Erosion of the cervix in nulliparous

Most of the nulliparous women learn about the presence of 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 if simple erosion can turn into a malignant tumor of the uterus!

[1], [2]

Causes of the erosion of the cervix in nulliparous

As medical research shows, the causes of cervical erosion in nulliparous individuals can be:

• There is an artificial abortion in a woman's history (vacuum abortion).
• Presence of sexually transmitted diseases. These can be trichomoniasis, syphilis, coccal infection, chlamydia, and others.
• Activation of papillomovirus infection.
• Herpetic infection.
• Failures of hormonal background.

The pathology considered has both acquired and innate character. The problem lies in the fact that the cylindrical epithelium, which is the lining of the cervical canal, begins to germinate, expanding its boundaries. This pathological process can begin even with development in the womb of the mother. Therefore, congenital erosion of the cervix in nulliparous cases can be diagnosed even in childhood and adolescence.

Disease of this nature can be cured independently on the background of growth and puberty of the girl. If this did not happen, then only medical intervention is allowed.

If this pathology is preserved before puberty, the risk of infection of the wound increases, the development of the inflammatory process, which entails complications and the provocation of other diseases.

[3], [4]

Symptoms of the erosion of the cervix in nulliparous

This pathology can be diagnosed only with the next preventive examination at the gynecologist. In this case, the doctor can observe:

• Formed small cracks, which gradually overgrow with neighboring epithelium. This process in medicine is called ectopia. This substitution can become a "provoker" of a malignant process in the cervix.
• There is an occurrence of spotting bloody or bloody mucus secretions in the period between menstruations.
• There may be unreasonable bleeding that occurs after sexual intercourse or a gynecologist's examination.

If the symptoms of cervical erosion in the nulliparas are diagnosed, the gynecologist raises the issue of treatment. Then it is not clear why there is a popular opinion that it is not possible to burn such a contingent of women with erosion?

The answer to this question is simple. Not so long ago the main method of cupping the problem was the method of electrocoagulation, after which, the impressive size of the keloid seams, which subsequently prevented the normal flow of labor due to the lack of elasticity in them.

Inelasticity of the cervix did not give her the opportunity to stretch when passing newborns through the birth canal, which had a negative effect on the outcome of childbirth.

But it is worthwhile to reassure the girls who are still planning to become mothers, that modern methods of cauterization of erosion are rather sparing for the female body and are not contraindications to future childbirth.

Large erosion of the cervix in nulliparous

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

First of all, it is established that it became a causal factor in the development of pathology, only after this is determined the adequate treatment. Mostly girls who are still planning to become mothers are prescribed conservative therapy, which includes taking medications that have immunostimulating and anti-inflammatory characteristics, as well as hormonal drugs.

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

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

Complications and consequences

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

It turns out that this disease, which does not manifest itself for the time being, causes a change 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 detect itself in any way. Absence of clinical symptoms is observed before the onset of sexual development of the girl. It is the change in the hormonal background that can cause further progress in erosion.

With a gynecological examination using a mirror, the doctor can observe at the entrance to the uterus the limited areas of the epithelium of a bright scarlet shade. Usually there are no signs of the presence of a progressive inflammatory process. There is no pathological secretion secretion.

Congenital erosions, mainly, heal independently, without medical intervention. At the erosion site, the layer of cylindrical epithelium is completely restored, without forming scarring and altered areas. If you get an infection, there are signs of classic inflammation. Such erosions are not prone to malignant degeneration.

[5]

Diagnostics of the erosion of the cervix in nulliparous

Diagnosis consists in conducting a series of examinations that confirm or disprove a specialist's suspicions, and also allow one to determine the type of cervical erosion in nulliparous individuals. Usually a gynecologist in this situation:

• Trying to collect a patient's anamnesis.
• An examination is performed on a gynecological chair using a mirror. At this stage, you can determine the erosion damage, if it has already acquired significant dimensions.
• Colposcopy is performed - diagnostic imaging of the entrance to the vagina, its walls and parts of the cervix using a colposcope - a special device that is a binocular and a lighting device. This study should be conducted no later than the seventh day of the menstrual cycle. Many gynecologists believe that this procedure should periodically pass to all women who are already 30 to 35 years old, even in the absence of visible changes. During the research, acetic acid is applied to the surface to be examined, which (by the reaction of blood vessels) allows differentiating healthy and eroded tissues. The second step on the same surface is applied an iodine solution or Lugol. Cells that are not burdened by changes absorb this composition, whereas the affected cells do not.
• Be sure to take a smear to determine the microflora and, if necessary, the material for histology. It allows to determine the state of balance of microflora in the organs of the sexual system of a woman. It is in this place that neoplastic processes are more often formed.
• If changes in the epithelium are detected, then PCR diagnostics may be necessary. This study helps differentiate the pathogen. Mostly it is herpes and papilloma virus.
• Biopsy material is sent in case there is a suspicion of the development of the tumor process.
• The patient also gives an analysis of urine and blood for immunological examination and hormonal background.

The results of these analyzes give an opportunity to get a complete picture of the disease and establish the type of pathology:

• Absence of the disease - the woman is healthy.
• True erosion, manifested from a week to ten days and passing by itself, without the use of medicines. Unless, of course, there is any provoking factor. For example, a viral infection.
• Pseudo-erosion is a condition in which healing of erosive wounds does not occur (it is not covered by several layers of cylindrical epithelium), but follows the path of ectopic formation. That is, the boundaries of the cylindrical epithelial layer shift to the cervical region, passing into the vagina.
• Congenital nature of the disease. When diagnosing erosion, the movement of cylindrical lining structures to the external area of the organ under consideration occurs even at a time when the child was in the womb of the mother.

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

[6]

Treatment of the erosion of the cervix in nulliparous

It should be remembered that the treatment of cervical erosion in nulliparous individuals individually for each patient depends on the clinical picture of the pathology, the condition of the woman and the type of disease.

Therapy of this pathology is usually complex, including both cauterization of erosion sites, and the use of pharmaceuticals. Its main task is to eliminate the focus of infection and inflammation. To do this, usually burn the affected tissue. To date, these methods are several.

Electrocoagulation or as it is still called - diathermocoagulation, is carried out with the use of an electric arc. The healing process proceeds normally, and the efficiency of the procedure is high. Another plus - a low price. But, despite this, it is increasingly used in modern clinics.

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

• The procedure is painful, requiring a woman's patience and endurance, or the introduction of anesthesia.
• Long enough recovery period.
• After carrying out these procedures, rough cicatrical inelastic 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, as applied to girls who are still planning to become moms. Afraid of the consequences of moxibustion, many women delay this moment and come to the doctor after the baby was born and later have no children.

But it is worthwhile to reassure this category of women that several methods have been developed and introduced today, which can be called sparing for the woman's body. After such procedure, the woman manages to get rid of the problem and calmly give birth to a healthy baby.

To such methods gynecologists carry:

• Chemi fi cation, i.e., chemical coagulation with drugs.
• Cryodestruction, 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 year and a half.
• Laser therapy. This method is performed no later than the seventh day of the menstrual cycle and only after a preliminary sanation. After its completion, the woman undergoes a relatively long course of antimicrobial and anti-inflammatory treatment. But, nevertheless, the effectiveness of this technique is considered to be the highest and more acceptable for a woman still dreaming of having a baby.
• Radio wave coagulation of cervical erosion with the "Surgitron" apparatus. This is an innovative method of solving the problem, called by specialists "the gold standard of treatment". This method does not require special training from a woman. Lasts a few minutes. The rehabilitation period is the minimum, of the above listed, and is two weeks. But there is also a minus - a high cost, which not every woman can afford.

These procedures should be performed only in specialized clinics, by a qualified specialist. The positive moment of application of these methods is also that they are practically painless, do not leave scarring, which would later obstruct the delivery, and also have a short rehabilitation period.

Cauterization of erosion of cervix uterus nulliparous

As noted above, moxibustion of cervical erosion to nulliparous women somewhat restricts the use of certain techniques, but the choice still remains.

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

Electrocoagulation, also inexpensive, but not recommended for the treatment of erosion of the cervix uterus nulliparous due to the fact that later on the moxibustion begins to form a rough scars. They can become an obstacle to normal births, because their inelasticity will not allow the uterus to open enough to make a baby that is born normally passed through the birth canal.

More sparing in this regard can be called cryodestruction, which is carried out using liquid nitrogen, which has a very low temperature. It is he who simply freezes the affected cells, leaving a clean surface for further recovery. The procedure is transferred well and subsequently gives the woman the opportunity to give birth alone.

But the most acceptable in this situation can be called methods of laser treatment of erosion and radio wave method of cauterization. They are the most safe and painless, have a small recovery period. But their main drawback is that they require a specialist of high qualification and experience, as well as the availability of special, expensive equipment that not every clinic can afford. Accordingly, the price of this procedure is high, which is too expensive for many patients.

[7]

Radio wave treatment of cervical erosion with nulliparous

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

The problem is especially topical for women who are still planning to have children. In such a situation, the radio wave treatment of erosion of the cervix uterus may be the most acceptable to nulliparous. This innovative method has significant advantages over the procedures already mentioned.

The advantages of this method of cauterization include:

• High security. Striking erosion, healthy cells remain untouched.
• Low level of soreness.
• Good tolerability of the female body.
• Allows you to prevent the formation of colloid scars, which enables a woman to subsequently give birth on her own and protect her from the occurrence of uterine bleeding, since the presence of scars increases the likelihood of rupture.
• Minimal, in comparison with other methods of cauterization, a recovery period, which on average takes about two weeks.
• It is allowed to use as giving birth, and nulliparous women.

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

After passing the treatment, about a month are contraindicated:

• Great physical activity.
• Having sex.
• Overcooling and overheating of the body.
• Active occupation of sports.

This therapy is performed no later than the seventh day of the menstrual cycle. This will allow the epithelium, which has undergone treatment, to recover normally before the next physiological bleeding, allowing the hostess to return to normal life more quickly. Against the background of treatment, there may be spotting of whitish or dark beige shades.

Cryodestruction of cervical erosion to nulliparous

Another sufficiently effective method of solving the problem is cryodestruction of cervical erosion to nulliparous, referring to gentle cauterization procedures.

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

This method is different from cauterization in that freezing does not leave gross scars behind, which allows tissues to remain elastic.

The procedure is performed on an outpatient basis with the use of a special device - a cryoprobe. When processing, eroded tissue is destroyed, and a healthy epithelium is restored instead.

Advantage of the method:

• Minor soreness.
• The procedure takes a few minutes.
• Treatment is bloodless.
• Complete healing comes four to six weeks after the procedure.

The desired period is from the fifth to the tenth day of the menstrual cycle.

The shortcomings include:

• For two to three weeks, there may be watery discharge.
• In the holy with a small depth of defeat, relapses are possible.
• Low efficiency in case of deep damage to the mucous membrane of the cervical canal.

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

[8]

Alternative therapies

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

Of course, dumping these shields from the shields is not worth it. They can be entered into your treatment protocol, but only with the permission of your doctor. Alternative methods of treating cervical erosion in nulliparous women are very effective, but in combination with other techniques.

Here are some of the most common recipes that can help in coping with the problem.

• Sea-buckthorn oil has been known since ancient times as a healing agent having a high content of various microelements and vitamins. It can be used for erosion if the pathogenic microflora is not active in the vagina. For therapy, take a cotton swab and moisten it well in oil. After that, as far as possible from the entrance place in the vagina. The tampon can be purchased at the pharmacy or manufactured independently. But he must have a thread, which will help to get rid of it later. It is better to do this procedure for the night (or at least put on for several hours).
• Honey is a unique product of nature, which finds its application in many treatment protocols. Regarding the problem under consideration, its introduction is recommended once a day. This procedure is similar to the previous one. Marlum is impregnated with this natural product. It is injected into the vagina and left for three to four hours.
• Onions with honey. Therapeutic composition is made as follows: in the juicy bulb, make a deepening. A little honey is put in it. This "patty" is baked in the oven. The cooled composition is placed in gauze and injected into the vagina. Ten such procedures should be performed daily.
• Propolis has active antibacterial and anti-inflammatory characteristics. For the treatment should be made ointment, mixing 100 g of Vaseline and 10 g of propolis. Really connect. Saturate it with a cotton towel and place it in the affected area for several hours (10-12 hours). The duration of therapy is 10 days.
• Tincture of calendula (10%) and propolis - this is a fairly successful combination of medicinal components. Take the ratio of these substances 1: 1 and mix well. A teaspoon of the composition is diluted with a liter of warm boiled water and is administered once a day before going to bed douching. Such procedures should be conducted daily, up to two weeks. But it is worth noting that such treatment can provoke the development of dysbacteriosis of the vaginal microflora. Subsequently, a similar picture increases the likelihood of progression of candidiasis or gardnerellez.
• Honey, especially harvested in May, (5 tablespoons), propolis or mummy (5 teaspoons), butter or pork fat (150 g). Ingredients combine and melt in a water bath. From a lightly cooled warm mass, form a suppository and use one per day at night. The rest should be stored in the refrigerator. Course - seven - ten days.
• Juice of Kalanchoe or aloe is combined with honey, take a similar amount of fish oil. The basis is to take 150 g of butter or pork fat. All ingredients, stirring constantly, melt in a water bath. Cool it down. From the resulting composition to build candles. The course and method of treatment is similar to the previous one. Store the product in a cool place (in the refrigerator).
• You can use and infusion of herbs that have antiseptic properties for douching. For this procedure, grasses are suitable: St. John's wort, string, calendula, oak bark, celandine, chamomile. The liquid to be injected should be warm, close to room temperature.

[9]

Treatment of cervical erosion in nulliparous individuals at home

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

In addition to the already familiar sea buckthorn oil, propolis, calendula tincture, medicament preparations can be used. For example, it can be: vagotil, polycrezulen, clioron and other analogues.

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

In the form of tampons. Before administration, use a dry sterile cloth to clean the entrance to the vagina. The drug is impregnated with a cotton swab and for a minute - three is placed in the cervical canal. After the expiration of the time, the swab is removed, and the remnants of the medicine are removed with a dry napkin.

Another treatment option is the use of the onions in onions. Three medium bulbs to peel off the husks, pour half-liters of water brought to a boil and put it for an hour. After cooling, the infusion should be filtered and used for washing the affected area.

The eucalyptus tinctures used for douching are also quite effective 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 badana - a beautiful antitumour, antimicrobial, anti-inflammatory, hemostatic plant. To make a tincture, you need to take a glass of boiling water and pour three tablespoons of the ground root into it. The resulting extract (two tablespoons) is diluted with half a liter of warm boiled bushings. The solution for syringing is ready.

You can also recall the mummy (organic mineral product), highly valued in medicine. 2.5 g of natural mummy is dissolved in a third of a glass of water. In this composition, a cotton swab is moistened and injected into the vagina at night. This procedure should be done daily for two weeks. If the erosion process is not started, then this time is enough to get rid of the disease.

Suppositories from cervical erosion to nulliparous

Use in the treatment protocol of such a dosage form as vaginal suppositories is effective, safe and sparing for the female body. This technique has proved to be very successful in stopping the early stages of the disease. In this case, candles from erosion of the cervix uteri to nulliparous women are particularly relevant.

This form of medicine has its advantages:

• They locally act directly on the source of erosion and inflammation.
• The medicine has a soft, melting structure. When heated by a human body, the composition melts, evenly spreading over the treated surface.
• Soften the tissues, reducing discomfort.
• Contribute to the effective removal of pathological vaginal discharge.
• Contribute to the rapid healing of erosion, without suppressing the work of "healthy" bacteria.
• Restore the epithelium of the cervix.
• Easy to use, and allow home use.
• Can be purchased at any pharmacy.
• Have a relatively low cost.

Modern pharmacological companies are ready to offer a wide choice of these products. Let us recall some of them:

Cocoa-fitosvechi - nourish, soothe and moisturize the epithelium. Have antiviral, antifungal and bactericidal characteristics, do not cause allergies.

The recommended protocol of treatment: one suppository daily for ten days, then a break and the next month, repeat the course. So spend three courses for ten days. The suppository is recommended to be put overnight. The first day of admission is the tenth day after the end of menstruation.

Suppositories Depantol - an excellent antiseptic, which activates the regeneration of tissues and the healing of wounds. It is recommended to inject one suppository per night daily for ten days.

Suppositories Geksikon - a wonderful antiseptic, effectively depressing a number of infections. Reception is conducted twice a day (in the morning and in the evening) for ten days.

Suporonium Suporone - effective tightening of wounds, arresting inflammation, restoring healthy epithelium. Reception once, one suppository at night. If therapeutic efficacy is not achieved, it is possible to re-enter the drug after a week.

Sea-buckthorn candles are an effective antiseptic of plant origin. Perfectly heals wounds. Schedule reception: one candle, introduced in the morning and evening. Duration of treatment is from eight to ten days.

One need only remind women who are confronted with this problem that a specific drug should be prescribed only by a specialist. Self-medication is fraught with negative consequences and a deterioration in women's health.

Prevention

Prevention of erosion of the cervix in nulliparas is quite relevant. To reduce the risk of developing the disease, you need:

• Regular visit to the gynecologist for preventive examination.
• The adherence of the woman, and her second half, rules of personal hygiene.
• Timely detection and implementation of effective therapy for the treatment of genital diseases.
• Prevention of artificial termination of pregnancy.
• Proper use of quality contraceptives.
• Prevention of inflammatory diseases.

[10]

Forecast

The considered disease is insidious because it is quite difficult for a woman to detect it. After all, no tangible pathological symptoms are observed. It is only a doctor who can detect it - a gynecologist at the next examination.

If the disease is recognized on time and adequate treatment is performed using a gentle method, the forecast of cervical erosion in nulliparous is favorable.

Many women, having passed such procedure, could subsequently normally conceive, bear and give birth to a healthy child.

However, ignoring the problem can lead to a proliferation of erosion, there may be bleeding, and this is the right path to infertility. The likelihood of tissue regeneration in cancerous tumors increases, which will invariably lead to uterine cancer. Therefore, cervical erosion treatment is mandatory.

[11], [12], [13], [14], [15]