Cervical bend

It is not rare that a woman, when planning a pregnancy, encounters such a disease as the cervix of the cervix. After the statement of this diagnosis, the question arises of the possibility of conceiving, bearing and producing a healthy child. Will this disease become an insurmountable wall on the way to a woman's dream? Let's try in this article in more detail to understand this issue.

ICD-10 code

In the world of medicine, there is a so-called register of diseases - "International Classification of Diseases of the Tenth Revision" (code for μb 10). In it, the changes we are interested in in the physiology of the uterus have their own coding and can be denoted by an individual code - N88, which is called - other noninflammatory diseases of the cervix.

Causes of bending the cervix

To effectively deal with the problem, it is necessary to thoroughly understand the mechanism of obtaining this pathology and the reasons for bending the cervix. The catalysts discussed in this article may be different. Let's recall the most common of them.

• Congenital anatomical pathology. And such women, as the statistics show, a fairly high percentage. In most cases, this anomaly is not a pathology that can block the reproductive functions of the expectant mother.
• Violation of the hormonal background of a woman.
• The cause of bending the cervix can be an inflammatory process that affects the sexual organs of a woman. It can be inflammation of the appendages, endometriosis, andexitis and a number of other diseases.
• Frequent and numerous pregnancies.
• Low tone of ligaments and muscle tissues of organs and joints of the small pelvis.
• Neoplasm (both malignant and benign) affects the area of the human body that interests us.
• Pathological diseases occurring in the intestine. For example, chronic constipation.
• Increased physical activity, lifting weights.
• Heavy obstetric complications, with serious genital ruptures and injuries.
• Formation of the adhesion process, proceeding as a result of the experienced surgical intervention, infectious and bacteriological damage to the tissues of the zone of interest to us.
• Diets: rapid dropping or weight gain.
• Individual characteristics of a woman received at birth, transmitted by gender from mother to daughter.
• Infantilism of the uterus.
• Depletion of the woman's body: malnutrition,
• Injury of the organ.
• Trauma received during labor.
• Abortions.
• Postponed cesarean section.
• Incorrect way of life of a woman: casual connections, multiple partners, role-playing games with elements of violence and so on.
• Problems in the work of the bladder.
• Nervous system disorder.
• Biological age of a woman.
• Insufficiency of ovarian function.
• There is an opinion that a long period of breastfeeding can lead to this problem.
• Intensive sports training, which took place during menstruation.

It should be noted that often listed above reasons for bending the cervix, presented in a complex or flowing out of the other.

Some "knowledgeable people" are absolutely confident that this disease can get a girl who was too early to sit down. Doctors warn that such statements are absurd and groundless.

[1]

Pathogenesis

Whatever the reason for the pathology under consideration, the pathogenesis of the problem is reduced in the weakening of the supporting function of the organ (be it a disease, a physical or other effect). Relaxation of the muscle tissue leads to a shift in the uterus, and with it, and its neck.

A similar clinical picture can be observed in the case of a decrease in the tone of the fascia and muscle fibers of the pelvic floor, as well as the defectiveness of the anatomical components of the pelvic organs.

Symptoms of cervical bending

When a woman is diagnosed in an anamnesis, the symptoms of the cervix are felt and observed, similar to many pathologies affecting the reproductive system of a woman.

• Severe pain, when passing monthly.
• Large amounts of lost blood during menstruation.
• Discomfort and tenderness during coition.
• Exit the vagina bloody clots.
• There are frequent urge to urinate.
• In the case of pregnancy - this is the probability of a miscarriage.
• Problems with conception.
• The menstrual cycle may extend over time.
• Isolated from the vagina leucorrhoea odor.
• The hue of such secretions can be different: milky, transparent or, conversely, greenish-yellow.
• Frequent constipation is possible.

First signs

When there are health problems, a woman should analyze the first signs of pathological changes. It:

• Painful sexual intercourse.
• Irregular flow of the menstrual cycle, its duration and abundance of secretions.
• Appearance of frequent desires to go to the toilet "on a small".

[2]

How to become pregnant when the cervix is bent?

Depending on the direction in which the hem has occurred, the result of conception largely depends. In this situation, the abnormal structure of the female body can become an obstacle in the process of fertilization of the egg, because the spermatozoon can not penetrate to the ovulating cell.

So, what to do and how to get pregnant when the cervix is bent? Obtaining a fertilized egg is difficult, but possible. To come to the desired result, it is worthwhile to follow a series of recommendations given by physicians studying the reproductive abilities of a person.

• It is necessary to refrain from coitus on the eve of ovulation. This will increase the concentration of spermatozoa and their activity in the male sexual organ.
• You should choose the most successful pose of sexual intercourse. In this matter, you should not hesitate to consult a doctor - gynecologist or sex therapist. For example, when the cervix is bent backwards, the most suitable position of the coitus is the woman on the back, the man on top. Female hips are slightly elevated.
• When the body is chamfered beforehand, it is better for a woman to take a position - lying on her stomach, lifting the pelvis slightly.
• It is necessary to follow a number of other rules: immediately after the seed, the partner should withdraw the member from the vagina. This will allow the seed not to flow out, but to rush to the eggs.
• After the coitus is finished, the woman is recommended to lie still for 30 minutes, without changing the position. So the spermatozoa will have more time to penetrate into the uterine cavity.
• One tablespoon of baking soda should be added in 500 ml of slightly warmed water. Before the sexual intercourse, this composition should perform a syringing. This will neutralize the acidic environment of the vagina in order to protect the spermatozoa and give them more time for fertilization.

Specialists also recommend that women who encounter such a problem introduce yoga or special gymnastic exercises into their lives. They will help strengthen the muscles and ligaments of the small pelvis, gradually leveling the situation, returning the cervix to its natural position. This technique works if there are no adhesions and adhesions in the area.

But it's worth to immediately warn that the chosen complex of physical activities should not be heavy, connected with taking heavy weights, and also with jumps.

If the obstetrician-gynecologist puts the cervix as a reason why a woman can not have children, it is necessary to undergo a comprehensive examination, finding out the original source of pathology.

Perhaps a woman will not have to do all these acrobatic exercises, but will be sufficient to undergo a course of medical or surgical treatment.

Cervical bend in pregnancy

Quite a lot of women learn about their problem after the conception has occurred. In most cases, during the period of gestation, the cervix begins to level, returning to its normal position. In such a situation, it can be said that it was pregnancy that became the treatment course that restored the anatomical characteristics of the organ under consideration.

But if it was found that the bend of the cervix during pregnancy was caused by the presence of adhesive processes in the pelvic region, a consequence of inflammation or infectious damage, then it is not necessary to expect correction of the defect. In this situation, the bearing of the fetus itself will be in jeopardy.

It is necessary for future mothers to offer a series of exercises that will enable them to improve the situation. It is only necessary to note that they must be performed only with the permission of their doctor - gynecologist, who leads the pregnancy.

• Hold hands at waist level. Legs cross and in this position a stepping step walk for five minutes.
• Put your feet to the width of your shoulders. Hands spread apart. Tilt and with one hand we try to reach the nearest toes. Do the same with the other hand.
• Accept the pose of the kitty, kneeling and leaning his hands on the floor. First straighten one leg. Return it to its original position. And so ten times. Similar movements to make the second leg.

In some cases, when the cervix of the uterus is detected during pregnancy, physicians resort to installing a device such as pessary. This is a special ring, fixed on the cervix, which prevents its early opening. This device is removed by the doctor after the lapse of 37 - 38 weeks, when the fetus is already formed and the birth can well go well, with the birth of a healthy baby.

Bend of the cervix and delivery

If the conception has occurred and the bearing is normal, the uterus is not fixed with spikes, then the probability is high that in the process of development and growth of the fetus the cervix will begin to level and eventually take its natural position.

If the uterus and its neck are held by adhesions, then the process of bending can only worsen. For example, if the female organ is attached to the rectum or bladder, during the period of fetal growth, these organs also shift, leading to problems in defecation, gas emission, as well as problems with the escape of urine. Such a symptomatology for doctors is called the term infringement of the uterus. This clinical picture is a real threat of spontaneous abortion.

Bending of the cervix and birth - their relatively normal existence depends on many factors, including the direction in which the bend occurred. If the cervix is chamfered back, and as in the pregnant woman there is a soldering process in the pelvic region, then a straightening of the neck is necessary.

Infringement of the uterus is performed against the background of an emptied bladder and under the influence of general anesthesia. It is also possible to use laparotomy: an incision of the peritoneum and the rectification of the organ through the wound. In most cases, with such a pathology, an obstetrician-gynecologist will not allow such a patient to go to an independent childbirth, appointing her a cesarean section.

If the fixation of the female organ occurs only from the back, then such a picture does not require any intervention. But the complication is possible from the violation of the timing of neck opening. If such a problem arises, the same caesarean section may be prescribed.

[3]

Bend of the cervix after delivery

Any, even absolutely best-traumatic, obstetrics leaves its mark in the body of the parturient woman. At the same time it is statistically confirmed that the more a woman gives birth, the more problems with the health of her reproductive zone arise. And many of them require compulsory medical treatment. One of such complications is bending the cervix after childbirth, which is diagnosed often enough.

This fact is associated mainly with changes in the size parameters of women during pregnancy and after delivery. That is, first it gains weight, the uterus stretches, and after delivery strives to reach its natural size. It is this regress that is capable of provoking the wrong formation of the cervix.

In such a situation, it is advisable to undergo a complete examination and ask the expert's advice if any medical assistance is needed in her case. Or in her case, no adjustments are required.

Effects

As medical practice shows, congenital pathology is extremely rarely expressed by significant deformations of the female reproductive system, it is more often asymptomatic, and does not have any significant pathological effect on the life of a woman, but also fulfilling its function - conception, bearing and birth child.

Most of the effects in the form of cervical bending bring problems and bother the woman with secondary changes. The consequences of this pathology can be:

• Poor state of health of a woman.
• Discomfort symptomatology in the genital area of a woman.
• Problems in carrying out sexual intercourse.

[4], [5]

Complications

If appropriate medical measures are not taken, complications of this physiological abnormality, ultimately, can lead to female infertility.

[6], [7]

Diagnosis of cervical bending

When planning pregnancy, especially if a woman has an age of more than 25 years, it is not superfluous to undergo a full medical examination of the body. This will relieve later of negative surprises with health. Diagnosis of bending the cervix is carried out in several stages:

• Primary examination by an obstetrician - gynecologist on the chair.
• Standard laboratory tests.
  • Such as a clinical and biochemical blood test.
  • Clinical and biochemical analysis of urine.
  • Analysis of a smear from the vagina.
• Use in diagnostic purposes of modern medical equipment.
• Differential diagnostics.
• Analyzes

The first thing that is assigned to any patient who has dealt with a particular problem is the following laboratory tests:

• Clinical and biochemical blood tests.
• Clinical and biochemical analyzes of urine.
• Determination of blood type and Rh factor.

You may also need additional research:

• Bacterioscopic and bacteriological study of vaginal leukemia, which give an answer to the question of the presence of infection.
• Analysis of the level of hormones in the pituitary-gonadotropic system.
• PAP test (Pap smear) - the cytological character of the study of the smear from the vagina. This analysis is carried out by means of a microscope under laboratory conditions. When recognizing atypical cells, the patient is referred to a number of additional examinations.
• Research on the human papillomavirus (HPV), smear examination is carried out using a polymerase chain reaction (PCR). If this virus is detected, its type is established.
• Bimanual examination.

[8]

Instrumental diagnostics

Modern medicine is difficult to imagine without a different kind of diagnostic and therapeutic equipment. Instrumental diagnostics is also developing, offering more and more sophisticated methods of examination.

The main methods of recognition of this disease:

• Biopsy is a medical examination technique. With her, the cell material or tissue (biopsy) is removed. After that, with the help of special tools, necessary research is carried out.
• Colposcopy - examination of the cervix with a special optical device colposcope.
• Ultrasound diagnostics.

Differential diagnostics

After the expert conducted a visual examination of the woman on the armchair, as well as when he has all the results of a comprehensive survey on his hands, he performs differential diagnostics - analysis of the results of the research. It assumes the definition of a complete clinical picture of the patient's state of health with the subsequent differentiation of a specific disease. On the basis of this knowledge, diseases that are similar in symptomatology, but not confirmed by studies, are cut off.

[9], [10]

Abortion in the neck of the cervix

If you "resemble" the forums that are indicated by interest in this issue, you can understand that the question of whether it is possible to have an abortion in the cervical fold is of interest to many respondents.

The answer of specialists is always the same - you need to consider each situation individually. For example, in the case of bending the cervix back to perform an abortion without the risk of a woman's health is quite possible.

[11], [12]

Cervical bending treatment

After careful examination and diagnosis, if necessary to intervene, cervical flexion treatment can use several techniques:

• Obstetrician - gynecologist relieves a woman from bending the cervix by a simple surgical procedure, which is mainly performed on an outpatient basis and does not require maintenance under hospital conditions. Usually, during the operation, the specialist places the cervix in the correct position and fixes it with a pessary (special gynecological ring), which will not allow the organ to move, getting used to the normal position. This thing a woman will have to vilify for a while, after which he will be removed.
• The patient's diet is reviewed.
• It is prescribed vitamin therapy.
• Hormonal therapy.
• Antibacterial therapy.
• Taking medications that promote resorption of adhesions.
• A special set of exercises is needed.
• Application of physiotherapeutic correction methods:
  • Special mud therapy in the area of the crotch.
  • Joint gynecological and hydromassage.
• Such patients should relieve themselves of weight lifting.

If this pathology is congenital, does not bring a woman discomfort, is not an obstacle to conception, bearing a fetus and childbirth, then the need for any treatment disappears. But to pass inspection and confirmation of doctors still follows for the same calm.

Often, women learn about their problem when they are registered with a female pregnancy consultation. And, if the uterus and her neck are not fixed with spikes, it is the growth of the fetus that can level the position of the uterus, saving the future mother from the problem. Very often women, therefore, get rid of their pathology without even knowing about it.

It is depending on the type of deformation and the overall clinical picture that the doctor will decide on the method of treatment.

If, during the bending of the cervix, the course of the infectious or inflammatory process is detected, then the primary efforts of the doctors are directed to the elimination of this pathology. In this situation, physicians with the help of medicines will stop the focus of the problem, as well as the consequences of the disease.

During the treatment, a woman is not forbidden to live sexually, but should be protected using contraception, since the likelihood of an ectopic pregnancy is high.

[13]

Medications

Depending on what reason is established, a woman may be prescribed anti-inflammatory, antibacterial, antiviral drugs in the treatment protocol. And as maintenance therapy - vitamin therapy. Probably appointment and antibiotics.

In the role of anti-inflammatory drugs can be appointed: advil, nikrofen, ketonal, arkrksian, kntorol, brustan, orwel, melox, dexalgin, menindol, raptin Rapid, naproxen, dolac and many others.

In our situation, non-steroidal anti-inflammatory drugs are more acceptable .

The medication melox is prescribed for oral intake during the period of food intake in a daily dosage of 7.5 to 15 mg.

It should be remembered that if the patient has problems with the kidneys, then the administered dose should be minimal.

Contraindications for the introduction of meloxa include increased individual intolerance of one or more components of the drug, as well as the presence in the history of a woman of bronchial asthma, ulcerative exacerbation of stomach and duodenal ulcers, internal intestinal bleeding, severe liver dysfunction, hyperkalemia, as well as the period of gestation and feeding his breast milk.

In the role of antibiotic drugs include: benzylpenicillin, imipenem, ampicillin, metronidazole, amoxicillin, rifampicin, nafcillin, loracarbef, cephalosporins, ticarcillin, meropenem, piperacillin and others.

The dosage of the drug metronidazole is determined only by the attending physician depending on the pathogenic flora present. It can be 0.5 g, injected very slowly drip. The maximum allowable daily dosage is not more than 4 g of the drug.

Contraindications to the drug in question include the propensity for epileptic attacks and other disorders of the central nervous system, the first trimester of pregnancy, liver failure, the period of feeding the newborn and increased individual intolerance to one or more of the components of the drug.

Perhaps the appointment of antiviral drugs : herpes, retrovir, arviron, zerit, ribaleg, videks, lyracet, Tamiflu, provirusan, viracept, cyclovir and others.

Tamiflu should be taken together with food. In this case, the tolerance of the drug will be high.

The starting dosage is 75 mg taken twice a day. The duration of the drug course is five days. The maximum allowable daily dosage should not exceed 150 mg. It does not improve the effectiveness of therapy.

Contraindications to the administration of tamiflu include increased individual intolerance to one or more of the components of the drug, including a high susceptibility to oseltamivir phosphate, as well as the presence of a history of chronic renal dysfunction in the woman.

It is only necessary to remember that drugs should be prescribed only by the attending physician, according to a specific clinical picture.

Alternative treatment

In many ways, the approach of non-traditional methods is consonant with the methods of classical medicine. Therefore, it can be said unequivocally that alternative treatment, with the pathology under consideration, may be used only with the permission of physicians and only if the cause of the cervix is a virus, a pathogenic flora or an inflammatory process. It is in this case that you can, without harm, get the necessary improvement in the patient's condition.

To eliminate the inflammatory process, syringing with vegetative collections or decoctions on monotraves will suit.

Suitable and syringing by this composition: in a half liter of warm water dissolve five grams of rock oil. This solution should be douched before going to bed. 100 ml of solution will go to one procedure. Duration of treatment is 15 days.

[14], [15]

Herbal Treatment

As already mentioned above, herbal treatment can be used only with the permission of the treating doctor and only in case of bacterial, infectious or inflammatory lesions of the pelvic area. In this article, we are ready to offer a number of such recipes:

• One teaspoon of calendula flowers dilute a quarter cup of boiled. Hold in a water bath for 15 minutes. Leave it for about 40 minutes and douche in a warm form. This procedure should be done daily for three to five days.
• No less effective are decoctions of marigold taken orally (inside). The procedure of brewing is similar to the previous point, and the ratio of plant product and water varies and is two tablespoons to two glasses. The schedule of reception: half a glass three times - four times a day before a meal.
• Badly showed himself and decoction of the badan. Two tablespoons of a rhizome of a plant to crush and make for half an hour in a glass of boiled water, using a water bath. Then cool to a warm look and apply before going to bed like a syringe.
• You can remember another medicinal plant like sea-buckthorn. In this case, sea buckthorn oil is used. In this case, tamponing is carried out. Of wadding or gauze material, make a tourniquet. Impregnated with sea buckthorn oil and injected into the vagina. It must be inside for at least three hours. The duration of such daily procedures is 12-15 days. It is worth remembering that the tampon should not be placed overnight, as the sea-buckthorn can cause a slight deterioration in the condition.
• Another popular recipe for syringing is the viburnum branch, which today can be found on almost any plot of land. To prepare the medicine, you need 600 g of buttermilk and about 100 g of fresh plant twigs. This composition is placed in a container and is put up for about ten minutes for a small light. After that, he is set free from the stove for the whole night for insisting. After awakening, drain and curable fluid syringe. The solution used should be warm.

Homeopathy

To date, homeopathy is gaining increasing popularity among people who adhere to the treatment of various diseases using alternative medicine methods.

With regard to arresting the disease under consideration in this article, homeopathic physicians are ready to offer several drugs that, if they do not completely solve the problem, will allow to remove pathological symptoms, improving the patient's condition.

Such homeopreparations can be called:

• Sepia. It is mainly used in medium and high diluted dosages. Grindings are possible, but the technique and dosage of admission should be prescribed only by the doctor - homeopath with the agreement of the obstetrician - gynecologist.
• Calcarea phosphorica (Calcarea phosphorica). It is used at any dose of dilution, but mostly - this is a ternary, six-pronged and twelve-fold dilution.

Various dilutions of the homeopathic remedy are used, but more often there is a third, sixth and twelfth. A specific dose is prescribed by the attending physician. The technique and dosage of admission should be prescribed only by a doctor - a homeopath with the agreement of an obstetrician - gynecologist.

Operative treatment

Modern classical medicine is equipped with a number of techniques that allow for operative treatment of the cervix folding.

If the cause of the bend is an adhesive process, the adhesions are removed only by surgical intervention. In most cases, the doctor chooses laparoscopy. In this case, the incision of the skin and subcutaneous layers of the abdominal wall is minimal. Then, with the help of special medical equipment inserted into the puncture, under the control of computer equipment, the surgeon crosses the adhesions, bringing the cervix to its normal position. Fixes the cervix already in a natural position with a pessary (special gynecological ring), which will not allow the organ to move, getting used to the normal position. This thing a woman will have to vilify for a while, after which he will be removed.

Another method of coping with the problem is straightening the bend directly by hand. Before the operation, the patient must necessarily empty the bladder and rectum. The whole procedure is performed on a gynecological chair under general anesthesia.

Prevention

In addition to the above methods of reducing the problem, the specialists give a number of medical recommendations that can be used as a preventive measure of the disease in question:

• A woman should not lift and carry heavy objects.
• She needs to sleep on her stomach.
• On the first urge to empty the bladder and rectum, not allowing overflow and stagnation in them of urine and feces.
• Do not allow a long stay in a standing position.
• It is necessary to contact a specialist in a timely manner with a suspicion of any infectious disease and cure it until full recovery.
• Exclude from their lives power sports, especially those workouts that overstrain the muscles of the pelvic floor.
• The nutrition of any woman, and especially with a history of the cervix, should be healthy and balanced.
• It is necessary to adhere very carefully to body hygiene, and especially intimate hygiene.
• In the process of rest, a woman must manage, in full, to restore lost strength.
• It is desirable to regularly exercise the gym muscles of intimate zones.
• Regularly, at least once a year for a preventive gynecological examination.
• Early postnatal rehabilitation of muscle tissue in the perineum and vagina.

All these tips are also suitable for adolescent girls to prevent the development of the pathology in question.

Forecast

Having listened and read the horrors about the cervical bend and the consequences of this disease, many women begin to panic, asking the question of life, whether it is possible to get pregnant and give birth to a healthy baby in this pathology. But, summing up the article read, the prognosis of this disease is very favorable, for this it is only necessary to undergo a complete examination. And, if necessary, take the prescribed by a qualified specialist treatment and recommendations.

After all, in a number of cases, a woman with such a diagnosis should not do anything with her pathology at all, and she will not affect the quality of life and reproductive abilities of the fairer sex in any way.

The anatomical parameters, the location of the uterus and its neck are laid by nature is not accidental. This is how this reproductive organ is able to provide the spermatozoon maximum comfort to reach the egg and fertilize it. Therefore, the diagnosis of the cervical bend for ignorant women in this matter seems to be a failure of all their hopes for motherhood. But, after reading this article, we hope that such respondents will make the right conclusion and turn to a doctor for a gynecologist. After a full survey, we are confident, he will find a way out of the situation. And having spent, if necessary, effective treatment, will help the patient's family to feel the joy of motherhood. And we wish never to give up and achieve what is given to us by nature itself.