of foreignness in the body.
  • There may be pain in the lower abdomen, bloody seizures appear not only before menstruation, but also in the intervals between them.

Cervical endocervix cyst

Endocervixis is called the mucous membrane of the cervix. The homogeneity of its structure is considered to be the norm for nulliparous women, for minor maternal babies, small deviations (anechoic and hyperechoic inclusions up to 5 mm) are attributed to the norm. But it is the hyperechoic changes that most often degenerate, resulting in the formation of a cyst of the endocervix of the cervix.

The cause of their occurrence, are the consequences of cauterization of cervical erosion or clogging of gland secretions. The endocervix cyst of the cervix is, for the most part, a benign neoplasm, but this should be the reason for a deeper examination of a woman's health. Cyst of endocervix in its form is no different from the shape of the cyst, which is formed on the glands of other organs. In terms of their number, they can grow both individually and represent a group of many small formations. The site of localization can be any segment of the endocervical canal.

Recognize this pathology can only be through ultrasound. To date, almost every woman giving birth to this or that degree has a history of this disease, but more often there are cases when the endocervical cyst is diagnosed in young, not yet delivered, girls. Multiple small neoplasms in themselves are not dangerous, but if their growth begins to progress, they can negatively affect the course of pregnancy and childbirth.

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Single cysts of endocervix

The most common pathology of this disease can be called single endocervical cysts. They are rounded neoplasms in the form of cysts and are considered more negative. Their relatively large size can partially or completely cover the passageway, which is fraught with many unpleasant moments in the health of women. These include failures in the course of the menstrual cycle, increased soreness, a decrease in the reproductive capacity of women, and some other "troubles."

To date, ultrasonic research (ultrasound) is the most informational method for diagnosing endocervical cysts.

Multiple endocervical cysts

Sometimes there are multiple cysts of endocervix on the entire surface of the cervical canal. But they do not entail any significant deviations in the health of women, including do not affect the conception, bearing and birth of the baby.

Small cysts of endocervix

When monitoring neoplasms, it was noted that, for example, after the procedure for healing erosions that hit the cervix, small cysts of endocervix form at the site of the scars. The cause of their occurrence can be called occlusion of the ducts of the glands, which were the result of cauterization.

After the diagnosis, but before proceeding to treatment, it must be remembered that single small cysts of endocervix are not considered a deviation from the norm, and, therefore, are not subject to treatment. Due to the fact that this kind of cyst of endocervix does not cause much harm to health, but still is a pathology, there is an opportunity to try treatment by alternative means.

Where does it hurt?

Diagnosis of endocervical cysts

Due to the fact that there is no pronounced symptomatology of the disease under consideration, the diagnosis of endocervical cyst can begin either with a gynecologist's examination, or with the fact that the woman is sufficiently attentive to her health and feels the slightest deviations from the norm.

To the diagnosis of endocervical cysts can be attributed:

  • Visual examination with a mirror obstetrician-gynecologist.
  • Ultrasound examination of the pelvic organs, including the cervix, which allows you to see the complete picture of the location and determine the size and number of endocervical cysts.
  • Colposcopy (an extended version of the analysis), along with ultrasound, is considered highly informative methods of diagnosing. The study is carried out with the help of a calposcope - a microscope specially designed for such a study. Thanks to high-resolution optics, it is possible to thoroughly examine the cervical canal, accurately diagnosing it.
  • Oncocytology. In connection with a complex situation of cancer diseases, in order not to miss this disease at an earlier time, the doctor sends the patient's smears to oncocytology without fail. It is preferable to spend on the 15th - 17th day of the menstrual cycle.
  • Studies of samples for urogenital infection.
  • PAP-smear (or as it is called a Pap smear). This study provides an opportunity to "grab" the very beginning of cancerous changes. This procedure is carried out using specially designed fixatives and dyes.

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Echocypic signs of endocervical cysts

Modern medicine offers several effective methods for diagnosing gynecological diseases, including the pathology in question. And one of these studies doctors consider ultrasound of the cervix. The main echoes of endocervix cysts are visible on the screen dark (almost black) formations, called medics anehogens. These tumors have a smooth shape, close to the circle. They are distinguished by a clearly contoured outline. Its parameters range from a few millimeters to one - two centimeters.

More often single small lesions are diagnosed, but the growth of the cyst often does not stand still, it can increase, overlapping the cervical canal and deforming it. Over time, polycystosis can already be diagnosed - the appearance of not one but several neoplasms.

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Treatment of endocervical cysts

These neoplasms often differentiate as benign, so do not require treatment, but still it is worth consulting with your doctor. Treatment of the endocervical cyst is indicated in the case when the pathology is clearly visible and clearly affects the woman's health status. The danger of such formations is hidden in their potential threat of infection of the patient's body. And as the proliferation of cysts can lead to infertility women or problems during childbirth.

  • Radiosurgical method. When using it, the obstetrician-gynecologist punctures (punctures) the cyst, allowing the secret to completely exit from its cavity. This method can be used in the case where there is an inflammatory process in the glands.
  • The radio wave method. This procedure takes place under local anesthesia. During her radio-wave method, a complete cyst removal is performed.
  • Laser removal. With it, you can remove the cysts of endocervix, in the case when it is clearly visible during a visual examination of the gynecologist with a mirror. In this case, the location of their localization should be as close as possible to the vaginal segment of the female organ.
  • Cryotherapy. It is performed when the endocervical cysts are located deep enough along the cervical canal. Removal of neoplasms is carried out by burning them with liquid nitrogen, which gives very low temperatures. The whole procedure takes not so much time and goes out-patient. The most optimal period for cryotherapy is immediately after menstruation is over. Contraindication to this procedure can be an inflammatory process in the pelvic organs.
  • If the endocervix cyst is diagnosed with a chronic complication in the form of adnexitis (inflammation of the uterine appendages: the fallopian tubes, ovaries, ligaments) or an inflammatory tumor neoplasm, surgical treatment is necessary in this case. The operation allows you to completely get rid of the problem, but after it there are colloid scars.

Decision on the need for treatment can only be made by an obstetrician-gynecologist and only after full diagnosis of the patient and the establishment of a diagnosis.

In the case of a surgical procedure, antibiotics must be prescribed:

Ampicillin. This drug is taken orally regardless of the time of eating. For adults, the daily dosage is two to three grams, while taking 0.5 g of Ampicillin once. Proceeding from this, the necessary daily amount of the drug is divided into four to six receptions. The duration of the treatment course is determined individually and depends on many factors (the form of the disease, the severity and severity of the course, the patient's condition) and ranges from one to three weeks.

Reception of this drug is accompanied by multiple side effects, but the strength of their manifestation corresponds to the individual characteristics of the patient. 

  • Dysbiosis and diarrhea.
  • Stomatitis.
  • Nausea and vomiting.
  • Headache and pain in the lower abdomen.
  • Tremor.
  • Rhinitis and conjunctivitis.
  • Thrombocytopenia and leukopenia (lack of blood plasma leukocytes and platelets).
  • Peeling of the epidermis and itching.
  • Urticaria (dermatitis mainly of allergic origin).
  • Edema of the Quincke.
  • Fever.
  • And many others.

There are contraindications to this drug ^

  • Individual hypersensitivity to the components of the drug, as well as to the penicillin group.
  • It is not recommended to use it for treatment of children under three years old.
  • Infectious mononucleosis (infectious acute disease affecting the lymphatic and reticuloendothelial system).
  • Pregnancy and lactation.
  • Lymphatic leukemia (cancer of the lymphatic tissue).

Tetracycline. According to the instructions attached to the drug, this drug should be taken half an hour before meals four times a day (or every six hours) at a dosage appropriate to 250-500 mg for adults and 25-50 mg per kilogram of weight for children older than eight years .

Contra-indications for the use of this medicine Tetracycline producers include:

  • Hypersensitivity to tetracycline and its component constituents.
  • Do not recommend the use in the treatment of children who are not yet eight.
  • Pregnancy and lactation.
  • Leukopenia or a low level of leukocytes in the blood plasma.
  • Propensity to allergies.
  • It is necessary to sufficiently measure the intake and dosage of the drug in case of renal failure in the patient.

When taking this medication, there are also multiple side effects:

  • Dysphagia - violation of swallowing functions, nausea and vomiting.
  • Exacerbation of peptic ulcer diseases of the duodenum and stomach.
  • Pancreatitis (inflammation of the pancreas).
  • Growth of intracranial pressure.
  • Decreased appetite and dizziness.
  • Increase in the rate of creatinine.
  • The drop in platelet count in the blood serum.
  • Anaphylactic shock and angioedema.
  • Skin rashes.
  • And other symptoms.

Cefotaxime. This drug is administered to the patient in a vein (jet or drip) or through injection into the muscle. This medicine is attributed to patients who are already 12 years old (the weight of the child should be 50 kg and above) and adults.

For prevention and in infections not burdened with complications, Cefotaxime is administered intravenously or intramuscularly after eight to twelve hours to 1 g.

If the clinical picture shows an acute form of infection, the dosage can be increased to 2 g with the same frequency of admission, and in particularly severe cases, the drug can be administered 2 g after four to eight hours.

To prevent the development of postoperative infection, usually drip 1 g of the drug immediately before the operation in conjunction with anesthesia. If there is a medical need, Cefotaxime can only be re-entered after six to 12 hours. The same dosage and time interval are maintained during caesarean section.

With intravenous and intramuscular administration, 1 g of the drug is mixed with 4 ml of special water for injections (or 1% solution of lidocaine (novocaine)). The rate of administration is three to five minutes.

In the case of a dropper, 1-2 g of the drug is dissolved 50-100 ml of a special diluent (0.9% solution of sodium chloride or 5% glucose solution). The speed of the procedure is up to an hour.

In the case of taking Cefotaxim, various side effects are observed:

  • Excess amount of urea in blood plasma.
  • The kidneys fail.
  • Dizziness and pain in the head and stomach.
  • Flatulence and diarrhea.
  • Dysbacteriosis and constipation.
  • Nausea, resulting in vomiting.
  • Stomatitis.
  • Rashes on the skin and itching.
  • Hives.
  • Fever and chills.
  • Anaphylactic shock.
  • And others.

There are also contraindications to the use of this medication:

  • Individual intolerance of the component components of Cefotaxime.
  • Pregnancy and the period of breastfeeding.
  • Children under three years old.

In the process of treatment, antiseptic agents are also prescribed. For example, such as the drug Cimezol.

This agent in the form of a spray is applied externally to the surface of the wound for one to two seconds (approximately two to four grams of the drug). Intensity of reception - every two - three days, until the time when the connective tissue begins to actively form on the site of damage. However, there are no contraindications and side effects of this medication. To maintain the vitamin-mineral balance of the patient's body, the attending physician, without fail, ascribes multivitamin funds.

Nutrimax. Highly effective vitamin complex, which the patient takes one capsule once a day, during meals. The drug is washed down with a considerable amount of water.

Any medicine should be attributed only to the doctor, and it is not recommended to prescribe Nutrimaks in cases of individual intolerance to the components of the drug, as well as during pregnancy and lactation, with a pronounced pathology in the liver and hypercalciuria. Do not give Nutrimax to children under 12 years of age.

Treatment of endocervical cysts by alternative means

When diagnosing small single or multiple cysts that do not cause significant harm to a woman's health and do not require medical treatment, you can still try to treat endocervical cysts with alternative means. But even in this case it is worth consulting with your doctor, as they are almost unable to completely rid the woman of this pathology, but are able to slow down or completely block her further growth. This tincture can be used as a necessary prevention of relapses.

Collect a fairly voluminous composition:

  • one part of such herbal components as:
    • Valerian root medicinal;
    • nettle, dioecious;
    • the sequence is tripartite;
    • walnut leaves;
    • three-color violet;
    • fruits of the host;
    • wormwood;
    • root sorrel horse;
    • oregano.
  • on four parts:
    • flowers immortelle sandy;
    • the root of a large burdock;
    • sporish;
    • grass is a thousand thousandths.
  • and six parts of the herb St. John's wort.

Half a liter of boiled water pour 3 tablespoons of the collected mixture of herbs. Let stand for 12 hours and drink half a glass 30 minutes before eating. Tincture should be taken two to four times a day.

More information of the treatment

Prevention of endocervical cysts

If we talk about some specific activities that clearly should protect the fair sex from the pathology in question, then we can definitely say that there are none. Prevention of the cyst of endocervix can be reduced only to a more careful attitude to yourself and your health:

  • Try to avoid injuries and abortions.
  • In time, and until complete recovery, treat all infectious diseases.
  • Do not freeze.
  • It is necessary to periodically undergo a preventive examination from your obstetrician-gynecologist.
  • Very carefully approach the selection of an intrauterine device.
  • Adhere to a balanced diet.
  • Follow the hygiene of the body.

Prognosis cysts endocervix

The prognosis of endocervical cysts is favorable in most cases. Do not just forget that the disease is easier to treat at its early stages, so you need to periodically undergo a preventive medical examination.

All the information provided in this article is intended for those who care about their health and want to know more about this. But do not use this information as a guide to action. In any case, self-medication can not. Only a specialist can make the correct diagnosis and prescribe an adequate treatment. Endocervix cyst is not a verdict. With such a diagnosis, you can safely live to a very old age, while not undergoing any treatment, but nevertheless only a doctor and no one else can ascertain the need for medical and surgical treatment.

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