Those who have not given birth can cauterize erosion. The main causes of cervical erosion in nulliparous women. Symptoms in nulliparous women

Women's diseases overtake patients at a very early age, but the worst thing is when the disease puts an end to health during reproductive age, making it impossible to conceive a child and happy motherhood.

But sometimes it happens that diseases of pregnant women overtake those who are not yet expecting a child.

There can be many reasons for this phenomenon, and the consequences can be different, which once again hints that there is no need to self-medicate so as not to aggravate the situation.

This article will talk about such a problem as in nulliparous girls and women.

What is uterine erosion?

Ectopia (erosion, pseudo-erosion) of the cervix is a violation of the integral structure, a defect in the mucous membranes of the vaginal cervix, which manifests itself in women at any age and requires a detailed examination and mandatory timely treatment, because erosion of the cervix can be the beginning of oncological damage to epithelial tissue.

Particular attention is paid to patients with the presence of(HPV) high-risk cancer factor (types 16, 18, 31, 33), infected with the herpes virus, in this case the risk of manifestation increases several times.

When viewed through a probe, erosion appears as a red area located around the external pharynx, varying in size from 3 mm to 2.5 cm. Pseudo-erosion can progress over months and years.

Reasons for appearance

In addition to childbirth, there are many cervical erosion. For example, trauma after an abortion (or “vacuum”), infectious and viral diseases, herpes and papillomas. Quite often, the disease also causes disruptions in the hormonal balance of the background or advanced inflammatory processes.

Causes of occurrence include:

Sexual infections;
Immunological diseases;
Hormonal imbalances;
Diseases of the kidneys and genitourinary system;
Trauma and systemic infections.
AIDS (indirectly).

The genetic factor also plays an important role.

NOTE!

If the patient has a hereditary tendency to uterine diseases, then erosion can appear at a very early age and recur several times if the disease is not completely cured.

However, whatever the cause of erosion, the result is always the same: cracks begin to appear, which are overgrown with cells that have “migrated” from adjacent areas of epithelial tissue, for example, from the cervical canal. (In gynecological practice, this process is called ectopia).

Foreign cells that penetrate the cervix have different properties and can cause cancer.

Symptoms in nulliparous women

In the majority of cases, cervical erosion occurs in a “quiet mode”. In other words, they don’t come out, but the diagnosis is established during an examination by a gynecologist.

But it also happens that patients themselves turn to the gynecologist with complaints about problems that occur in a period far from menstrual cycle. Often after .

Women report pain during sex, purulent masses and bloody smudges. The reason for this is the inflammatory process occurring inside the uterus and nearby tissues.

Also observed:

Sleep disturbance;
Failure of the menstrual cycle;
Iron deficiency in the body due to blood loss;
Changes in mental and emotional state;
Panic attacks;
Tremor of the limbs;
Pain in the lower abdomen;
Digestive problems;
Nightmarish dreams.

Diagnosis of the disease

At your doctor's appointment, you need to submit a list of tests for :

Mirror gynecological examination.
Specialized examination using optical equipment (colposcopy).
A smear that will show the state of the vaginal flora.
Cytological studies.

If the gynecologist has diagnosed ectopia, then before starting therapy you need to check the eroded area for the presence of a malignant tumor. This will help greatly, which consists of analyzing a sample of the affected tissue. The examinations themselves are painless; during the biopsy there is slight pain that quickly passes.

How dangerous is the pathology?

A prolonged and uncontrolled inflammatory process leads to. A systemic infection may set in and spread to healthy organs through the bloodstream.

Moreover, such violations will provoke a failure of the hormonal system and a shift in the background towards catabolic processes.

The level of cortisol increases, which is a stress hormone that destroys tissue of internal organs and affects the psycho-emotional state. A woman thinks about blood all the time, which creates complexes and fear before sexual intercourse.

Do I need treatment?

The answer is clear - yes. Inflammatory processes not only disrupt the functioning of the body, but also take away strength from the body, which is trying to get rid of the disease and cure the inflammatory process.

It is advisable to do this after pregnancy, because not all methods can cure the disease without leaving a trace or with minimal changes, and the scar will cause problems during pregnancy and childbirth. If the treatment method does not foresee the formation of a scar, treatment can be done at any stage, even during pregnancy.

Treatment methods

Traditional methods

If there are already foreign cells inside the cervix, they will not go away on their own; on the contrary, they will only multiply.

Classic methods of treating cervical erosion involve removing the area where erosion develops. This is done with the help of physiotherapy. The widely used method is electrophoresis, shock and heat, vibration massage and UV radiation.

The main contribution to the fight against disease is made by antibiotics, which destroy not only exogenous cells, but also their own. The longer the affected area is in the body, the less the body fights it, mistaking it for its own tissue.

The surgical method of treatment shows a high percentage of effectiveness and a low percentage of relapse and complications, but leaves postoperative traces (scars).

Why is there danger?

It is the scars after cauterization that are the main problem in nulliparous patients, as they can cause great problems during pregnancy and childbirth.

For this reason, many women do not pay due attention to this problem, and every year the situation is getting worse. In some cases, a technique or the so-called is practiced - these methods are very effective, but require an experienced doctor and are used in advanced medical clinics.

The process involves a complex combination of polybasic acids, which aggressively act on foreign organisms and cause minimal damage to their own cells.

Benefits of chemofixation

The main advantage of chemofixation is that the wound heals without scarring after cauterization, which means it can be treated before pregnancy.

It is also important that treating the disease in this way is completely painless and does not require specialized equipment or the participation of surgeons. The cauterized area heals completely in three to four weeks, but within a few days after completion of treatment you can return to your normal lifestyle: have sex, visit public places (swimming pool, sauna).

As a rule, several sessions are needed for complete healing.

CAREFULLY!

Fertility is not directly inhibited. The chance of conceiving a healthy child decreases in direct proportion to the decrease in the volume of uterine tissue.

After operation

To consolidate the results of treatment, avoid complications, and eliminate the chance of relapses, you need to follow some of the doctor’s instructions and be observed by him for six months.

It doesn’t matter how the erosion was eliminated, you can have sex no earlier than 6-7 weeks after completion of the operation. Since all organisms are different, a more precise period should be checked with a gynecologist.

You need to postpone visiting saunas and baths, and do not swim in open water, so as not to cause an infection. Physical and aerobic exercise should be performed without fanaticism and only with the permission of a doctor.

Folk remedies (tampons, lotions) are of extremely questionable effectiveness and you should not rely on them when treating the disease. They won't make things worse, but they won't make things better either.

In the first 10-20 days, brownish or orange vaginal discharge is possible. This is nothing more than the breakdown products of foreign tissue that are excreted from the body. This is a normal process that indicates an improvement in the condition.

Disease prevention

Systematic diagnostics

Basic preventive measures involve gynecological diagnostics several times a year, even in the absence of obvious signs of the disease. As mentioned above, help is sought already in the extreme stages, when a significant area of uterine tissue is affected.

Diet

It is also important to follow a diet in order to eliminate the chance of cancer cell growth due to the consumption of carcinogens. Margarine and trans fats (store-bought baked goods, sweets, ice cream, etc.) should be excluded from food, and less fried and fatty foods should be consumed.

Hormones

Control hormonal levels, because it is the disruption of its balance that creates favorable conditions for the progression of the disease.

Sex life

No need to be messy sex life, not only because of the risk of contracting STDs, but also due to the fact that the affected uterus is more susceptible to diseases and foreign organisms.

Do not use peptides or tanning products containing melonotan-2. This substance is extremely dangerous for the immune system and for health in general.

Daily regime

Follow a daily routine, set aside 6-7 hours for sleep, because it is during sleep that the body restores its strength and all damaged areas, and it is lack of sleep that causes a blow to health no worse than the environment and unhealthy diet.

Hygiene

For hygiene procedures, you should not use ordinary water, because the bacteria that it contains are not dangerous for a healthy person, but can attack the immune system of a woman suffering from erosion.

Conclusion

In order to avoid becoming a victim of cancer, you need to respond to all changes in the body in a timely manner. Set aside a few hours for a visit to the gynecologist; perhaps this will save you from problems with women's health in the future. The number of germ cells is limited and no one can cure female infertility, which is caused by their deficiency.

Useful video

From the video you will learn what causes cervical erosion:

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Cervical erosion is diagnosed in every second woman. Half of them do not know about the disease, since this gynecological pathology in the early stages is asymptomatic. Very often, nulliparous representatives of the fair sex are at risk.

Untimely therapy can lead to infertility and cause the development of a malignant tumor. In order not to bring the body to a state where treatment will be long and complex, it is necessary to regularly visit a gynecologist. The doctor detects erosion of the cervix in a nulliparous woman during examination, but additional examination will be required to establish the cause of the disease.

The most common causes of cervical erosion in nulliparous patients are hormonal disorders and inflammation in the genital area. If the functioning of the body and reproductive organs is normalized, the damaged epithelium can recover on its own.
In addition to inflammation and hormonal imbalances, the occurrence of erosion is provoked by:

sexually transmitted infections;
injuries during sexual intercourse;
abortions, miscarriages;
early sexual life;
incorrectly selected contraceptives;
endocrine diseases;
weak immunity.

If, in the presence of erosion, a nulliparous woman does not experience pain symptoms, treatment is not resorted to. Very often, signs of erosive damage disappear after the birth of the child. Visits to the doctor in such cases are not canceled, since the identified disease can return at any time. Relapses occur frequently. To avoid complications, visit your gynecologist 1-2 times a year.

Hidden and obvious symptoms

Dangerous conditions include large erosions in nulliparous women. This pathology is accompanied by obvious symptoms, that is, it is impossible not to notice the problem. The menstrual cycle is disrupted, thick discharge is observed and pain and cramping in the lower abdomen are regularly felt.

The hidden form of erosion in nulliparous girls also has its own signs. It is difficult to recognize them, but with careful attention to yourself and atypical manifestations, deviations can be detected. Pay attention to any changes in the body: the appearance of profuse leucorrhoea, an increase in the duration of menstruation, nagging pain in the lower abdomen. If such conditions have not been noted before and become regular, go to the doctor.

Diagnosis and treatment

Girls who have not given birth can live with erosion until childbirth, but in some cases it is unsafe. Without treatment, the disease progresses. If the doctor decides to postpone therapeutic measures, the course of the disease must be monitored.

Damage to the uterine mucosa is detected during examination by a gynecologist. The affected area of the epithelium is visible through special mirrors. An erosive ulcer has a bright red color and a granular structure. For a deeper study of the internal defect and checking the erosion for good quality, carry out. This type of diagnosis makes it possible to detect any changes that are characteristic of malignant tumors.

Mandatory measures during the examination include a biopsy and smears to study microflora and detect dangerous infections.

Thanks to the emergence of new technologies and drugs, doctors know how to cure cervical erosion in a nulliparous girl effectively and painlessly. Depending on the size and type of pathology, conservative or surgical methods are used.

Conservative therapy

Conservative treatment is considered the safest for eliminating erosive cervical defects in nulliparous girls. Medicines help to cope with the disease. The doctor may prescribe Azithromycin, Clarithromycin, immunomodulators, Hexicon and Depantol suppositories. In eliminating small erosions in nulliparous women Vitamins and restoratives are always involved.

Chemofixation has proven itself well using drugs that contain a mixture of acids: Vagotil, Vulnostimulin, . During treatment of affected tissues chemical compounds diseased cells are destroyed. Healthy tissues are not damaged. There are no scars left after the procedure.

Cauterization of erosion

When conservative treatment of erosion in nulliparous women is ineffective, surgery is prescribed. It is a regular burn, with the help of which damaged tissue is simply removed. The only difference is in the method of influence. Before birth, radio waves and liquid nitrogen are used. The use of the diathermocoagulation method (cauterization with electric current) is contraindicated, since the woman may subsequently have problems with childbirth and conception.

Main danger

Treatment of erosion allows you to isolate and eliminate damaged parts of the epithelium, but during the procedures healthy cells can also be damaged. Radical therapy leads to disruptions in the menstrual cycle and exacerbations of chronic diseases. The greatest danger in treating erosion is the possible fusion of the canal and rough scars. Atresia of the cervical canal (fusion) often leads to infertility, and the presence of scars and scars negatively affects the structure of the tissue. During childbirth, loss of elasticity causes complications in the form of ruptures.

In addition, scarring often causes the uterus to spontaneously dilate during pregnancy. This may cause a miscarriage.

Congenital ectopia is not considered a pathology. According to experts, this is one of the stages in the formation of the genital organs. Therefore, cervical erosion in virgins is not treated. The same approach is often practiced in relation to nulliparous women. Due to the high risk of complications and serious consequences Doctors do not recommend therapeutic measures before the birth of the first child. But such decisions are made only after a thorough examination. There are critical cases when non-intervention can be dangerous to the health and life of the patient.

Erosion (ectopia, endocervicosis, pseudo-erosion) of the cervix is found in half of the girls and women of reproductive age. Visually, the disease is defined as redness in the area of the external opening of the cervix (the spot may not always cover the entire surface of the opening).

Erosion occurs when the cells lining the inside of the canal migrate to the vaginal area. Cervical erosion occurs in nulliparous women, children, girls and women who have given birth. This is due to the process of formation of the girl’s reproductive system in utero: the entire surface of the vagina and canal is first lined with columnar epithelial cells (internal cells), and later they are gradually displaced and replaced by flat epithelium (external cells).

Causes of the disease

The location of the epithelium in the vagina is influenced by many factors. The causes of cervical erosion in nulliparous women are:

The infectious nature of genital diseases (including STIs (sexually transmitted infections) caused by ureaplasma, gonorrhea, chlamydia or trichomonas).
Viral lesions of the internal genital organs (human papilloma, herpes).
Physical influences (sexual intercourse, surgical interventions, abortion).
Endocrine disorders in a woman’s body (including taking hormonal contraceptives).
Inflammatory diseases.
Metabolic diseases (diabetes mellitus).
Installation of an intrauterine device.
Irregular menstruation.
Frequent change of sexual partner.

Symptoms of cervical endocervicosis

In most patients, ectopia does not manifest itself, but there are some signs that suggest the presence of the disease:

Pain during sexual intercourse or immediately after intimate intercourse (pain can be mild or intense, pulling, cramping).
The appearance of brown vaginal discharge or streaks of blood after sex.
Leucorrhoea that accompanies a woman throughout her menstrual cycle.
Frequent relapses of candidiasis (more than once in a 3-week period).

Even if there are no symptoms, there is no guarantee that there is no disease either. For timely detection and treatment of cervical erosion in women who have not given birth to children, it is necessary to undergo examination by a gynecologist twice a year.

Diagnosis of the disease

When visiting a doctor, it is necessary to conduct a number of studies to confirm or refute the diagnosis:

Gynecological examination on a chair using mirrors.
Special examination using the optical instrument of a colposcope (colposcopy).
A smear is taken to examine the vaginal flora.
A cytological examination of the smear is performed.

If the gynecologist suspects ectopia, then before starting therapy it is necessary to check the eroded area for the presence of malignant neoplasms. To do this, a biopsy is performed (separation of a small area of atypical epithelium) followed by identification of the tissue material.

During the research, the woman does not experience pain. During the biopsy, discomfort and slight bleeding may occur in the following hours.

Why does erosion need to be treated?

There is a possibility of independent transition of the epithelium of the inner lining surface of the opening of the cervix into squamous epithelium located on the walls of the vagina. This process may be accompanied by the formation of a scar, which leads to a decrease in the elasticity of the cervix. This increases the likelihood of complications during pregnancy and childbirth:

Risk of fetal asphyxia during passage of the cervix due to its inelasticity.
During natural childbirth, an inelastic area of tissue can be injured (torn), the wound surface is highly susceptible to various diseases (candidiasis, bacterial vaginosis, various STIs, viruses, including the human papillomavirus).
If rigid (inelastic) tissues rupture during pregnancy, then there is a possibility of miscarriage and intrauterine death due to infection.

Another risk is associated with the ability of the eroded area to malignize (transition into a malignant tumor). According to statistics, the number of detections of cancerous tumors on the cervix increases every year. Doctors associate this process, among other things, with untimely treatment of ectopia.

Why should nulliparous women not be able to use certain therapies?

If the treatment method is incorrectly selected, scarring may form and the canal may become fused. The consequence of the latter is infertility. If serious injuries occur, insufficiency may develop, causing spontaneous dilatation of the cervix during pregnancy (risk of miscarriage).

Therefore, it is necessary to carefully select a technique. Treatment of cervical erosion in nulliparous women cannot be carried out using cauterization methods, exposure to low temperatures (cryodestruction), or electrical destruction. All of the above methods have a high probability of scar formation, canal adhesions, menstruation disorders, exacerbations of inflammatory diseases, extensive wound surface and destruction of healthy squamous epithelium. In addition, rehabilitation sometimes takes from one to three months; it is necessary to abstain from sexual relations, bathing, and physical activity. During the procedures themselves, the patient experiences pain.

Treatment methods for nulliparous women

There are several methods to cure the disease in all categories of women. First of all, this is the impact of chemical agents. Modern drugs containing mixtures of acids that selectively act on columnar epithelial cells do not damage normal cells. Such chemicals include:

Vulnostimulin.
Vagotil.
Solkovagin.

The wound surface heals quickly and no scar is formed.

Treatment of cervical erosion in nulliparous women can be carried out with laser beams (CO2 laser and helium-neon laser are used). In combination, these 2 lasers allow you to achieve 100% results. When using laser treatment for ectopia, wound healing occurs faster than with cryodestruction or electrocoagulation.

Another most gentle method of erosion therapy is a non-contact radio wave surgery device.

Since changes in the cells lining the cervix can be caused by an STI, it is necessary to first undergo tests to identify them and, if necessary, treat them. It is also necessary to cure inflammatory diseases and thrush. In some cases, this is enough to completely cure cervical endocervicosis. If this does not happen, the doctor will prescribe suitable treatment.

There are alternative methods of treating ectopia that can be used in nulliparous women, these include:

Hirudotherapy (use of leeches).
Using tampons with herbal ingredients from various manufacturers.
Using self-prepared solutions based on herbal ingredients for use as tampons.

Such techniques are not widely used and their effectiveness has not been scientifically proven. If you wish to use them, a mandatory consultation with a gynecologist is necessary.

What are the causes of cervical erosion in nulliparous women, where did the disease come from?
The disease is insidious and dangerous because it does not manifest itself in any way. Only a gynecologist can detect it during an examination. And also in the later stages, erosion can quickly become an oncological disease. The causes of erosion in nulliparous women can be very different, from ecology to congenital pathology. It is easy to treat, especially if detected in the early stages.

Young women often have a question: is it possible to cauterize erosion in nulliparous women and what to do in this case?

Cervical erosion in nulliparous girls is a serious disease with adverse consequences if left untreated. Untreated erosion can cause cancerous tumors. But even despite this, many women voluntarily delay the treatment process, believing that there is nothing wrong with it.

Such experiments are simply inappropriate when it comes to your health, reproductive functions, and even life. Many nulliparous women are convinced that after childbirth this disease disappears. Meanwhile, the disease progresses. It will never go away without treatment.

Causes of erosion

Immediately after the diagnosis is made, it is necessary to undergo treatment. With timely diagnosis, you can get rid of erosion in one session by cauterization. How exactly to carry out treatment is decided only by the attending physician. A woman can only analyze the condition to find out the cause of the disease.

There are several possible reasons:

Sexually transmitted diseases caused by chlamydia, trichomonas, cocci;
human papillomavirus (HPV);
herpes virus;
hormonal imbalance;
endocrine system disorders;
untreated inflammatory processes;
damage to the uterus during abortion;
early sexual relations;
allergic reaction to contraceptives and sperm.

At the damaged site, small cracks first form, in place of which ectopia or erosion later forms. Erosion is diagnosed in both parous and nulliparous women. Moreover, cervical erosion also occurs in virgins. After forty years, erosion is rarely diagnosed.

Why do girls suffer?

In virgins, cervical erosion does not occur, since she is not sexually active and the cervix cannot be injured.

Girls may have ectopia. More often The causes are associated with various inflammatory diseases of the genitourinary system:

cystitis;
thrush;
colpitis

To make a more accurate diagnosis, the doctor carefully takes a smear to study the vaginal microflora.

The cause of such manifestations cannot be heredity. Most often, this is a careless attitude towards one’s own health, failure to comply with basic rules of personal hygiene. Thin tights, short skirts, holey jeans - such a tribute to fashion can negatively affect health, which leads to the need to treat cervical erosion in nulliparous women and virgins. Against the background of the inflammatory process, ectopia occurs.

Symptoms of erosion

As already mentioned, the disease in a nulliparous girl is dangerous because it is practically asymptomatic. Only a gynecologist can understand that this is erosion during a routine examination.

During the examination, the doctor notes:

the presence of small cracks in the cervix;
during the period of absence of menstruation, bleeding is observed;
Bleeding may occur after sexual intercourse;
the same bleeding may appear after examination by a gynecologist.

If such symptoms are detected, the gynecologist can make an assumption about the presence of erosion. After which he prescribes an examination and recommends urgent treatment. Cauterization of cervical erosion in nulliparous women is still used today. But this is a modern, more humane method.

Diagnostics

Diagnosing cervical erosion in a nulliparous woman is quite simple. Sometimes a visual examination by a gynecologist is enough to make an accurate diagnosis. But after examination and if a disease is suspected, the woman will still have to undergo a thorough examination in order to understand at what stage the disease is and whether erosion needs to be treated.

A smear to determine the vaginal microflora, histology and identify the causative agent of the disease.
Colposcopy. A special calposcope device is used. Before such an examination, acetic acid is applied to the affected tissues, which makes it possible to identify all affected tissues using the backlight of the device.
PCR diagnostics are carried out to detect human papillomavirus and herpes virus.
Biopsy if there is a suspicion of cancer.
A woman will also need to undergo a blood and urine test to determine her hormonal levels and the presence of viruses in the body.

After the results obtained after the examination, the gynecologist can diagnose a more accurate picture and prescribe appropriate treatment.

The examination will show the following data:

erosion;
pseudo-erosion;
congenital erosion of the cervix.

Pseudo-erosion— healing of cracks and erosive wounds does not occur, displacement of the columnar epithelium is observed. This is a disease that most often affects nulliparous women and virgins.

Congenital erosion, the name alone can cause panic. But it is precisely this stage that does not cause concern among doctors. They claim that this is a normal condition of the cervix during a girl's natural puberty due to hormonal fluctuations. But the same stage can be a consequence of infectious diseases, which often appear due to failure to comply with basic hygiene rules and hypothermia.
You should visit a gynecologist 2 times a year

To cauterize or not to cauterize? New treatments

Cervical erosion. Treatment for nulliparous women ten, twenty years ago was carried out using the cauterization procedure. Excision alone was considered an alternative treatment. But after such a procedure, the soft tissues of the cervix lost their natural elasticity, which affected the favorable resolution of labor. The cervix cannot open completely. This led to breakups. Modern methods of treatment are more gentle, guaranteeing that a girl (girl) will be able to give birth in the future without pathologies. There are several of them:

laser cauterization;
using a high-frequency device “Fotek”;
radiosurgical excision using the Surgitron device;
treatment with the drug Solkovagin.

These methods eliminate the possibility of injury to the cervix. Therefore, it is best to treat erosion in nulliparous women using innovative methods to avoid rupture during childbirth. But such treatment methods are most often carried out in private clinics.

In district antenatal clinics, only two methods are used:

chemofixation;
physical burn

Chemofixation- a modern, gentle method. After it there are no scars left, the cervix does not lose elasticity. After the procedure, it is not prohibited to take baths, and there are no long-term restrictions on sexual activity. And then, this is a completely painless method. After treatment with this method, a nulliparous woman must avoid hypothermia, observe personal hygiene rules, and not drink alcohol. There is a slight discomfort in the form of a nagging pain in the lower abdomen, which quickly passes.

Physical burn- This is an old, but slightly improved method of cauterization. The greatest effectiveness of this method is achieved in the early stages of the disease. In this case, the gynecologist can guarantee a 100% cure. It is this method that involves cauterization with laser, nitrogen, current, and radio waves.

After a physical burn, a woman may feel discomfort in the form of pain.

Moreover, a burn has a number of negative factors:

During the procedure, healthy tissue may be damaged;
the rehabilitation process may take three months;
During this period, sex and bathing are prohibited;
any physical exercise, classes in gyms will have to be cancelled;
After treatment, scars remain on the cervix.

A physical burn is not used when the disease is already in an advanced state. Therefore, when the question arises: is it necessary to treat cervical erosion? One can only answer in the affirmative.

If erosion is started

A nulliparous woman should be jealous of her own health. And if erosion has reached a neglected state, then you only have yourself to blame. Treatment in this case can be conservative or surgical.

An examination is prescribed to identify the pathogen or cause of erosion. Treatment of advanced cervical erosion in nulliparous women is carried out using conservative methods so as not to disrupt reproductive functions. In this situation, immunostimulating, hormonal, and anti-inflammatory drugs are prescribed.

Sometimes the disease is at such a stage that treatment can only be surgical:

diathermocoagulation - cauterization with high-frequency current;
cryodestruction - cauterization with liquid nitrogen.

These are quite painful procedures, after which long-term rehabilitation will be required.

But even in an advanced state, erosion can be treated with modern methods using a laser. Due to the high cost of the procedure, not everyone can afford it. however, this is the most productive and effective method, eliminating serious consequences, discomfort and long-term rehabilitation.

Folk and traditional medicine are united in one thing - a woman must observe the rules of personal hygiene, not get too cold, not change sexual partners, and lead a normal, healthy lifestyle. In this case, she is not in danger of cervical erosion (ectopia).

Traditional medicine, to solve these problems, offers many recipes that were used by our ancestors. But treatment with traditional methods should be carried out only in combination with traditional methods or as a preventive measure. It is extremely imprudent to replace treatment with traditional ones. This can lead to the disease becoming more advanced.

Several recipes are offered that will be excellent additional tools during the period of treatment or rehabilitation.

Calendula tincture with propolis. The product is diluted in warm water and used for douching.

Aloe or Kalanchoe juice. It is mixed with creamy natural oil or internal fat (150 g), forming suppositories that can be placed in the vagina at night.

Herbal decoctions that have anti-inflammatory properties, can be used for douching. These are St. John's wort, calendula, yarrow, coltsfoot, plantain.

Honey You can use it in its pure form or form it into candles with oil or fat.

Sea buckthorn oil is perfect for the same purposes., which is used both in pure form and in the form of candles.

You can buy royal collection at any pharmacy, which is ideal for douching.

Every woman and girl needs to know that any folk remedies should not be used for too long, as this may disrupt the microflora in the vagina. Any chosen method must be agreed with the gynecologist.

Establishing a diagnosis of ectopia during an examination by a gynecologist raises the question of treatment for a woman. Doubt about whether it is necessary to cauterize erosion is based on prejudice about the painfulness and harm of the procedure. Delaying treatment destabilizes the body and may cause difficulty conceiving in the future.

The absence of symptoms during cervical erosion does not alarm a woman and she learns about the diagnosis, most often, during a routine examination by a gynecologist. In most cases, the doctor does not detail the patient’s condition and the decision on treatment is made intuitively.

Information about whether nulliparous women can cauterize erosion will allow them to make an informed decision about timely and adequate treatment.

The diagnosis given to a woman by a gynecologist may imply three different conditions of the cervical mucosa. This:

true erosion, in which bleeding wounds and microcracks are found on the cervix, when pressed, drops of blood or ichor are released;
ectopia, or the appearance of red areas on the cervix. They can be of different sizes and, if severe, cover the entire cervix. Red spots are formed by a specific cylindrical epithelium, characteristic of the internal (cervical) canal of the cervix;
congenital ectopia, which is a feature of the development and formation of a woman’s internal genital organs and is considered a physiological, natural condition that disappears on its own after reaching the age of 20.

The areas of red epithelium on the cervix are formed by cylindrical cells, which are arranged in one layer. Their functions differ from those performed by ordinary cells of the integumentary pink epithelium, tightly connected to each other and arranged in several rows.

The cervical epithelium is single-row and is unable to protect the cervix from mechanical damage that may occur during sexual intercourse. Normally, the mucous membranes of the cervix and vagina secrete a small amount of liquid mucus, the purpose of which is to remove dead epithelial cells and bacteria.

The purpose of the cylindrical cells is different - they must ensure the targeted movement of sperm to the uterus. The thick mucus they produce hermetically seals the cervical canal, preventing foreign fluids and infections from entering the cervix.

Areas of red epithelium that appear in the wrong place begin to produce atypical mucus, which becomes a breeding ground for various pathogenic microorganisms, which, under certain conditions, can provoke the appearance of inflammatory processes.

The condition of true erosion is diagnosed quite rarely - wounds and damage are detected within 10-14 days and tend to heal on their own. For various reasons, the affected areas are covered not with flat, but with cylindrical epithelium, i.e., ectopia is formed.

Causes of erosion

Many women cannot correlate the fact of the appearance of erosion with the lack of active sex life or the absence of children. The true causes of erosion have not been fully studied; the number of women who show signs of erosion or ectopia allows us to speak of pathology as a complex condition.

The cause of congenital erosion in nulliparous women is a failure of the natural mechanism of maturation of the girl’s internal genital organs. Normally, in female infants, the entire vagina is lined with cervical epithelium. As people grow older and their hormonal levels change, the cervical epithelium is replaced by squamous epithelium.

In women with congenital ectopia, the “maturation” of the epithelium is delayed due to a mechanism that has not been fully studied. The condition does not require any treatment. The doctor may only be concerned if a pathogenic infection occurs.

The causes of erosion in nulliparous women may be:

infection with sexually transmitted diseases or a specific sexually transmitted infection (gonorrhea, syphilis, chlamydia, etc.);
hormonal imbalances due to long-term use of hormonal contraceptives;
thyroid diseases;
incorrect or unsuccessful placement of the intrauterine device;
previous abortions;
infection with the human papillomavirus and its activation;
development of herpetic infection;
too hard sex;
use of simulators and mechanical vibrators;
changes in vaginal flora under the influence of frequent sexual intercourse with different partners;
too infrequent sexual intercourse;
psychosomatic factors.

Acquired erosion in the early stages of development does not cause concern for women. Some small deviations from the norm are perceived as temporary symptoms. An increase in pain during sexual intercourse and the appearance of discharge indicate the addition of inflammation to the existing erosion.

Manifestations of erosion

Symptoms of true erosion may include:

pain in the lower abdomen after sexual intercourse or before menstruation;
pain during sex;
the appearance of pink, brown or bloody discharge, leucorrhoea streaked with blood after sexual intercourse;
the appearance of copious discharge with an unpleasant yellow or greenish odor indicates the addition of an infection and the appearance of inflammation.

Ectopia may present with similar symptoms, but more mildly. The danger of erosion and ectopia is that they support inflammatory processes in the body, destabilizing its condition.

The growth of cylindrical and glandular epithelium into cysts can block sperm access to the cervical canal and prevent conception.

To correct such conditions, cauterization is used in combination with conservative treatment. This term is not entirely correct; it has been preserved since the use of the method of cauterizing ectopia with electric current.

Methods for treating erosion

The question of whether it is possible to cauterize erosion in nulliparous girls is faced by every patient to whom the doctor informs about the need for treatment. Until now, most women believe that it is painful and dangerous.

The reason for the fear is as follows: ten years ago, the main method of stopping erosion was diathermocoagulation (cauterization with high-frequency current). This method is still used today due to the simplicity and availability of the equipment, and the ability of most doctors in the antenatal clinic to work with it. The specificity of the method is severe pain, which is caused by the effect of current on the muscles of the cervix, the formation of an extensive burn and scars that deform the organ.

Now the method is not applied to nulliparous women. Deformation and scars resulting from cauterization do not allow the cervix to stretch to the required diameter and become an obstacle to childbirth. Its ruptures further injure the woman during childbirth and can cause disturbances in the child.

Modern methods of surgical removal of columnar epithelium allow a gentle and gentle influence on the mucous membranes of the internal genital organs, preserving a woman’s ability to conceive and normal natural childbearing.

Only a doctor can determine the type of cervical erosion and decide whether it can be cauterized or not after a complete diagnosis of the condition.

Is cauterization of erosion necessary and should it be done before childbirth? The doctor’s tactics may be different and depend on the condition of the individual patient.

If a slight erosion without traces of inflammatory processes is diagnosed, the doctor can take a position of dynamic observation. It means:

examination of the woman once every 6 months;
taking a smear for bacteriological culture;
blood control for the presence of STDs and HPV.

If no infection is observed, cauterization of the ectopia is not performed. Often, a woman’s body copes with ectopia on its own after the hormonal levels are equalized. If such a woman becomes pregnant, in most cases, cervical erosion after childbirth disappears on its own without treatment.

What will happen if you do not cauterize the erosion that formed before childbirth due to inflammatory processes? Female body During pregnancy, it becomes more vulnerable to infection. The reason is a natural decrease in the immune threshold for the possibility of bearing a child.

Untreated erosion and inflammation will be a source of constant destabilization of the body, affecting the course of pregnancy and the condition of the child. During childbirth, the cervix, weakened by erosion, does not stretch well, is less elastic, and often ruptures.

This explains why timely diagnosis and treatment of erosion should be carried out even before conception - this will ensure normal gestation and childbirth.

Diagnostics

The initial stage of treatment is an accurate diagnosis of the woman’s condition and determining the cause of the disease. Only after this can the doctor choose the exact and correct treatment. For this purpose:

examination of the cervix in the speculum;
taking a smear to determine the vaginal flora;
blood tests to determine the woman’s condition and the presence of sexually transmitted infections, HIV, HPV;
hormone analysis;
Analysis of urine;

An accurate diagnosis of the condition of the cervix and possible cellular pathologies is possible only after examining it using a colposcope - a device that allows you to examine the organ under targeted light and multiple magnification. When a major erosion is identified, the doctor can use both conservative and hardware treatment.

Moxibustion treatment

Why does cauterization become one of the most optimal methods of treatment? Conservative therapy takes longer and can often be ineffective. Cauterization is a shock to the body, which mobilizes internal resources and helps eliminate columnar epithelium quickly and with great efficiency.

Cauterization is used as part of a complex treatment, which includes:

medications to treat inflammation. The composition of drugs is determined after bacterial studies;
restorative drugs and vitamins;
traditional medicine recipes;
hormonal drugs (if necessary);
lifestyle changes (regulating sex life, quitting alcohol and smoking, losing excess weight).

To treat nulliparous women, the latest methods of eliminating ectopic epithelium are used:

laser vaporization;
radio wave treatment;
cryodestruction.

Radio wave therapy is considered the standard for cauterization. It is carried out using special devices Surgitron and Fotek. Its positive aspects are:

painlessness - the waves “push apart” the cells, minimally damaging the tissue;
bloodlessness – vessels are “sealed” when exposed to radio waves;
the formation of a smooth, clean surface in the ectopic zone instead of a scab, characteristic of other types of effects on the mucous membranes;
a short rehabilitation period, allowing you to plan a pregnancy after 3-4 months from the moment of cauterization.

The only disadvantage of the radio wave cauterization method is its relatively high cost and availability exclusively in large clinics.

Rehabilitation and re-erosion

A woman’s behavior after cauterization is aimed at creating the most favorable conditions for healing of the cauterization area. A woman is prescribed:

sexual rest;
gentle diet;
general strengthening procedures.

Prohibited:

hard physical labor;
swimming in open reservoirs and pools;
steam room and hot tub;
smoking and drinking;
use of sanitary tampons;
wearing synthetic underwear.

If the doctor’s instructions are followed promptly and completely, the woman recovers in 60 days and can plan to conceive.

If after childbirth or after any period of time repeated erosion is diagnosed, the development factor may be:

incorrect identification of the cause of erosion;
inappropriate behavior of a woman who does not follow doctor’s orders.

Timely detection and treatment of erosion using modern methods will allow a nulliparous woman to become pregnant and give birth to a healthy child without complications.