Endocervicitis: symptoms and treatment
Endocervicitis is an inflammation localized in the cervical canal area. Very often inflammatory changes on the cervix are combined with the same inflammatory processes in the vagina, because the main cause of inflammation is infection.
Seventy percent of young women who go to a women’s consultation have endocervicitis of the cervix. In this case, the clinical manifestations of this disease has almost no, so often women do not even guess that they have an inflamed cervix. In addition, the acute stage of inflammation, if not treated, quickly turns into a chronic, the symptoms of which, in general, are not expressed. So the diagnosis of endocervicitis is usually given to women in a routine planned survey, and not on the basis of complaints.
As mentioned above, the cause of the disease is an infection. And it can be both bacteria, brought from outside, and conditionally pathogenic microorganisms that normally live in the vagina of a woman and begin to actively multiply with a decrease in local immunity.
Endocervicitis is caused by:
- E. coli
At the same time, only gonococci and Trichomonas can cause severe symptoms. The disease, which has arisen as a result of infection with other microbes (conditionally pathogenic), is asymptomatic, so often in women diagnosed with chronic endocervicitis, when the infection deepens into the mucosa, and the outer surface of the cervix regenerates.
Predisposing factors to the development of this pathology are various injuries and surgical interventions:
- cervical injuries in childbirth
- installation of the intrauterine device
- diagnostic or curative curettage, etc.
That is, lead to the development of the inflammatory process in the cervical canal can various damages of the mucous layer, into which the microorganisms easily penetrate. Also, the causes of the disease can be inflammation in the vagina and uterus. Usually the inflammation spreads ascending, that is, from the vagina to the cervix and then to the uterus, the fallopian tubes and appendages. But sometimes it can develop downward — the appendages, the uterus, the cervical canal.
The most common diseases that cause endocervicitis are:
- cervical ectopy;
- Cervical erosion
- Endometritis and others.
As mentioned above, there is acute and chronic endocervicitis. And the symptoms of the disease will depend on its shape. If this is an acute form, a woman will complain about:
- plentiful discharge from the vagina, having a serous, serous-purulent or purulent consistency
- itching and burning in the area of the external genitalia
- Minor disruption of the overall condition.
But since these symptoms are also present in other inflammatory diseases in the uterus and vagina, it is impossible to make an accurate diagnosis on their basis and therefore a visual examination of the patient, including her cervix, is necessary to diagnose endocervicitis.
If we talk about chronic endocervicitis, then its symptoms are even less pronounced. Usually, the discharge decreases or does not go away when the disease passes into a chronic form and the women feel that they have recovered from the disease. In fact, inflammation penetrates deeper layers of the mucosa, therefore the chronic process is characterized by periods of exacerbation and fading.
The doctor can determine the chronic endocervicitis based on the examination of the patient — on the cervix of the uterus, you can see a red border that indicates inflammation, while the cervix itself has a natural pinkish color.
We need to say about such signs of endocervicitis as thickening of the cervix, development of hypertrophy of its muscular membrane, the appearance of petechial hemorrhages on it, as well as the presence of eroded areas. Such signs are characteristic of the chronic process, which allows the doctor to diagnose and successfully treat the disease.
Separately, I should say about endocervicitis in pregnancy. In those cases, if the inflammatory process is timely diagnosed and cured, it does not pose a threat to the fetus. However, specific endocervicites caused by trichomonads or gonococci have the property of rapidly spreading along the ascending paths, which is extremely dangerous for the fetus in the womb of the mother. Therefore, endocervicitis and normal pregnancy — things are incompatible, and if a woman has this pathology before pregnancy, she should be cured beforehand, and then think about conception. If a woman falls ill with endocervicitis during pregnancy, it is necessary to urgently treat the disease. The treatment plan is developed on the basis of laboratory data and the sensitivity of the vaginal microflora to antibiotics.
Diagnosis and treatment
Since the symptoms of the disease are not expressed and can be inherent in different vaginal diseases, the diagnosis is based on the examination of the cervix in the mirrors, which allows you to see purulent or serous-purulent discharge from the cervical canal, flushing and puffiness of the cervix, as well as other symptoms inherent in this pathology .
Confirm the diagnosis will help the cytogram, as well as bakposev and PCR diagnostics. Prescribe the necessary ultrasound to make sure that the infection has not spread to the uterus and appendages.
Depending on what causes provoked the disease, the appropriate treatment for endocervicitis is prescribed. Antibacterial or antiviral drugs must be prescribed to kill the pathogen. The treatment also includes the use of topical vaginal suppositories, such as terzhinan, betadine and other broad-spectrum antibacterial suppositories.
It is necessary to restore the microflora of the vagina after taking and topical administration of antibiotics. For this purpose, use candles with lactobacilli — Vaginorm, Aciclat, etc. To successfully treat the disease and eliminate its symptoms, you should also increase the immune properties of the body. In addition, good immunity will protect a woman from possible recurrences of endocervicitis, so immunocorrectors are also used in treatment.