What kind of physician does a woman see most often? Few will certainly reject that the gynecologist. Not only the basic function of the reproductive system, such a joyous occasion as maternity, however likewise much less positive sensations leads us to it.
Among them— disintegration of the cervix womb reporter SHE chatted with the gynecologist-endocrinologist of the clinical center «Zdravitsa» Kovalenko Irina Alexandrovna.
Inform us, what is erosion of the cervix?
This is the condition of the cervix, in which there is an area on its vaginal part covered with a round epithelium (mucosa), which must not typically exist. The bright red shade of this site permitted making use of words «disintegration» in the name, yet extra properly this condition is called «cervical ectopia».
What is the occurrence price?
In recent years, the number of women struggling with cervical disintegration has actually increased: it occurs in 40% of the female population, 55% of them are girls under 25 years old. This is because of the very early beginning of the sexual life of contemporary girls, the frequent modification of sex-related companions, the development of venereal and also viral illness.
What are the manifestations of disintegration? Can I diagnose it myself?
Straightforward disintegrations are not medically noticeable, made complex by infection or swelling are manifested in the kind of generous secretions from the genital organs, get in touch with bleeding during sexual intercourse. Only a physician can detect erosion of the cervix, as this needs gynecological examination, colposcopy (evaluation of the cervix under the microscopic lense), evaluation of the smear on the plants as well as oncocytogram. If cervical erosion is spotted, it is likewise required to conduct a screening to detect infections: bacteriological societies, PCR diagnostics.
What are the root causes of erosion?
There are several factors that contribute to the beginning of cervical erosion. First, genetics. Second of all, mechanical as well as chemical results on the cervix— injury during giving birth, abortion, chemical and mechanical contraceptive. Third, hormonal modifications— an offense of the menstruation, the early onset of menstrual cycle (up to 11-12 years), early beginning of sex, greater than 3 maternities. An important reason are infections— chlamydia, trichomoniasis, gonorrhea, bacterial vaginosis and also a multitude of sex-related partners. The decreasing of local and basic resistance additionally contributes.
What is the threat of disintegration? Made complex with inflammatory procedures and also infection of disintegration are a risk of growth of precancerous processes as well as cervical cancer cells. In recent years, more attention has actually been paid to papillomavirus infection. A clear connection between this viral disease and also cervical cancer cells has actually been developed (80-100% of patients with cervical cancer cells are infected with human papillomavirus).
How is cervical erosion treated?
If a diagnosis of cervical erosion is identified at a gynecologist’s visit, it is needed to conduct a screening for sexually sent infections. And after the evaluation, as well as in instance of discovery (ideal treatment), the medical professional decides on the additional techniques of managing the illness.
When dealing with a little (no greater than 1 cm in size), uncomplicated disintegration, the majority of researchers recommend sticking to the pregnant monitoring methods with an examination when every six months (with necessary colposcopy and also taking a smear on the vegetation and oncocytogram). When difficulties appear in the kind of infection, atypical modifications revealed in colposcopy, the emphasis of ectopy (erosion) is gotten rid of. In the treatment of erosion, made complex by inflammation, anti-inflammatory therapy is executed complied with by removal of the emphasis. When dealing with disintegration with atypical adjustments, a targeted biopsy (histological assessment of a piece of cervix wombs) is prescribed. Depending upon the histological analysis, the physician picks a method of treatment.
What techniques are made use of?
There are several methods for dealing with cervical erosion. This is chemical coagulation with the use of «Solkovagin», cryodestruction (with fluid nitrogen), DEK— diathermoelectrocoagulation (treatment with electric existing). A radio-wave technique, laser coagulation (using a CO-2 laser) is additionally made use of. Till just recently, DEC was one of the most typical technique of dealing with cervical erosion, yet complications such as scar cervical stenosis, hemorrhaging do not permit widespread use this technique of treatment, particularly to nulliparous ladies.
Of reliable and contemporary methods, radio wave treatment of cervical disintegration with the aid of the Surgitron apparatus need to be particularly kept in mind. This approach is atraumatic and pain-free. Such difficulties as constrictions and also scars, blood loss, endometriosis, characteristic for various other methods of treatment, when making use of «Surgitron» are absent. The healing procedure happens in a short time. About the absence of problems and also stressful elements, such treatment is advised for nulliparous females.
What is the avoidance of the illness?
Regular browse through to a gynecologist (2 times a year) enables you to detect the pathological adjustments in the cervix in time, as a result, to prevent the advancement of cancer cells. Of excellent relevance is the observance of a society of sexual actions: the use of modern techniques of birth control, the abandonment of promiscuous sex-related life, the prevention of abortion.
Just how much does erosion therapy cost?
In our center, the cost of treating cervical erosion with Surgutron is 1850 rubles. (prior to therapy it is necessary to perform a survey for sexually transferred infections, the expense of the study varies from 800 to 2500 rubles). As a rule, one therapy procedure is sufficient for the full recovery of the cervix.