Ectropion of the cervix: symptoms and treatment


The ectropion of the cervix is ​​the inversion of the mucous cervical canal into the vagina, which leads to the formation of inflammation and often causes the development of rather severe complications. The main cause of the appearance of such a disease is traumatic lesion of the cervix, which is often associated with labor.

The clinical picture is caused by the presence of several symptoms, among which are white discharge from the vagina, a disorder of the menstrual cycle and severe pain syndrome in the pelvic region.

The correct diagnosis can be made only after gynecological examination and instrumental examination of the patient. Treatment consists in minimally invasive surgical procedures.

Etiology

An ectropion can form against a large number of factors that will differ depending on whether the woman gave birth or not.

Thus, in girls or young representatives of the weak half of humanity who do not have children, this pathology is formed on the background of hormonal disorders of a functional nature that can develop as a consequence of the course of a primary illness or a malfunction of the body.

It is worth noting that this form of ailment can appear even during intrauterine development. This state is often characterized as physiological. This indicates that it can pass by itself.

Acquired ailment is traumatic and can develop under such circumstances:


  • premature birth, in which the cervix simply does not have time to fully open, because of what is broken;
  • therapeutic or diagnostic activities in this area. For example, abortive abortion or diagnostic curettage
  • the birth of a large fetus
  • Multiple fetuses
  • use of obstetric forceps.

Classification

Depending on the causes of the onset, the ailment is divided into:


  1. congenital ectropion of the cervix — is considered the most rare form of the disease. Often carries a hormonal character and rarely requires surgical operations
  2. acquired or traumatic ectropion of the cervix — often accompanied by other gynecological pathologies, for example, endocervicitis or endometritis.

Symptoms

The ectropion of the cervix alone can be completely asymptomatic, but in cases of inflammation attachment, the following clinical manifestations can be noted:


  • profuse transparent vaginal discharge, which in due course can acquire an off-white shade or have purulent impurities;
  • hemorrhages of varying degrees of intensity;
  • soreness and heaviness in the lower abdomen
  • Discomfort and discomfort during or after intercourse
  • Irradiation of pain in the lumbar region or sacrum, less often — in the coccyx zone

In most cases, the appearance of such a symptom indicates a combination of ectropion of the cervix and erosion.

Diagnostics

How to treat the ectropion of the cervix uterus gynecologist will be able to solve after an instrumental examination of the patient. However, it is not difficult to establish the correct diagnosis after a primary specialized examination.

The first stage of the diagnosis includes:


  1. detailing the patient’s complaints — for clarifying the first time of appearance and intensity of expression of unpleasant sensations
  2. study of medical history, labor activity and anamnesis of a woman’s life — this will reveal the most characteristic etiologic factor
  3. conducting a gynecological examination using special instruments

The laboratory tests are:


  • bacterial culture of the smear received during the examination
  • cytological examination of print smears
  • PCR diagnostics
  • A blood test to determine the level of hormones — only necessary if ectropion is characterized by an innate form.

In instrumental diagnostics prevail:


  1. Extended colposcopy — for assessing the condition of the inner surface of the cervix
  2. tissue biopsy at the site of the turnout

Treatment

Diagnosis of such a pathology is a direct indication for surgical intervention. Tactics of therapy may differ depending on the origin of ectropion. Thus, with the congenital form or in cases of minor lesion, the treatment can be carried out by the following methods:






  • Electrocoagulation — the disadvantages of this procedure is that it can lead to a large number of complications and damage to healthy tissues, and also that it requires a long recovery
  • Laser vaporization — is a virtually painless procedure that does not leave scarring and promotes rapid healing
  • cryodestruction

It should be noted that often the congenital ectropion does not require treatment.

With pronounced changes in the cervical canal after delivery, therapy involves the exercise:


  1. cervical excision — consists of stratified excision of affected tissues without damaging healthy ones
  2. conization is a similar technique, only the removal of tissues is carried out within the cone, whose vertex is facing the inner throat.

After excision of ectropion treatment should be directed to:


  • Elimination of the infectious process, which often accompanies a similar ailment
  • cosmetic correction of the cervix, which is performed with the help of an endocervical operation aimed at restoring such functions of the cervical canal as barrier and reproductive;
  • prevention of cancer processes
  • restoration of the possibility of conception.

After completing the operation, several important recommendations should be followed:


  1. giving up sexual relations for about a month and a half;
  2. restriction from heavy physical loads
  3. a complete ban on the use of hygiene tampons and douching
  4. refusal to visit saunas or baths, swimming pools or hot tubs

Good results can be obtained from the treatment of ectropion of the cervix with the help of prescriptions of alternative medicine. To prepare medicinal broths and infusions use:


  • bark bark and alder
  • Kalin and St. John’s Wort;
  • barberry and sweet clover
  • lemon and dope
  • marshmallow and chamomile
  • Mint and Valerian root
  • Field horsetail and plum blossoms
  • plantain and white acacia

Patients need to consider that folk remedies should not be the only way to eliminate the ailment, but can only be used as part of a comprehensive treatment.

Possible complications

The eroded ectropion of the cervix, or rather, the late started therapy, can lead to such complications:


  1. dysplasia;
  2. cervical cancer
  3. Cervicitis
  4. vulvovaginitis
  5. inflammatory lesions of the pelvic organs
  6. Infertility — this can lead to the fact that a woman can not become pregnant.

At the same time, surgical therapy of the disease can also cause the formation of some complications:


  • joining a secondary infection
  • narrowing of the cervical canal
  • postcoagulable endometriosis
  • re-development of the disease.

Prevention and Forecast

In order to avoid problems with the eversion of the mucous membrane of the cervical canal into the vagina, the following rules must be adhered to:


  1. A sensible approach to choosing a contraceptive method to prevent unwanted conception and abortion
  2. full medical support of labor activity
  3. Regular checkup with a gynecologist.

The congenital ectropion of the cervix has a favorable prognosis. The outcome of the traumatic origin of the disease can not be called unfavorable, because timely treatment has completely relieved the woman from an ailment, and complications develop quite rarely.

Ectropion of the cervix and pregnancy — these are comparable things, because the presence of such pathology does not entail a full inability to become pregnant. Moreover, the erosive type of ailment is not an obstacle to labor. Most likely, the inability to have a child will be associated not so much with the disease as with its caused complications. However, the possibility of infecting a baby during childbirth is not ruled out, which is why women with a similar diagnosis are recommended to have a cesarean delivery.