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Cervical Dysfunction
Last reviewed: 23.04.2024
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The pathologies of the cervix are very diverse and constitute the lion's share of the diseases of the female reproductive system. This is because the cervix is constantly exposed to various factors due to contact with the external environment. A woman may not suspect a disease, but it will be determined by a gynecologist during a routine examination. Diagnosis can reveal the extent and shape of the cervical deformity.
If drug therapy does not help restore the mucosa, then more radical measures will be required - the destruction of the cervix. This means that the pathological focus will be cauterized. It may seem strange that a erosive area is treated with a burn. But almost always this method helps to get rid of erosion, dysplasia, leads to complete healing and the formation of a full-fledged healthy tissue without scars. The mechanism of action is that the burn leads to a strong inflammatory reaction. This activates the regeneration of the mucosa, intensifies the flow of blood, accelerating the movement of immune cells to the pathological focus.
[Indications for destruction of the cervix
Destruction is carried out if ectopia, leukoplakia or erythroplasty of the mucous membrane of the cervix are detected. Special preparation for the procedure is not needed. Only if the pathogenic flora (bacteria, viruses, fungus) is present in the vagina, the doctor prescribes certain medications. And only after effective therapy is the destruction.
Experts recommend that the destruction of the cervix on the 7-9 day of the menstrual cycle. Then tissue repair and mucosal regeneration will occur as quickly as possible, and the probability of cervical endometriosis will be minimized.
Studies before destruction include smear analysis on the microflora of the vagina, PCR analysis; general blood analysis; blood test for RV, HIV and hepatitis; biopsy and histology of tissue in the lesion focus.
How is destruction of the cervix uteri?
Chemical destruction of the cervix is the treatment of the affected tissue with compounds that promote its dying and replacement with new healthy cells. These are preparations of Solkovagin and Vagotil. The technique of chemical destruction is simple: the doctor-gynecologist independently applies the drug to the lesion with a cotton swab. Which of the drugs to prefer is decided by the attending physician, based on the results of the survey. Good results after chemical destruction of the results can bring the treatment of minor and superficial lesions, for example, mild dysplasia. This method also treats the cylindrical epithelium.
Radio wave destruction of the cervix. Non-contact method, when the pathological section is affected by high frequency current. The procedure is quick, not bringing strong pain. A doctor can make a cut of the required depth and configuration. The removal of the lesion itself occurs without suturing. Radio wave destruction virtually eliminates the possibility of hemorrhagic complications, purulent foci. The method is absolutely safe and is shown, among other things, for women who plan pregnancy in the future.
Cryodestruction. This method is considered very effective, in addition, its use reduces the risk of complications. Cryodestruction is carried out with the help of a specialized cryoprobe. Cryodestruction can be used either alone or in combination, when a laser or ultrasound is used in addition.
Laser destruction of the cervix. The most progressive way of destruction. It is performed by a powerful high-precision laser. The procedure is indicated for background diseases (endometriosis, condylomata, polyps, erosive ectropion, retention cysts, etc.), with precancerous conditions. This method very accurately affects damaged foci without burning healthy areas.
Diathermic dissociation. It is used when hyperplastic processes are detected on the hypertrophied neck. The method gives the minimal pain sensations, and the firmly fixed neck widens the field for the operation.
Rehabilitation period
Immediately after the procedure, sometimes there are dizziness and fainting. Bloody discharge after destruction of the cervix is rare. More often allocation light or are absolutely insignificant are colored by a blood. Up to one month there may be watery discharge. If they do not pass or are too plentiful, consultation of the attending physician is necessary. After the destruction of the cervix, there are minor painful sensations in the lower abdomen, which soon pass by themselves.
Two weeks after the destruction, the doctor must perform a gynecological examination to make sure that the recovery is normal. The mucous membrane is fully restored within 4 to 6 weeks. Until that time, you need to limit your sex life, exclude sports loads, lifting weights and rest more often. You can not visit the pool and sauna. If the erosion was significant, the doctor may even prescribe complete rest.
Destruction of the cervix is a simple intervention that is carried out by millions of women every year. In comparison with traditional surgery, destruction is more preferable: its use does not require anesthesia, it is suitable for a wide range of pathologies and passes without complications.