Cervical erosion - a congenital or acquired defect, damage to the mucous membrane. This is one of the most common gynecological diseases. Every day such a diagnosis is made to thousands of women. During pregnancy, it is impossible to actively combat pathology, the doctor will prescribe a full treatment after the birth of the child. Erosion after childbirth can occur due to the childbirth itself - the epithelium is damaged, which is in the cervix. Due to treatment, scars may remain.
Erosion after childbirth and the possibility of a new pregnancy
Erosion has no influence on a new pregnancy, but if it was actively treated before this period, everything depends on the methods. Scars that are formed during the treatment of cervical erosion after childbirth on soft tissues may affect its disclosure during childbirth. If there is a chance of complications, doctors recommend paying maximum attention to the soft tissues of the cervix, and treat with sea buckthorn oil. During the planning period of pregnancy, women with postpartum erosion and the presence of scars are advised to consult a gynecologist, agree with him on all actions and obtain information about the threat that self-medication carries. If you do not treat the disease, infectious diseases, other pathologies, and oncology may arise in the future.
Causes of postpartum erosion
Erosion can be diagnosed before delivery or manifests itself a few weeks after the baby is born.
The probable causes of the diagnosis of pathology and why it was formed during pregnancy:
- infectious diseases,
- hormonal drugs
- weak immune system
- early sex life
- mucosal damage.
Causes of illness after childbirth:
- hormonal imbalance
- mechanical damage at birth,
- sloppy or unprofessional sutures.
In order to determine the true cause of the doctor takes a smear from the vagina, scraping, a blood test is done. In order to avoid complications after childbirth, the woman should immediately start treating the ulcer.
Erosion in the west and here
When we have cervical erosion is considered a serious gynecological disease, not timely treatment of which can lead to cancer, in other countries pathology is treated differently. Gynecologists in the west do not consider erosion a disease. In the United States and Western Europe, there is no such disease in the classification. For them, this is the medical myth of the post-Soviet countries.
This does not mean that there women are protected from such diseases. The concept of "cervical erosion" is, but means a rare disease - ulceration of the surface of the vaginal opening of the cervix. In Russia, an analogue of the European term is a disease - erosive cervical ectropion.
In the countries of the post-Soviet space, the concept of "cervical erosion" is used erroneously to designate not real pseudo-erosion. Visually, they resemble those that are abroad, but in fact they differ. Foreign doctors believe that pseudo-erosion does not need to be treated, as there is no inflammatory process and infection. In their opinion, this is a normal physiological condition.
Diagnosis and treatment of erosion
Detect the disease can be when viewed from a gynecologist as early as a couple of weeks after birth. This pathology may be asymptomatic and will only be detected during the next pregnancy or when infectious diseases of the reproductive system are detected.
In the early stages of pain, sharp, stabbing symbolizes the need to take drastic measures. The reason for the immediate visit to the gynecologist is the symptoms:
- highlighting unpleasant smell and color
- damage to the cervix of the patient,
- lower abdominal pain
- burning, itching in the vagina and cervix.
Despite the fact that the doctor treats the diseases of the uterus of a woman with the help of medicines, it is impossible to defeat erosion on your own.
The method of treatment of giving birth depends on the factors:
- the patient's state of health,
- how much the disease is running,
- the size of the ulcer
- age of the woman, her health and other.
It is necessary to cure the symptoms of the treatment that gave birth to the symptoms of giving birth to erosion, by restoring hormonal function or using cardinal methods.
This may be cauterization of cervical erosion. It is used if everything is in order with the hormonal component of the woman, otherwise, the method will not bring success in treatment. To identify and eliminate the type of the disease, diagnostics and treatment are carried out.
Post-traumatic erosion occurs due to childbirth, abortion. This condition is characterized by mechanical damage. Cauterization or several destructive methods of treating erosion are used for treatment. And for better healing using ointments, candles, tampons. Many women neglect timely treatment, the consequences of the disease can be very dangerous.
Before self-medicating with folk remedies a woman needs to consult with a doctor. The most common methods of traditional medicine:
- Tampons with olive, eucalyptus, sunflower oils.
- Douching infusions of hemlock and armalakazii, calendula, St. John's wort, burdock, celandine, evading peony, salt.
- Applique surface of the cervix fir oil.
- Fir water on an empty stomach.
- Ointment from propolis, petroleum jelly, lanolin.
Now there are a lot of erosion treatment methods:
Chemical coagulation - affordable, but not very effective treatment. It consists in applying the solution of Salkovagin on the ulcer, by colposcopy for accurate application of the medicine.
Liquid nitrogen (cryotherapy) - effective method, occurs on the basis of freezing of affected tissues.
Electrocoagulation or diathermy - on the fabric affects the heated electrode. Thermal burn occurs during anesthesia.
Laser processing - effective, safe method.
Radio wave surgery - Radio waves cause necrosis of the treated tissue.
Coagulation - effect on the focus of the plasma. The tool does not touch the fabric. The procedure is painless, modern.
Pregnancy after erosion treatment
Erosion is a disease that needs timely treatment. During pregnancy it is impossible to treat, after giving birth it is possible, necessary. Whatever method it was eliminated - this is not an obstacle to conception.
A small wound can lead to more serious diseases - cancer, infections. The main rule for women in whom postpartum erosion was discovered is not to start, not to ignore and not to delay its treatment.
Causes of postpartum erosion
Erosion is a pathological condition of the mucous membrane covering the vaginal region of the cervix. Usually it is formed as a result of either mechanical action on the uterine mucosa (in case of injury or abortion), or as a result of the inflammatory process associated with the penetration of infection.
During the passage of the child through the birth canal, the cervix must open so that the head could pass through its orifice. If it unfolds too slowly, rapid delivery occurs, then there is a gap in the tissue at the exit from the cervix into the vagina. The same thing happens with normal childbirth, if the fetus is large and has a large head.
Gaps also appear due to the fact that a woman perehazhivaet normal gestation, as a result of which the size of the fetus increases, labor is complicated. The risk of rupture increases with the violation of the structure of the cervical tissue and the formation of scars in the course of previous medical manipulations (cleaning of the uterus, abortions) or injuries.
After birth, the main causes of cervical mucous membrane defects and erosion are:
- Infection in the rupture area, if they are not carefully sewn and poorly treated with antiseptics. Small breaks may remain unnoticed. The reduced resistance of the organism to infections contributes to the rapid development of microorganisms and inflammation of the tissues of the cervix of the uterus.
- Presence of uterus and other genital organs not cured before.
- Changes in the composition and reduction of the thickness of the epithelial layer as a result of hormonal changes that occur during pregnancy.
Signs of erosion
Treatment of cervical erosion found during pregnancy is usually left for the next period, as it does not affect the condition of the fetus. After treatment, scars may remain, reducing the elasticity of the tissue, resulting in gaps. In some cases, erosion disappears after giving birth without treatment. This contributes to a qualified surface treatment of the cervix after the birth of a child, as well as the restoration of hormonal levels in the body.
If there is no cure or erosion is formed as a result of injury to the neck, then it is found during the subsequent routine gynecological examination. A sign of erosion is redness and swelling of the cervix of the cervix, the appearance of pus in the discharge.
Typically, bleeding (lochia) exists in a woman for another 6-8 weeks after giving birth. Gradually, they brighten and take the usual form. The existence of spotting brown secretions may be a sign of erosion after childbirth. In any case, if there are unusual discharge, causing itching and burning, as well as pain in the back or sacrum, the woman should consult a doctor. This will allow time to identify erosion and other diseases of the reproductive organs.
What is dangerous disease
Usually pain in the presence of erosion in a woman is missing. It is recommended for prophylactic purposes to undergo a gynecological examination 3 months after delivery. If a woman ignores the advice of doctors, it may not be aware of the appearance of erosion. If treatment is not started in time, the damage area increases, cells with an abnormal structure (atypical) are formed in the epithelium. Their further rebirth causes cancer.
Addition: If a woman plans to later have more children, then the most benign method of treatment is chosen for her, precluding scarring of the cervical tissue.
Diagnosis of erosion
In order to diagnose erosion after childbirth, establish the cause and choose the method of treatment, a survey is conducted, including:
- Colposcopy (inspection of organs with optical magnification and illumination of individual sections).
- Smear testtaken from the vagina and cervix to determine under the light microscope the so-called degree of purity of the vagina, that is, the composition of its microflora. The purity of the first degree corresponds to the norm. Grade 4 is a complete violation of the composition of the vaginal microflora: the prevalence of pathogenic bacteria (staphylococci, trichomonads and others) over the beneficial ones, an alkaline environment, an elevated leukocyte count. Such indicators are characteristic for the started inflammatory process.
- Detection in a smear of pathogens of latent sexually transmitted diseases (gonorrhea, trichomoniasis, candidiasis, syphilis, and others). To do this, apply PCR study smear methods of molecular biology. The DNA of microorganisms is determined, which allows you to accurately determine their type, as well as calculate how much they are present.
- Bacteriological seeding the contents of the smear to establish the type of bacteria, their sensitivity to drugs.
Among other things, research is done under a microscope of cervical tissue. When erosion in this way is determined by the nature of changes in the cells, the presence or absence of atypical processes.
In the treatment of erosion, the disease that caused its appearance is eliminated first. To do this, use drugs of the appropriate type (antibiotics, antifungal and antiparasitic drugs).
Treat erosion directly by starting 10 weeks after delivery. When choosing a method, the general state of health, the age of the patient, the presence of a previous birth, and planning for future pregnancy are taken into account.
Diathermy (electrocoagulation) - cauterization of the damaged epithelium by electric current. The method is used to treat women who have already given birth. It has many disadvantages: soreness, formation of scabs, which do not soon fall off, leaving scars. In subsequent births, the cervix may not open, normal delivery will be impossible. There will be injuries on the neck and complications of reproductive health. The advantages are ease of execution, low cost method. However, it is used mainly when running erosion.
Cryotherapy - cauterization with liquid nitrogen. The procedure is less painful, but just like burning with electric current, is associated with scarring of the cervical tissues, therefore the application of the method is limited.
Laser therapy - destruction of damaged cells using a laser beam. This is a non-contact method of treating erosion. The effectiveness of the method is great, it requires a high precision beam guidance to avoid damage to adjacent tissues. Treatment can be applied to women who have never given birth; it is safe, harmless, and requires only local anesthesia. Due to the complexity of the equipment, such treatment is not cheap.
Chemical coagulation - treatment of the area affected by erosion with special preparations containing acids (Solcovagine or Vagothyl). The treatment is inexpensive, but not always effective. Often relapses occur, since only superficial cells in the area of erosion are destroyed. Colposcope is used for accuracy.
Radio wave method. The so-called radio wave knife is used, with which the affected cells are destroyed and evaporated. The operation takes 15 minutes, there is no direct contact with the tissue, there is no injury, there is no pain. The method is most effective. It can be used in the treatment of women planning pregnancy and childbirth in the future.
Note: At an early stage, erosion of the cervix after childbirth can be cured with the help of anti-inflammatory suppositories that restore the vaginal microflora, which contribute to the regeneration of the epithelium (tergyanan, hexicon).
Cervical erosion is a so-called defect of the mucous membrane in a given area, which can occur as a result of many factors (traumatic or pathological). As a rule, a lesion that appeared before the age of 20 years is a common failure in the body, which occurs at the time of transitional age, and such a trauma of the uterine cervix, most often, goes away by itself. If erosion was formed in more adult females, then this means that we cannot do without skilled treatment tactics. The most common cause of such damage is childbirth. The wound area on the mucous surface can be formed as a result of traumatic exposure, which, at the time of the birth of the child, is secured.
Postpartum erosion may occur for the following reasons:
- the rapid process of birth of a child with a slow disclosure of the cervix,
- excessively large sizes of the fruit,
- traces of scarring on the mucous membrane (surgical interventions that were performed in the past),
- penetration into the arising breaks of various types of infections and their further progression and reproduction,
- the presence of diseases of the genitourinary system
- deterioration of the epithelium inside the uterine cervix, which occurs as a result of hormonal imbalance.
The above list of reasons is considered the most common, it is possible that erosion can also be formed due to another factor. The true provocateur of this disease is revealed by a qualified medical professional.
Symptoms of the disease
Erosion after childbirth in the initial stage, as a rule, progresses without any pronounced manifestations. But if it is not detected in time, then the following unpleasant symptoms may occur:
- violation of the menstrual cycle,
- the presence of discomfort in the genital area,
- excessively intense secretion of unnatural color and texture,
- lower abdominal pain
- presence of fetid odor from the vagina,
- deterioration in the general state of women's health,
- possible itching in the area of the urinary organs,
- the presence of pain at the time of sexual intercourse.
If the above symptoms appear, you should immediately visit your doctor.
Is treatment required?
Is the professional treatment of such pathology necessary and can erosion pass on its own? Unfortunately, ectopia, formed on the mucous membrane of the cervix, requires the intervention of medical specialists, which must be appointed in a timely manner, as well as be highly effective and safe for the female body.
How to treat cervical erosion after childbirth
Treatment methods for cervical erosion can be very diverse and should be administered exclusively by a qualified gynecologist based on the diagnostic results obtained.At the initial stage of the disease and when ectopia has not yet reached a large size, doctors prescribe therapy with pharmacological preparations, vaginal suppositories and tampons, and, in some cases, resort to treatment with folk remedies. In situations where the lesion of the mucous membrane is in a more neglected state - not to do without cauterizing the wound. In order to choose the most effective and suitable method, the doctor must understand whether the victim is going to have children in the future, as some methods of treatment adversely affect the reproductive function of the woman.
The most highly effective method of therapy, which is also not dangerous for the further female health and reproductive system of the female. The essence of the procedure is to influence the ectopia that has arisen with the help of a device emitted by laser beams, without affecting the nearest, undamaged soft tissue.
The oldest and most dangerous method of treatment, which is indicated only in women who have given birth, who do not intend to become a mother. Such treatment is aimed at eliminating erosion using high voltage electrical current. At the time of such a procedure, the affected tissues of the uterine cervix are affected, but damage to healthy parts of the epithelium is also possible. The most common consequence of this electrical coagulation is scarring of the mucous membrane in the neck, which provokes a narrowing of the passage, preventing the fetus from normally passing through this area.
Cryodestruction is a painless medical procedure for eliminating ectopia, which is based on the use of a special apparatus emitted by liquid nitrogen. Such manipulation should be carried out exclusively by an experienced specialist, who will help to ensure that the flow of cold is directed only to the affected area of the epithelium, otherwise scarring and damage to healthy tissue cells is possible.
Medical workers do not recommend self-treatment, but it is possible to use folk remedies for cervical erosion in conjunction with comprehensive medical treatment. Common Recipes:
- one spoonful of dried calendula blossoms must be filled with two cups of boiled water, infused for 30 minutes, filtered and used as a douching,
- 4 tbsp. l dried flowers of Hypericum should be filled with two liters of boiling water and boil for another ten minutes, insist another half hour, drain and also use as a douche for two weeks.
It is not uncommon to combat the formed erosion using tampons moistened in broths and therapeutic fluids that relieve inflammation and accelerate the healing process of the wound area on the mucous membrane. The most common recipes are:
- aloe juice with honey. 20 milliliters of honey and 3 teaspoons of aloe leaf juice are mixed into a homogeneous liquid, 3-4 drops of castor oil are added and the tampon is soaked for 3-5 minutes with this drug. Every day, for two weeks, a woman inserts a tampon into the vagina for the whole night,
- rosehip oil. For 14 days each night, the girl needs to soak a personal hygiene product in rosehip oil and inject it into the vaginal cavity,
- Sea buckthorn oil. The course of therapy should last no less than ten days and end only when, at the gynecological examination, the doctor notifies that the erosion and all its associated symptoms have completely passed. To prepare such a remedy, it is necessary to grind a certain amount of sea-buckthorn fruits, pour them with any kind of vegetable oil (1: 5) and keep cooking for four hours in a water bath. After preparation, cool the resulting liquid, moisten a tampon in it and drive it into the vaginal cavity every night.
Argon plasma coagulation
No less effective method of cauterization, at the moment of which the impact occurs with the help of the emitted gas - argon. It copes with the restoration of the damaged epithelium in the cervical cavity, stops minor hemorrhages and, with a qualitative approach, you can reduce the risk of scarring of soft tissues.
To prevent the development of postpartum ectopia, the following prophylactic rules should be followed:
- eliminate promiscuity
- twice a year to be examined by a gynecologist,
- adhere to the established rules of hygiene,
- use different types of contraceptives to avoid unwanted conception and abortion,
- timely treat identified diseases of the genitourinary system
In case of unqualified or untimely treatment of erosion, the following adverse effects may develop:
- complete or partial deformation of the uterine cervix,
- distortion of the menstrual cycle,
- development of uterine dysplasia,
- the occurrence of cancer,
- impaired reproductive function.
After complicated deliveries and various mechanical damage during them, in addition to cervical erosion, a disease such as cervical ectropion may occur. This pathology has similar symptoms with ectopia and is characterized by the appearance of eversion of the uterine cervical mucosa into the vaginal cavity. The progression of such a defect requires the immediate intervention of experienced specialists, since it also threatens with the development of dangerous complications, including the deterioration of the female's reproductive function, and may impede the subsequent possibility of becoming pregnant. Such a disease is treated with the help of a conservative and surgical intervention, the method of therapy and the subsequent prognosis completely depends on the stage of progression and the diameter of the lesion of soft tissues.
Erosion after childbirth and new pregnancy
If an ectopia was found in the female and she is going to have children in the future, then a qualified medical worker should choose a method of treatment that does not affect the reproductive function of the future mother. As a rule, in such cases, non-contact and gentle methods of cauterization (radio wave and laser) or lesion therapy using pharmacological means and traditional medicine are prescribed. It is also very important that after the treatment of erosion in the uterine neck and conception of a child it takes at least one and a half years.
Causes of postpartum pathology
Therefore, to avoid the appearance of scars with subsequent complications, the doctor decides to fix the problem after delivery.
Although, quite often, due to the restoration of hormonal background, the disease passes on its own, without postpartum treatment and treatment of the cervix.
Signs and symptoms, discharge from women who have given birth
Cervical erosion can be detected when a woman turns to a gynecologist., some time after delivery.
In the initial stages, it is asymptomatic. The main symptom is cervical edema and noticeable redness.
If the disease was not diagnosed in a timely manner, the symptoms of erosion will be felt by the appearance of:
- purulent vaginal discharge,
- discomfort and pulling pain in the abdomen,
- burning and itching in the genital area.
These signs may indicate not only erosion, but also of a neglected infection and a number of comorbidities and diseases contributing to its appearance, which require immediate treatment.
Any discharge, discomfort or pain should be a reason to go to the doctor.
This will allow not only to diagnose erosion, but also to prevent diseases of other reproductive organs.
Late treatment helps to increase the area of damage, due to which the formation of atypical cells begins in the epithelium, the further degeneration of which provokes the formation of a malignant tumor.
Erosion of the cervix is of three types:
Cervical erosion - causes, symptoms and treatment:
Diagnosis of the disease
The main thing in the diagnosis of cervical erosion - to identify the nature of changes, which occurs at the cellular level, as well as the absence or presence of atypical processes in the tissues.
At the moment, medicine has the four most common diagnostic methods:
Treatment of erosion after childbirth depends on the extent of damage, neglect of the disease, the age and health of the patient and other related factors.
Modern methods include:
electrocoagulation. The method to which more women are cautiously treated.
Treatment occurs by burning the damaged areas with an electric current, causing the patient severe pain.
The disadvantage of the method is the presence of a scar after healing. However, this method is gradually becoming a thing of the past and is replaced by more humane and less painful ones.
How is cervical erosion treated:
What is erosion of the uterus
The causes of erosion in women who gave birth may be the following:
- hormonal imbalance
- weakened immunity
- breaks in the passage of the child through the birth canal,
- infectious diseases
- Incorrectly stitched seams when eliminating gaps.
Often, the disease is asymptomatic and only in the latter stages can it be felt. Signs of erosion may not appear for quite a long time if it is not identified immediately after childbirth.
Only a doctor can recognize erosion when viewed on a chair with a gynecological mirror.
However, in some instances, the following the symptoms:
- spotting (more than 6 weeks),
- purulent discharge with an unpleasant smell,
- burning sensation and itching in the vagina,
- pulling pains in the abdomen,
- pain and discharge of blood during intercourse.
Types of disease
There are 3 types of this disease:
- congenital - detected in adolescent girls, does not require treatment, because it never develops into a malignant form and can pass by itself,
- the true - is in the area of the throat, sometimes bleeds, the site of damage is minor. There may be purulent discharge, the period of the disease - no more than a crescent. Requires treatment with local drugs to relieve the inflammatory process,
- pseudo-erosion - has a rounded shape, bright scarlet color. The value varies from a couple of millimeters to 2-3 cm. Characteristic purulent-mucous discharge. The duration of the disease is up to six months. This type of erosion has frequent relapses. It is the most dangerous disease, it requires an urgent start of treatment with the help of hormonal therapy and the rehabilitation of the inflammation center with local medicines (candles, creams, vaginal tablets). In severe cases, cautery may be necessary.
In general, erosion is detected on a routine examination by a gynecologist a few weeks after birth. It is easy to distinguish it from the surrounding tissues by its bright color and granular structure.
In this case, the doctor is obliged to take smears in order to identify the pathogen.
In some cases (for example, when the size of the erosion is small) is assigned colposcopy (studies of the cervix and vagina with a colposcope). This type of diagnosis helps to distinguish pseudo-erosion from true one.
Among other things can be held biopsy (tissue sampling for microscopic examination) - this method is used at the first signs of cell malignancy.
Also, the gynecologist may recommend to undergo examination for HPV (Human Papillomavirus), as its types can provoke the onset of cervical cancer. This procedure is painless, just take a scraping of tissue from the affected area with a spatula and a brush.
Can erosion pass by itself
It is impossible to get rid of erosion alone (if it is not innate). Yes, and self-treatment is not the best way out at high risk of developing tissue into malignant ones.
Only a doctor based on the results of tests can prescribe complex therapy. It usually includes hormones, antibiotics, immunostimulants, topical medications and even cauterization (with nitrogen, current, laser).
This type of treatment helps at the initial stage:
- relieves inflammation
- destroys the pathogen,
- speeds up the healing process.
- antibacterial (Betadine, Azithromycin, Augmentin, Penicillin),
- antifungal (Fluconazole, Hexicon, Livarol, Pimafucin),
- antiviral (Acyclovir, Valtrex, Famvir),
- immunomodulators (Likopid, Immunal, Anaferon, Taktivin),
- multivitamin complexes (Vitrum, Pregnavit, Complivit, Alphabet, Elevit, DoppelHerz).
So, the absolute indications for cauterization are:
- link_webnavoz] cell dysplasia [/ link_webnavoz] (precancerous condition),
- a significant area of the cervix affected by the disease
- recurrent variant of the disease,
- postpartum ectropion (inversion of the cervical canal),
- formation of scar tissue
- foci of endometriosis (proliferation of cells lining the uterus, out).
It is worth getting rid of this disease in the first decade of the cycle, that is, from 6 to 10 days (it is necessary that critical days just end).
The main options for the procedure of cauterization are:
- cryodestruction (treatment of the erosion area with liquid nitrogen). This method is considered the most safe and effective, because it does not affect healthy tissue. No pain from the procedure. The healing process lasts about 5 weeks,
- diathermocoagulation (burning of abnormal cells with high frequency current). The whole procedure takes 10-15 minutes, after it pain is observed. This type of cautery is recommended for women who are no longer planning a pregnancy. After all, it can provoke scar formation or narrow the cervical canal, which will complicate the generic process,
- argon plasma coagulation (exposure to radio waves amplified by an inert gas). The procedure does not require anesthesia and causes only a little discomfort. Healing occurs in a month and a half. This method is safe and quite effective, because the doctor sees the entire area of influence during the manipulation,
- laser excision (represents the sighting effect of the laser apparatus on the lesions of the affected tissue). The procedure is contactless; only unhealthy cells are exposed to it.The session duration is about half an hour, and it is performed under the control of the colposcope. This method allows you to fully control the depth of processing. This is a safe way to cauterize erosion,
- surgical method (excision of erosion with a scalpel). This is the most outdated and traumatic way of dealing with the disease. It is not suitable for women who want to have children. In most cases, this method is not used, because there are other, safer methods of cauterization,
- radio wave treatment (characterized by a combination of incision and coagulation of soft tissues under the action of high-frequency current). The procedure is a kind of soldering of nerve endings, which makes it absolutely painless. When using this method there is no thermal damage to the tissues, which eliminates the appearance of scars. The method is suitable for women who are planning to have a child.
The method of cauterization of the erosion area is selected based on the testimony and wishes of the woman.
In addition to the above methods, erosion is also treated by other methods:
- chemical coagulation (refers to conservative treatment). Treatment in this way involves treating the erosion area with special solutions that corrode the cells from the inside. Most often used Vagothyl and Solkovagin. These medicines soak the tampon and inject it deep into the vagina for a couple of minutes. The procedure is carried out on an outpatient basis and does not cause side effects. It may take several sessions
- vaginal suppositories. These drugs are applied topically, they are able to remove the inflammatory process, accelerate the process of wound healing after cauterization, have a contraceptive effect and even kill pathogenic microorganisms (fungi, papillomas, viruses). Enough two-week course of treatment. Candles can be based on iodine (Betadine), chlorhexidine (Hexicon), benzalkonium chloride (Erotex). They are prescribed not only as an independent medicine, but also as part of a combination therapy, together with hormonal drugs or after the cautery procedure.
Causes of the disease after childbirth
The main reason for the development of erosion after the birth of a child is mechanical damage to the cervix during the progress of the fetus through the birth canal. It occurs if:
- the delivery was swift
- the woman was pregnant or the fetus was large
- early (up to 18 years) or late (after 30 years) childbirth,
- the cervix did not open or opened slowly in the process of delivery.
Another reason is hormonal changes in pregnant women (elevated progesterone levels). And also contribute to the development of erosion can be sexually transmitted infections. As is known, due to hormone fluctuations, expectant mothers decrease immunity, therefore the risk of infection in this category of women is much higher.
What infections provoke the development of erosion?
- Human papillomavirus infection.
Symptoms and diagnosis
There is a perception that erosion is always asymptomatic, and it can only be revealed after visiting a gynecologist. In fact, the symptoms of the disease are not very pronounced, so many people simply do not notice it or blame it on other diseases.
What symptoms can cause cervical erosion to be suspected?
- Excretions of mucous or mucopurulent character in an increased volume, sometimes with a brownish tinge (blood admixture).
- Spotting after sex. Women often interpret them as "careless" sexual intercourse.
- Pain during or after having sex.
- Pulling pains in the abdomen outside the menstruation period.
Erosion - a red spot on a pale pink background
It is very easy to diagnose erosions; a standard gynecological examination is enough. In this case, the gynecologist must take a swab for cytology - the identification of abnormal tissue cells. It helps eliminate precancer or cervical cancer.
To confirm the diagnosis, doctors use extended colposcopy - examination of the cervix with a magnifying glass and a beam of light with a mandatory biopsy for suspected edema.
As an additional examination, specialists suggest PCR (polymerase chain reaction) for the presence of human papillomavirus in the blood. This study helps to identify strains of microorganisms that provoke the development of cervical cancer.
Complications of cervical erosion
Untreated erosion is an ideal breeding ground for pathogens. In a woman's body, the cervix acts as a protective barrier against the entry of foreign bacteria into the cavity of the reproductive organ and its appendages. When erosive damage the integrity of the barrier is broken, which contributes to the smooth invasion of microbes. Unfortunately, chronic inflammation of the uterus and appendages leads to infertility.
Neglected erosion is the surest path to the development of a malignant tumor. Over the past 10 years, the incidence of cervical cancer among young women (30–34 years) has increased significantly. The reasons for this: a rare visit to a gynecologist, lack of treatment, infection with human papillomavirus (sexually transmitted).
Untreated erosion leads to cervical cancer
These complications can be easily avoided. It is enough to visit the gynecologist once a year, to diagnose and treat diseases of the reproductive system in a timely manner.
Electrocoagulation (diathermocoagulation) is the oldest method of cauterization of cervical erosion using high frequency electric current. The procedure is painful, but is carried out without anesthesia, is not a gentle method, often damages healthy tissues, because of this, the healing process increases, and the risk of complications increases. The duration of the manipulation is 20 minutes.
- high efficiency (97–98%).
- prolonged healing (2.5 months)
- high risk of bleeding, endometritis (inflammation of the internal mucous membrane of the uterus),
- scarring and stenosis (narrowing) of the cervix, which can further lead to infertility and problems with delivery.
The procedure can take place only giving birth to women who are not planning to become pregnant anymore.
The essence of the procedure is the freezing of the pathological mucous membrane, followed by the death of the damaged cells.
Cryodestruction is freezing with a special probe of the affected cervical tissue.
- rapid rehabilitation (up to 1.5 months),
- lack of stenosis and scarring,
- elimination of the possibility of bleeding.
Burning erosion with liquid nitrogen is a painless and safe procedure.
Cryotherapy is quite effective and does not lead to complications, its only drawback is a large number of contraindications:
- inflammation of the pelvic organs,
- cervical cancer,
- erosion sizes more than 3 cm
- cervical deformity
- cryoglobulinemia (presence of cryoglobulins in the blood),
- pregnancy and breastfeeding.
Laser therapy (laser coagulation) is a method of cauterization of erosion by laser. The beam penetrates a point to a certain depth, does not injure healthy tissue. After therapeutic treatment, damaged cells reject themselves. Manipulation is performed on an outpatient basis, often under general anesthesia.
Cervix after laser therapy and 4 weeks later
- rapid rehabilitation (1–1.5 months),
- effective removal of erosion with a diameter of more than 3 cm,
- the absence of bleeding (simultaneously with the removal of erosion, vascular coagulation takes place),
- preservation of reproductive function (low risk of scarring and stenosis),
- 100% effective.
The disadvantage of the method is the high cost.
A method for treating cervical erosion by exposing the affected epithelium to an acid. Used drugs - Vagothyl, Solkovagin. The procedure is simple: first, the doctor dries the cervix with a dry swab, then treats the affected area with acids for 3 minutes, and removes the remnants of the substance with a clean swab.
Solkovagin - a drug used to treat erosion
- painlessness (even without local anesthesia),
- the speed of the manipulation,
- suitable for women who have not given birth (leaves no scars),
- components of drugs are not absorbed into the blood,
- no bleeding.
- not used for the treatment of erosion more than 1 cm in diameter,
- for complete recovery, you may need several procedures.
Radio wave method
Radio wave method - a safe non-contact treatment with radio waves, carried out by the Surgitron apparatus.
Uterine cervix before and after radio wave treatment
- fast healing (up to 1 month),
- no complications
- no cicatricial changes after the procedure,
- 100% effective.
In our country, this technique has not yet gained high popularity due to the high cost of the Surgitron apparatus.
What a woman needs to know about erosion - video
Preserving reproductive health is an important part of every woman’s life. When symptoms indicate a gynecological pathology, you should immediately seek qualified help, because illnesses can only go away if we treat them.
Causes of postpartum erosion
Faced with such a negative state as ectopia, women ask a logical question, why does cervical erosion occur after childbirth? There are several factors of appearance of this pathology:
- with slow dilatation of the cervix during labor, accompanied by the rapid birth of a baby,
- large child,
- if there is scarring on the mucosa, formed as a result of a surgical procedure performed earlier,
- penetration of microbes into ruptures and their further development,
- pathology of the genitourinary system,
- deterioration of the epithelium resulting from hormonal disruption.
Important: Erosion, detected during childbirth, does not adversely affect the development of the fetus.
The above causes of cervical erosion giving birth are considered the most common. It should be emphasized, cervical ectopia after childbirth, may occur due to other negative factors. In view of what, only a doctor can determine a true provocateur, after carrying out a number of diagnostic measures. Therefore, with the first symptoms, a woman should immediately visit a gynecologist.
Considered pathology can be identified during a routine examination of a woman by a specialist, some time after birth of the child. In the initial stage of development, erosion is asymptomatic and does not bother the patient. In this condition, the specialist will be able to identify the problem of redness and swelling of the cervix.
In the case when the disease was not detected in time, the symptoms of cervical erosion after childbirth will manifest themselves in the following ways:
- vaginal discharge, purulent nature,
- pain, located in the lower abdomen,
- itching and burning of the genital area.
Similar symptoms signal not only the development of erosion, but also the existing infectious pathologies, in an advanced stage. In view of this, any discomfort or the appearance of discharge should be a reason to go to a doctor. It is important to remember that late treatment provokes an increase in the area of the lesion, and this may result in the transformation of an existing defect into more severe pathologies. And in some cases, the appearance of malignant neoplasms.
What is dangerous pathology
What happens if untreated cervical erosion after childbirth is not treated? The disease in question is, in fact, a wound formed on the lining of the uterine cervix. And if left untreated, it will increase in size and undergo inflammation. Moreover, the more the wound area becomes, the more difficult it becomes to find adequate treatment that does not harm women's health.
If the ectopia is of small size, it will be possible to overcome the pathology with medical therapy. This method is considered the safest and harmless to reproductive function. But if the wound has reached a large size, it will be necessary to resort to cauterization to eliminate it. The result of this manipulation will be tissue damage and scarring. And this will negatively affect the future planning of the child.
In addition, delayed elimination of erosion can trigger the development of a number of negative consequences:
- partial or complete deformation of the cervix,
- failure of the menstrual cycle
- manifestation of dysplasia,
- development of oncological pathologies.
Erosion of the cervix requires immediate treatment, since such a phenomenon, as already mentioned above, can adversely affect the reproductive function of the representative of the beautiful half of humanity. Moreover, the advanced stage is often the culprit for the development of cancer.
How is cervical erosion treated in giving birth? Methods for eliminating the pathology in question are varied and are selected strictly taking into account all the individual characteristics of the female body. At the initial stage of the disease, therapy with the use of medications, such as:
- vaginal suppositories to combat the provocateur who caused the erosion,
- drugs aimed at restoring the natural microflora,
- vitamin complexes to strengthen the immune system.
Important: If an erosion is suspected, in order to avoid negative consequences, a representative of the fair sex should immediately consult a doctor for examination and diagnosis.
In the case when the mucous membrane is severely affected avoid cauterization will not succeed. With this condition, the doctor, taking into account all the features of the woman’s body and her future plans for conception, will select the most benign methodology for carrying out this manipulation.
Radio wave method
Currently, the radio wave treatment method of erosion is considered the most progressive. This method is shown both to not giving birth, and giving birth to women. Manipulation is performed in the first phase of the cycle.
The radio wave method has several advantages:
- the absence of gross scarring of the tissue, in which there is a violation of the normal structure of the cervix,
- rapid healing of a wound defect
- the possibility of further planning the birth of a child.
Using the considered technique, the specialist succeeds in eliminating several erosions of different sizes at once in one session. After the manipulation, the healing process takes up to 4 weeks. At this time, a woman may begin to be disturbed by discharge, a liquid type. They appear due to rejection of the film, which covers the surface of the defect.
This method of eliminating the pathology consists in cauterizing the affected area with electricity. After performing the manipulation in the place where the defect was located, a trace of a thermal burn is formed, which then becomes overgrown with connective tissue. Overgrown tissue reduces the elasticity and elasticity of the cervix, which in the future will adversely affect the opening of the birth canal during childbirth.
Electrocoagulation is used today in rare cases due to a number of side effects. Moreover, if earlier this method was shown only to women giving birth, today doctors try not to use electrocoagulation at all and often resort to modern and safe methods.
Moxibustion Acid Mix
Chemical cauterization is mainly used to get rid of the erosion of nulliparous women. For carrying out the procedure in question, a special acid mixture is used, which is used to treat the areas affected by the pathology. Used mixtures do not enter the bloodstream and do not leave coarse scars, which can interfere during labor.
This technique is contraindicated if the following negative factors are found on the cervix:
- focal inflammations
- defeat has a large area
- the formation of mild dysplasia.
After chemical cauterization, a positive result is observed within a few days. It is worth noting that a similar technique can be applied to women who have given birth. However, there is no guarantee of effectiveness.
Laser destruction is one of the most popular methods, which is carried out without anesthesia, because it does not cause severe pain. This technique is the evaporation of a defect by a laser beam with simultaneous soldering of the capillary. Due to what, the procedure takes place without the slightest blood loss.
After the laser destruction, the epithelial membrane is restored without scarring within a week, provided that the affected area is not large. To resort to this method is recommended 2 months after the resolution of pregnancy.
For the treatment of erosion after birth, you can use a variety of herbal infusions and other improvised means. Among the most effective recipes are infusions prepared as follows:
- Prepare decoctions of herbs to choose from calendula, chamomile or St. John's wort,
- raw materials should be thoroughly dried and minced in a meat grinder,
- take 2 tbsp. spoons of any herb and pour 2 cups boiling water,
- all mix and let it brew for an hour
- Further, the finished infusion is filtered and the resulting mixture is used for douching.
Important: You can hold douching decoction of oak bark.To prepare take 2 liters of water and 2 tbsp. spoons of crushed raw materials. All mixed and boiled for 20 minutes. The resulting decoction is used for a month.
The procedure is performed in the morning and evening. The course of herbal treatment is 3 weeks, then you need to take a week break and repeat the therapy again.
This method has proven to be very effective. However, in order to get a lasting result using tampons, you need to start treatment when erosion has not yet managed to hit large areas of the mucous membrane.
Most often resort to the following recipes:
- Take a teaspoon of honey and pressed aloe juice. Both components are well mixed until a homogeneous mass. Put the swab into the prepared mixture and hold it until it is completely soaked with the prepared product. Then, before going to bed, the tampon is inserted into the vagina, and carefully removed in the morning. The course of treatment is 2 weeks,
- In a bilge oil dip a tampon for 5 minutes. Next, take out and gently inject the impregnated means of intimate hygiene into the vagina overnight. This manipulation must be repeated daily for 14 days,
- If the first signs of the formation of erosion have appeared, you can try to moisten the tampons with sea buckthorn oil and inject into the vagina at night. As a rule, a significant improvement occurs already on the 4th day, and by 10 the pathology and the accompanying symptoms completely disappear.
Important: The effectiveness of folk remedies is confirmed repeatedly. However, the use of such techniques, not knowing the causes of erosion and the scale of the lesion is strictly prohibited.
The considered methods are able to eliminate inflammation, speed up the healing process of the affected mucous membrane and have virtually no side effects.
It is much easier to prevent the manifestations of postpartum erosion than to try to fight this pathology. To do this, just follow a few simple rules:
- eliminate promiscuous sex
- every six months to be examined by a gynecologist,
- observe the hygiene of the intimate zone,
- if you are not planning to conceive a child, use contraceptives,
- in identifying pathologies of the urogenital system, in a timely manner to undergo medical therapy.
Important: Erosion can be called a gate for harmful microbes, which, getting into the female body, provoke the development of more dangerous conditions. Because of this, this negative phenomenon requires immediate treatment.
Observing the simplest preventive measures, a woman will never be asked what is the cause of cervical erosion.
Erosion and new baby planning
If a woman is diagnosed with ectopia and she wants to have a baby again in the future, you should inform the doctor about your plans. Since this decision depends on the selection of methods to eliminate the pathology.
In the overwhelming majority of the planned re-pregnancy, the doctor resorts to contactless cauterization methods, which most sparingly affect the dislocation zone of the pathology in question. In the case when the ectopia is small, drugs are shown in tandem with folk remedies.
If the method of dealing with the pathology is chosen correctly, the woman safely carries the child. It is important to remember that after identifying and successfully treating erosion, you need to wait 1.5 years, and only then begin planning for the next pregnancy.
Summarizing all of the above, it should be emphasized that timely diagnosis and correctly selected treatment tactics guarantee complete deliverance from the pathology in question in the shortest possible time.
In the case when the disease is not eliminated for a long time, there is a danger of creating an additional object of infection. And this is fraught with the development of serious complications, including malignant neoplasms.
Symptoms and signs
If there were tears during the birth, then chances of erosion development are high. Pathology while developing asymptomatic. A woman may not even be aware of this problem when lactating and breastfeeding. Often it is possible to learn about the disease only during a scheduled visit to the gynecologist.
Clinical manifestations of pathology are observed in the event of an infection being added and in the case of a neglected form of the disease. Therefore, you should not wait until the first symptoms appear, treatment should be started without delay.
Erosion of the cervix after childbirth is dangerous in that against the background of its development, inflammatory processes can begin. Pregnancy and childbirth - a huge stress for the body. A woman needs a lot of time to restore the immune system and hormonal levels. The body becomes susceptible to various diseases.
Erosion can cause the appearance of pain, which is most often observed during intimate intimacy. As a rule, such symptoms are observed in case of the beginning of the inflammatory process. At the same time, uncharacteristic vaginal discharge also often appears.
After the end of postpartum uterine bleeding (lohii), whites appear. In the case of erosion, they become abundant, often acquire a yellowish or green tint. You should not hope that the pathology can pass by itself. If there are such clinical manifestations in women who gave birth, you need to be examined by a gynecologist.
Causes of erosion
The causes of cervical erosion after childbirth can be very different. Most often, pathology is formed as a result of mechanical action on the mucous membrane, therefore women who have undergone not only the process of childbirth, but also an abortion or miscarriage with subsequent scraping of the uterus often suffer from it. It is formed due to ingestion of an infection that provokes the inflammatory process.
During childbirth, to make it easier for the child to pass through the birth canal, the cervix is revealed, this is natural and provided by nature. But if she does not have time to do it, then gaps occur. This also happens during normal childbirth, if the head of the child is too large. Often, erosion is formed as a complication when a woman goes over her usual gestational age. Experts identify the following causes of erosion after childbirth:
Contact with the formed ruptures of microbes and infectious agents. This occurs when insufficient treatment with antiseptic solutions of the wounds or instruments themselves.
- Lower body resistance to infections or the onset of inflammation in the uterus.
- The presence of diseases of the uterus or other organ of the reproductive system.
- Changes in the thickness of the epithelial layer, its strong decrease in a short period. This is a common occurrence during a complicated pregnancy.
- Mechanical damage to the cervical mucosa in the process of childbirth.
- Violation of the technology of stitching on the formed gaps.
- Bacterial or fungal infection in the cervix.
- The development of a viral infection (herpevirus, papillomavirus).
- Serious hormonal disruptions in the body of a woman.
The reason for the development of pathology is determined by the doctor after a routine inspection, based on the history of the woman. This largely determines the course of treatment of the disease, allows you to correctly select a course of drugs in the postpartum period.
Symptoms of the disease
If the pathology is not accompanied by an inflammatory process, then it is quite difficult to identify it yourself. This insidious erosion after childbirth: the symptoms are almost invisible, and the woman turns to the doctor too late. Therefore, experts recommend visiting a gynecologist according to the schedule established after childbirth and not skipping receptions.
With the complications of the disease, as well as with a severe course of the disease, the woman notes the following signs:
- Discomfort during intercourse (pain, discomfort).
- The appearance of discharge with streaks of blood.
- Itching in the vagina.
- An unpleasant burning sensation after intercourse.
- Back pain or sacrum.
- Appears in the discharge of pus.
- Aching pain in the abdomen.
If at least one of the listed symptoms appears, you should immediately consult a doctor to determine the problem. The doctor reveals erosion already at the initial examination, after which he prescribes a suitable treatment.
Visually notice the pathological changes in the cervix of the uterus gynecologist can on a routine examination. But to determine the nature of such processes at the cellular level will help him modern methods of diagnosis. Before starting treatment, the gynecologist prescribes the passage of one of the following types of research:
Laboratory study smear. He takes his gynecologist directly from the cervix. It aims to study the organ microflora. Experts in the laboratory using a light microscope, determine the alkaline environment, the number of leukocytes and the purity of the vagina. In this way, it is also possible to reveal the prevalence of dangerous microorganisms (like staphylococci) over the beneficial ones.
- Colposcopy. The technique involves the study of the body when illuminating individual areas and their strong optical magnification.
- Bakposev. Appointed to determine the specific bacteria that serves as the causative agent of the inflammatory process. It is also necessary for detecting microbial resistance to a number of antibacterial agents.
- PCR. The study involves the collection of a smear, but in this case it is directed to the detection of the causative agent of sexually transmitted diseases. Usually, mycobacterium gonorrhea, syphilis, and trichomoniasis are detected in this way.
Treatment of cervical erosion in giving birth begins with testing, passing one or more diagnostic studies. They are determined individually for each patient by the attending physician. It all depends on the characteristics of the course of the disease, as well as on the alleged cause of erosion.
The main methods of treatment
Today, many modern erosion control methods are being proposed. However, many of them are simple, safe and free of pain (using a laser or liquid nitrogen). The optimal way to treat erosion after childbirth is determined by a specialist. The following factors are taken into account:
- The size of the damage.
- The degree of neglect of pathology.
- The overall health of the woman.
- The age of the patient.
- The desire to give birth in a few years, children naturally.
There are instrumental methods, as well as time-tested recipes from traditional medicine. It is not recommended to use the last option on your own without consulting a gynecologist, since this can lead to serious consequences.
Pregnancy after therapy
If a woman is still planning to give birth, you should warn the doctor about it. Usually, with traditional cauterization, pregnancy is recommended not earlier than in a year and a half, during which time it should disappear completely.
Almost always, after the treatment of erosion, a woman can bear and give birth to a child naturally. It is only important to apply and follow the established recommendations in a timely manner, as well as regularly undergo preventive check-ups and monitor the state of health.