Cervical dysplasia after childbirth

Cervical dysplasia (CIN) can not be a contraindication to the onset of pregnancy and bearing a child. On the fetus, the course of dysplasia is not affected by its good placental protection. Similarly, as the pregnancy process does not provoke the worsening of symptoms of CIN and almost never leads to a degeneration in oncoprocess. Moreover, hormonal changes in the female body bearing a child can give a false clinical picture, very similar to the signs of dysplasia of the cervix in the initial stages. Pseudo-erosion looks like an inflammation of the neck, but it is due to physiological changes in the epithelium, when the cervical cells are forced to move closer to the vagina. Such a temporary "transport" of cell layers is considered normal.

Any sign of a pathological process that is disturbing a woman or a doctor is more often associated with manifestations of a secondary infection - HPV, chlamydia, colpitis, and so on. To clarify the symptom provoking the factor, the epithelial tissue is sampled (PAP test), a smear is taken for the condition of the microflora. If the result of laboratory tests is positive, after the birth of the child, a woman needs a follow-up examination, a comprehensive examination and treatment.

Dysplasia of the cervix during pregnancy of the third stage as an oncology process is also not considered a direct contraindication to gestation, however, the gynecologist coordinates the tactics of pregnancy with an oncologist.

[1], [2], [3], [4], [5]

Cervical dysplasia after childbirth

CIN (cervical dysplasia) does not choose a woman's condition - before or after birth, this disease occurs with equal frequency.

The characteristic stages of perforation, which are characteristic of cervical dysplasia, do not change during the gestation of the child, nor can they be accelerated or slowed down after delivery. An exception can be considered the third stage, when CIN passes into the initial form of cancer. Also there are statistics of foreign research institutes, which asserts that after the birth the process of dysplasia can change:

• Regression of the disease (cell transformation stops and abates) - 25-30%
• Dysplasia of the cervix remains in a stable stage - 40-45%
• Progression of the disease at grade III CIN - 15-20%

It should be noted to remove the anxiety of young mothers, such moments:

• dysplasia of the cervix can not be a direct indication of cancer, most often the first two degrees are successfully treated under condition of passing a comprehensive examination and regular monitoring by a doctor
• Cervical dysplasia after the birth in grade III is very rarely diagnosed - 10-12 women for every 100,000 cases of pregnancy and delivery. Epithelial tissue of the cervix during pregnancy is characterized by a high level of protection from progesterone. In turn, hormonal transformations can cause a false picture, clinically similar to dysplasia or erosive process (ectropion)
• Cervical dysplasia after childbirth does not require additional cytology if a woman before the pregnancy regularly underwent examinations and screening for epithelial tissue
• After the birth of a child, the structure of the cervical epithelium may change due to natural causes (the process of birth). Especially it is typical for those mothers who feed the baby with breast milk, breast. Examination and preventive examinations in such women are carried out only after the end of the period of feeding the baby. The exception is the diagnosed grade III dysplasia during pregnancy

There are also features of the course of the dysplastic process after childbirth, if the diagnosed disease required conization during the fetal gestation.

On the process of pregnancy, removal of the cervical sector has no effect. However, after birth, a woman should be observed at the gynecologist in order to avoid relapses and in principle to eliminate the cause of cervical dysplasia. Also, cervical dysplasia after childbirth can be associated with severe delivery - ruptures of epithelial tissue. Ectropion (eversion of the cervix) is treated only surgically and never passes on its own. A secondary process can join it, which together gives a clinical picture similar to dysplasia of 2 or even 3 degrees. Traumatic injuries in the presence of a hidden, undiagnosed and untreated infection is the way to dysplastic processes, and, therefore, to precancerous pathology. Conversely, timely examination after childbirth, the determination of temporary or undiagnosed earlier pathologies help to avoid the risk of developing cervical cancer.

[6]