Erosion in nulliparous girls causes. Causes of cervical erosion in nulliparous. Cervical erosion in a nulliparous girl: causes

Untreated cervical erosion in nulliparous women leads to difficulties in conception and subsequent problematic childbirth.

A woman can hear a message from a doctor about cervical erosion at a preventive examination or when contacted on the occasion of complaints of other diseases. Practice shows that every second woman is diagnosed with such a diagnosis.

Treatment of cervical erosion in nulliparous requires the correct establishment of the cause of the violation, its exact nature, because "erosion" means several different conditions.

Causes of erosion

Informing a woman about the presence of erosion, the gynecologist does not specify what kind of condition he observes. There are several similar conditions, common to which is a violation of the state of the mucous membranes of the cervix. Actually, many doctors dispute the very name "erosion" (literally, it means "destruction, ulcer"), considering the wording "ectopia" to be correct.

Normally, the doctor, examining the cervix in the mirrors, sees the external pharynx of the cervix, covered with a dense pink epithelium. The cells of this epithelium are flat, with strong walls, densely arranged in rows. The cover of many layers of flat cells protects the walls of the vagina, the external os of the cervix from mechanical and chemical damage.

The squamous epithelium is adjacent to the integumentary cells of another type - cylindrical, which is lined with the cervical canal (located inside the cervix). This epithelium performs a completely different function - it secretes thick mucus that seals the uterine canal from infection and third-party fluids.

In some cases, the cervical epithelium "forgets" its boundaries, cylindrical cells appear on the outer, vaginal side of the cervix. On examination, the doctor may observe:

small cracks or spots on the cervix that bleed when pressed with an instrument - true erosion;
uneven areas of red color on the neck, or ectopia (false erosion);
influxes of red epithelium - or congenital erosion.

The mechanism of this phenomenon is unknown, but the main circumstances that lead to such a state have been studied. The reasons for the appearance of the true form of pathology:

medical manipulations - termination of pregnancy, installation of an intrauterine device;
hard sex;
use of sex toys;
infectious diseases, including sexually transmitted diseases.

It is diagnosed quite rarely - microcracks on the mucous membrane overgrow within 10-14 days. Healing can proceed according to the natural variant, and the covering of the squamous epithelium is resumed at the site of the lesion, or the cylindrical epithelium characteristic of the cervical canal will begin to grow in the zone of cracks.

Causes of cervical erosion in a nulliparous woman:

hormonal changes;
use of hormonal contraceptives;
sexually transmitted infections, including sexually transmitted diseases;
HPV lesions.

There is also a congenital form of the disorder, which is diagnosed in girls and nulliparous girls. It is believed that the cause of the phenomenon is a hormonal imbalance in the body of the mother and fetus during fetal development or hormonal disruptions during the development of a girl.

It is considered inappropriate to treat this type of erosion, its signs disappear on their own, without outside intervention, after reaching the age of 25 or after the birth of a child.

Is it necessary to treat erosion if outwardly this condition does not pose a danger? It usually occurs or is accompanied by inflammatory diseases of the reproductive organs and a decrease in immune defense. This is partly because the thick, viscous mucus produced by the cylindrical cells is not typical of the vagina, and is a breeding ground for infection that a weakened immune system cannot contain.

Ectopia forms growths on the surface of the cervix, which in severe cases can completely block the access of spermatozoa to the cervical canal.

Factors that weaken the immune defense of a woman's body, and indirectly affect the development of ectopia, will be:

frequent stress;
nervous and physical overload;
the presence of systemic diseases;
transferred infectious diseases;
too early onset of maturation and sexual activity;
diabetes;
disorders in the thyroid gland;
psychosomatic factors.

Treatment of cervical erosion in nulliparous women is a complex process that takes into account both the physiological and psychological characteristics of the patient. Treatment methods should be as effective as possible, at the same time sparing, in order to fully preserve the reproductive ability of girls.

Symptoms and Diagnosis

Changes in the mucous membranes of the cervix do not show obvious symptoms, a woman usually does not observe any unpleasant signs. Pathology can be detected only when examined by a doctor.

Erosion in nulliparous can signal side effects that will indicate a complication, that a concomitant infection has appeared:

there is discomfort and spotting during intercourse;
yellowish or greenish whites with an unpleasant smell are noted;
there may be periodic pain in the lower abdomen;
pink discharge appears.

These symptoms should alert the woman and become a reason to see a doctor.

The presence of the disease is confirmed by a visual examination in the mirrors and a thorough diagnosis. If necessary, involve specialized specialists. The purpose of diagnosis is to determine the violation in the formation of mucous membranes, the type, boundaries of the lesion and determine the methods of treatment.

The doctor directs the woman to:

general clinical blood test;
biochemical analysis;
analysis for the presence of sexual infection, HIV, HPV;
analysis of blood and urine for hormones (if necessary);
Ultrasound of the abdominal organs;

A bacteriological culture of a smear is performed to determine the microbiological composition of the vagina, if necessary, a PCR study to detect specific viruses.

Important in determining the degree and size of the lesion is colposcopy - a specific examination of the cervix using a magnifying binocular with additional lighting.

Cervical examination is carried out at the beginning of the monthly cycle (up to 7 days). To identify altered cells, the doctor dries the surface of the cervix, then the surface is treated with a solution of acetic acid, which makes it possible to identify the erosion zone. For a more accurate detection of the lesion, secondary treatment is carried out with Lugol's solution, which stains the altered cells.

If there is a suspicion of a tumor, the doctor takes tissue from the affected area for histological examination. Based on the conducted studies, the collected anamnesis, the doctor selects the desired method of treatment. How to treat erosion will depend on the extent of the lesion found - small and medium are treated conservatively, if large areas of erosion are found, the decision to use cauterization is considered.

Erosion treatment

Many nulliparous women are wary of the treatment of erosion, fearing that it will not allow them to get pregnant and give birth normally. This is not true. Modern methods of treatment of cervical erosion for nulliparous women suggest full preservation of reproductive ability.

congenital form

In the case of congenital erosions, a waiting tactic is used - the doctor periodically monitors the condition of the girl. She is explained her condition and the rules of prevention, which are designed to prevent the infection from joining:

sufficient physical activity;
a complete balanced diet;
choice of linen from natural fabrics;
careful observance of personal hygiene;
the use of high-quality hygiene products;
choosing one partner for sex;
the use of protective equipment during sexual intercourse;
use of pads instead of tampons during menstruation;
compliance with safety when swimming in open water.

The doctor prescribes periodic examinations and taking a smear to study the microflora. If the infection has passed, symptomatic treatment is undertaken.

Small and medium erosion

If zones of damage of small or medium size are found without the influence of infection, the doctor monitors the patient's condition. If a woman is healthy and follows preventive measures, the body eventually stops the violation. Observing the patient every three months, the doctor monitors the condition of the smear and the appearance of atypical cells. Treatment is indicated in case of an increase in the affected area. The doctor prescribes:

folk methods of treatment;
anti-inflammatory drugs in case of infection;
general strengthening agents (vitamin complexes, immunostimulating drugs).

Conservative treatment can be long if it is not effective, the use of sparing methods of cauterization is considered.

Great erosion

If a massive erosion of the cervix is found, treatment in nulliparous women is best carried out by cauterization. The cause that caused the violation should first be carefully investigated. To do this, a comprehensive examination is used with the involvement of specialists - therapists, endocrinologists, the patient must pass blood tests (general and biochemical, HIV testing, and sexual infections, hormone analysis). A smear is examined to determine the microflora of the vagina.

After determining the cause, treatment is prescribed. Detected infections are treated first. In addition, the following are appointed:

hormonal preparations (if necessary);
anti-inflammatory drugs (antibiotics) in various forms;
restorative means;
suppositories;

After normalization of the condition, a control examination is carried out (the doctor must make sure that there is no inflammation and normalization of the intestinal microflora), the date of cauterization is set. It is performed in the first week after menstruation. The methods that the doctor chooses depend on the technical capabilities of the clinic, the professional training of the staff, and the financial capabilities of the patient.

Methods of cauterization

For cauterization, modern, invasive methods are used to treat cervical erosion in nulliparous women without scarring and deformation of the cervical canal. These include:

laser vaporization method;
chemical fixation.

Cauterization allows you to mobilize the body's forces to restore the epithelial cover on the cervix.

Laser cauterization is performed using a hydrocarbon laser and a working diode. The equipment allows you to accurately outline the affected area, burn out the changed cells to the desired depth. Large lesions must be treated several times, making the treatment time-consuming.

A protective scab is formed over the burnt area, which leaves on its own in 10-14 days, up to 30 days a new, flat epithelium will form on the burn area.

Restrictions are imposed on the woman during the recovery period, which protect the intervention area from infection. It is forbidden:

swimming in open water pools;
bathing in a bath, a hot bath;
hypothermia or overheating;
sexual contacts;
use of tampons;
heavy physical labor;
nervous overload.

A woman is recommended to give up smoking, fatty and heavy foods, and alcohol for the recovery period. The doctor conducts a follow-up examination after the first menstruation has passed. If pregnancy is planned, it is better to wait for the restoration of the cycle and plan conception after the onset of the third menstruation.

Similarly, the effect on the affected area is performed by the radio wave method, which is considered the most modern. Some gynecologists consider it the "gold" standard for erosion treatment. The advantages of the method are accuracy, bloodlessness, painlessness. A thin film is formed at the site of the cut of the changed cells. Restrictions after cauterization are the same as with laser vaporization.

In some cases, a chemical fixation method is used. The method consists in the fact that a tampon with a caustic chemical composition is applied to the mucosal damage zone to eliminate the cylindrical epithelium. One of the economical and proven methods used in the early stages of the onset of pathology.

If a woman does not comply with the rules of behavior during the rehabilitation period, erosion may resume, which will require repeated treatment. In some cases, the recurrence of erosion will indicate an error in determining the true cause of ectopia.

Folk methods of treatment

For a woman who has not given birth, self-treatment of cervical erosion with folk remedies is unacceptable. She uses them only in consultation with her doctor. In the case of small and medium erosion, they can be used very effectively.

The most commonly used:

sea buckthorn oil is an effective wound healing and anti-inflammatory agent with a powerful vitamin composition. It can be used only in the absence of pathogenic flora and inflammation in the vagina. For treatment, tampons dipped in warm oil are used, or the neck and walls of the vagina are lubricated with a heated substance; procedures are carried out at night; you can use candles with sea buckthorn oil;
liquid May honey - the insertion procedure is similar to that described above, the swab with honey is removed after a few hours; you can make candles from equal amounts of honey, propolis and lard;
ointment with propolis (suppositories) that can be used in the development of an inflammatory process in the vagina. For the manufacture of the drug, high-quality fat (Vaseline) is used at a rate of 1:10, injected on a swab, the course of treatment is 10 days.

Any treatment for ectopia should be prescribed and monitored by a gynecologist.

Prevention of pathology

Ectopia is a condition, the development of which can be stopped if simple rules of prevention are observed:

careful observance of personal hygiene;
timely treatment of inflammatory diseases;
correct contraception;
exclusion of abortions as a way of birth control;
exclusion of alcohol and smoking;
maintaining optimal physical activity.

A strong immune system, proper sexual behavior, and the absence of bad habits will allow a woman to maintain a healthy reproductive system for a long time, conceive and bear a healthy baby.

Many are interested in the question, can cervical erosion occur in nulliparous women? As medical practice shows, cervical erosion is most often detected at a routine examination by a gynecologist. Now the answer to the most important question, and in nulliparous girls, cervical erosion also occurs. Consider why such an unpleasant disease affects the female body.

Causes of cervical erosion in nulliparous

The most common cause of erosion in nulliparous girls is a hormonal imbalance. Indeed, at this moment, the body ceases to function normally, thereby it is easy to catch not only this disease, but also other inflammatory diseases.

Can erosion occur against the background of venereal diseases? Yes, we note that most often, this means that a nulliparous girl has a history of trichomoniasis, chlamydia, or a coccal infection.

Additional causes of cervical erosion:

If a girl has a herpes infection that has not responded to adequate treatment.
Artificial termination of pregnancy, most often the appearance of cervical erosion occurs due to vacuum abortion.

In addition, doctors noted another factor, in nulliparous cervical erosion can occur with the activation of papillomavirus infection.

It should be noted that this disease can be both acquired and congenital.

Why? The answer is quite simple, the main problem lies in the fact that the cylindrical epithelium begins to germinate, thereby expanding its boundaries. And this pathological process can occur even during development in the womb. Therefore, cervical erosion in nulliparous girls is diagnosed even in childhood or adolescence.

If the pathology is not cured in time, then the risk of contracting not only other gynecological diseases increases, but also acquiring serious complications.

Important! If time does not begin to treat erosion, then it prevents conception. Therefore, it is necessary to identify and complete a full therapeutic course in time.

Let's answer another popular question from the forum. Some people believe that erosion is contagious, but in fact it is not. After all, pathology is not considered an infection, therefore it is not contagious.

Major erosion of the cervix

Pay

Attention

(erosion of the cervix in the photo)

in different stages.

Erosion of the cervix can be both small and large. The size depends on the violation of the integrity of the cervical canal. Therefore, a large erosion in virgins and nulliparous girls can also occur. Consider the main symptoms of erosion:

The girl has pain in the lower abdomen.
The cycle is broken.
Often, erosion in girls is accompanied by mucous or spotting. Pay special attention to the fact that with such a problem, the discharge is of a non-ovulatory origin.
There is frequent dizziness.
There is a general weakness.
If a girl is already having sexual intercourse, then there may be pain during sexual intercourse.

All of the above symptoms are characteristic of cervical erosion.

Is it possible to get pregnant

This question, is it possible to get pregnant, is not difficult to answer. It must be understood that such a pathology can in no way affect the conception of a child. But, do not forget that erosion is not so terrible, but infections that can develop rapidly in a favorable environment will bring a lot of problems.

Remember, if you have erosion, and you are already in position, then there is a high risk of infecting the child.

Diagnostics

For nulliparous girls and those who gave birth, diagnostic measures are the same. First of all, you need to come for a medical examination to a gynecologist. If the doctor cannot make a correct diagnosis with the help of examination in the mirrors, additional examination methods are prescribed.

Examination methods:

Mandatory to pass a smear on the flora.
The uterus may be in good shape, so if during the usual doctor suspected tone and signs of inflammation of atypia, then a cytological analysis is prescribed.
If necessary, they can send the girl to undergo an extended colposcopy.
In order to determine the degree of damage, as well as the nature of the pathology, it is necessary to undergo a biopsy.

In addition, girls are required to receive a referral for PCR diagnostics. This must be done in order to exclude HPV and the herpes virus. From an additional examination, they can prescribe an analysis for syphilis and HIV.

Treatment

With uterine erosion in nulliparous girls, doctors will most often prescribe drug therapy. As soon as an infection is detected, a course of antibacterial drugs is prescribed without fail.

For instance:

Azithromycin.
Clarithromycin.

These drugs have a wide spectrum of action, so do not take drugs without first consulting a doctor.

Additionally, doctors prescribe candles, for example: Hexicon or Depantol. Suppositories are used intravaginally 2 times a day, the course of treatment is from 7-10 days.

Doctors also prescribe:

Antimycotics.
Hormonal preparations.
Fortifying agents.
Antibiotics.

In the event that drug therapy has not brought a positive result, then doctors carry out sparing surgical treatment.

If a nulliparous girl has a small formation, then doctors prefer to treat her with chemofixation, the second name of the procedure is chemical coagulation.

The purpose of the procedure is to eliminate the pathological focus. To do this, use potent mixtures of acids, such as Solkovagin or Vagotil. With the help of these substances, it is possible to destroy the abnormal epithelium in a short period of time.

The main advantage of chemofixation is that the procedure is carried out in cycles and guarantees a 100% result.

The gentle methods include radio wave treatment. The procedure is based on the coagulation of soft tissues with their further destruction.

The main goal of the procedure is to destroy pathological cells. The process of destruction itself occurs under the action of radio waves, which in turn have a high frequency.

The second sparing method of surgical intervention is laser therapy. It is precisely this method that is most often used for nulliparous girls, because after laser therapy there are no cicatricial changes.

The main scheme of the procedure is to subject the pathological focus to destruction. The process of destruction occurs with the help of laser radiation energy.

The main advantages of laser therapy include:

fast procedure;
painlessness;
short recovery period.

It should be noted that after laser therapy, healing occurs after one month.

treatment

As a rule, with such a disease, they can also be prescribed, but not as a separate treatment, but in combination with drug therapy.

The most popular remedy that can be used as a treatment for nulliparous girls is sea buckthorn oil. There are many recipes on the Internet on how to make butter at home. But, it is best to consult a doctor.

The method of using sea buckthorn oil is tamponade. Use tamponade before going to bed, sleeping, and in the morning wash well under running water. If you do not have allergies, then you can carry out a tamponade with honey.

Douching helps with erosion. As you can use propolis. The solution is prepared at home, in a pharmacy you need to buy dry propolis and insist it in boiling water. Strain the prepared solution through a clean gauze and proceed to the procedure. You can douche 2-3 times a day.

Now we will answer the most common questions on the topic "Erosion in nulliparous girls."

Does erosion interfere with life? Yes, because constant discharge and itching give the girl a lot of discomfort.
What to do if erosion does not go away? The pathological focus will pass only with the right treatment. If drug therapy fails, surgery should be started immediately.
Is it possible to get pregnant with erosion? Yes, we said above that with such a disease a girl can become pregnant, but there is a risk of infecting a child. Therefore, pregnancy should be planned after a thorough examination by a gynecologist.
Can the temperature rise after surgical treatment? Yes, the temperature can rise to 38-39 degrees, so you need to drink antipyretics.
When can I plan a pregnancy after cauterization of erosion? Doctors strongly recommend not to rush into pregnancy, it is best to wait 1-2 months.

So, in this article we have revealed all the questions about erosion in nulliparous girls. Remember, at the first sign, you should immediately consult a doctor, because neglected erosion is more difficult to treat.

Content

Cervical erosion occurs in women of different age groups. This means that for some reason, pathology can also occur in nulliparous girls. It is known that the tactics of eliminating erosion in nulliparous is distinguished by the need for gentle treatment. The reason is that an aggressive effect on the cervix can lead to dangerous consequences, for example, during pregnancy and childbirth.

Currently, the term "erosion" is considered obsolete due to the fact that it does not fully characterize the pathological conditions of the cervix. Despite the fact that the doctor often establishes erosion and voices this diagnosis to the patient, in most cases this diagnosis means ectopia or pseudo-erosion.

Thus, erosion includes several varieties of the state of the cervical epithelium, which differ in external signs and therapeutic tactics.

True erosion is the result of exposure to traumatic factors of various origins and is a wound on the surface of the vaginal part of the cervix. This defect is formed with a bacterial, viral infection most often. True erosion exists for up to two weeks, and then regresses on its own with various outcomes.
Pseudo-erosion is the next stage of the true form. With improper healing of the ulcer, the flat multilayer cells of the area of the vaginal part of the uterus are replaced by cylindrical single-layer elements that normally cover the cervical canal.
Congenital erosion can occur due to a violation of the differentiation of the epithelium into flat and cylindrical. Such an erosive spot is often detected in nulliparous girls under the age of twenty-five. As the epithelial tissue matures and the level of hormones stabilizes, congenital erosion in nulliparous girls disappears on its own.

The cervix connects the body of the organ with the vagina through the cervical canal, lined with cylindrical single-layered cells.

Gynecologists conditionally distinguish supravaginal and vaginal cervical parts. Visible is only the vaginal area, which contains flat multilayer cells on the surface. In the transformation zone, the junction of two different types of epithelium is determined.

Reasons for the appearance

Erosion of the cervix in both parous and nulliparous girls and women can occur for various reasons. Each type of erosion has its own causes.

In general, experts identify the following causes of erosion in nulliparous girls.

Intrauterine disorders. In young girls and adolescent girls, congenital erosion is sometimes diagnosed. This condition does not apply to pathology. The occurrence of a defect is due to a violation of the division of the epithelium into multilayer and single-layer. The transformation zone shifts and becomes visible. As the cervical tissue develops and the levels of some sex hormones normalize, the spot disappears.
Hormonal disorders. Estrogens influence the cervical epithelium. With changes in the concentration of this hormone, erosion may occur, which is typical for pregnant women and women after menopause. When the cause is eliminated, the defect regresses on its own.
Sexual infections. It has been established that ectopia and true erosion are mainly accompanied by an infectious lesion. Various pathogens are on the surface of the ulcer, causing its progression.
Early sexual life. Intimate relationships before the end of the maturation of the epithelium often causes a defect.
Chemical contraceptives. Excessive use of chemical contraceptives can lead to ulcers.
Traumatization of the cervix. Rough sexual contacts, abortions, complicated childbirth and other manipulations cause the appearance of ectropion, which leads to the appearance of an ulcer.

The following factors may predispose to the appearance of erosion:

having multiple sexual partners;
insufficient hygiene;
weakening of the immune system;
concomitant inflammatory processes of the reproductive sphere.

Exact mechanism of ulcer development the cervix has not been established.

Clinical picture and diagnosis

Ectopia can lead to serious complications due to the fact that this pathology is an underlying disease. Accordingly, there is a need for its timely detection and treatment.

The disease is asymptomatic. Latent progression of an erosive defect leads to its late diagnosis. As a rule, an ulcer is detected during a routine examination or if a woman turns to a specialist for another reason.

It is known that in 80% of cases the disease is complicated by various infections. It is they who often determine the clinical picture, which may include:

pain syndrome;
cycle disorders;
bleeding;
pathological secretions.

Erosion can sometimes cause the appearance of copious mucous secretions due to the fact that the surface of the ectopia contains glands of the cylindrical epithelium that produce mucus. Also during the examination by a gynecologist or during sexual intercourse, contact discharge may occur.

Diagnosis of erosion occurs in the process of visual examination of the cervix through a gynecological speculum. The appearance of erosion depends on its variety. In particular, a true defect looks like a wound with signs of inflammation. Upon contact with a gynecological instrument, bleeding may occur.

The congenital spot has a smooth surface and clear contours, as a rule, the appearance of signs of inflammation is not observed. Ectopia is detected in the vast majority of cases. The doctor notes the appearance of spots of various shapes and sizes, which is sometimes accompanied by inflammation.

In order to exclude dysplasia and a malignant tumor of the cervix, as well as to determine the cause of the erosive spot, it is necessary to conduct a detailed diagnosis. Examination for cervical erosion in nulliparous girls, women includes:

simple and advanced method of colposcopy;
PCR examination of a smear from the cervix and vagina for sexually transmitted infections;
general smear for the determination of microflora;
bakposev;
cytological diagnosis.

A malignant neoplasm of the cervix is often disguised as erosion. For this reason, gynecologists advise, when background processes of the cervical epithelium are detected, to undergo a thorough examination.

Methods of treatment

Doctors note that the methods of treatment for women who have given birth and who have not given birth may differ. Several decades ago, surgical methods for eliminating the disease were not practiced due to the risk of complications. However, in modern gynecology, sparing methods of treatment are used, and complications can occur extremely rarely.

Before proceeding with surgery, it is important to eliminate the causes of cervical erosion in nulliparous girls. If the appearance of an infectious process is detected, it must be cured.

Drug therapy for cervical erosion in a nulliparous girl, women includes the following drugs:

antibacterial;
anti-inflammatory;
antiseptic;
antifungal.

If the erosion of the cervix is small, treatment with drugs that promote its healing is possible. Specialists prescribe suppositories and tampons, for example, based on sea buckthorn.

If cervical erosion has a significant volume or there is a need to eliminate it, gynecologists use several methods of cauterization.

Cryodestruction involves freezing pathological tissues with liquid nitrogen. After the procedure, profuse mucous discharge may occur. Cervical erosion must be small for treatment to be effective.
Laser vaporization is carried out by a non-contact method. The laser beam evaporates pathological cells, eliminating cervical erosion in a nulliparous girl. This tactic is used in the event of an erosive spot and other pathologies of the cervix. The disadvantages of cauterization include the inability to control the depth of exposure and the capture of healthy tissue.
Radio wave cauterization is the most effective and gentle way. Cauterization occurs within the pathological tissue, and complications practically do not arise. This method can be prescribed to nulliparous girls and women.
Chemical destruction with the help of drugs such as Solkovagin or Vagotil is carried out in nulliparous girls quite often. With a small scale of cervical damage, this method is considered the safest and most effective. If the erosion of the cervix is large, then repeated treatment is possible.

Many patients have heard that cauterization should not be performed on nulliparous girls and women. However, modern methods of surgical treatment can eliminate the ulcer without complications.

This diagnosis is the most common reason for women to visit a gynecologist. Almost every second representative of the fair sex faces cervical erosion. This pathology is not selective. She doesn't care how old the woman is. Anyone can get sick: a girl, a woman, a grandmother. Diagnosing it in time is not always possible. Erosion is a hidden enemy and a great camouflage. For a long time he does not give himself away, while precious time is lost, and the situation worsens. Untreated cervical erosion in time is fraught with detrimental consequences for women's health. Worst of all, it can recur.

Cervical erosion is a defect in the mucous membrane. These changes are benign in nature, but can be an excellent background for the development of cancer. Cervical cancer is the most common malignant neoplasm among various forms. In this article, you can find out the causes of cervical erosion in nulliparous women, symptoms, how to diagnose pathology in time, methods of treating the disease. Girls who dream of becoming mothers will learn how erosion can affect pregnancy and fetal development. What preventive measures should be taken, how to recover faster therapy.

Causes of cervical erosion in nulliparous

This disease can lie in wait for a woman of any age. It doesn't matter if she gave birth or not. may be congenital or acquired. Many do not even suspect that they are sick. The disease tends not to manifest itself for a long time. Painful sensations, as a rule, are not observed. The only thing that can cause concern for a woman is the appearance of secretions that are of a diverse nature.

It is impossible to say exactly the cause of the appearance of pathology. The most probable are the following:

too early sex;
regular change of sexual partners;
failure in ;
reduced immunity, which provokes a weakening of the protective properties of the body to the effects of external factors;
hormonal changes in a woman's body;
running inflammatory processes in the female reproductive system;
hereditary predisposition to the disease.

Sexually transmitted infections can increase the risk of erosion.

These reasons are the impetus for the formation of small cracks that form on the cervix. Cells that are in close proximity to epithelial areas penetrate into them. They have completely opposite properties. Such neighbors are very dangerous. In time, not noticed and not treated, erosion may well be transformed into a malignant form of cancer.

Symptoms of cervical erosion in nulliparous

Symptoms are most often veiled. The disease itself is not inclined to manifest itself. Pathology can only be detected by a specialist. Using a mirror, he will immediately see the defect that has appeared, where one of the sections will be very different from healthy tissue. In contact with the doctor's instrument, the area will begin to bleed.

If a woman avoids going to the doctor, she will soon begin to notice, as erosion grows, the following symptoms, previously unusual for her:

menstruation will frighten with its own and longer duration;
will appear;
there may be pain localized in the lower abdomen;
sexual contact instead of pleasure will begin to bring painful sensations;
intermenstrual with an admixture of pus;
going to the toilet in a small way will become painful.

Some of the above symptoms are sometimes not enough to make a diagnosis. The doctor will definitely prescribe an additional examination to the nulliparous patient. One of them - . This is an examination of the cervix under magnification. In addition, a smear will be taken from the erosion itself to exclude the possibility of oncology. The examination is absolutely painless for the patient. You shouldn't be afraid of him. It will also be necessary to pass tests for various infections and viruses, the transmission of which is possible during sexual contact. Make sure you don't have hepatitis or HIV. Take a swab for flora. Only after the studies have been carried out, the doctor will be able to give you an accurate diagnosis and prescribe the correct treatment.

Diagnostics

As mentioned earlier, it is problematic to diagnose cervical erosion on your own. Only by visiting a gynecologist every year can such an insidious disease be detected in time in the early stages. A simple examination by a specialist is enough to see the area affected by erosion. It will be very different from healthy tissue. To make sure that the patient has erosion, and not pseudo-erosion, a colposcopy will be performed. Under a magnifying device, a specialist will conduct a more subtle study. In addition, a biopsy is required. They make a small, almost imperceptible pluck. After that, the removed piece of tissue will be examined in detail under a microscope.

It will help to determine the state of the microflora. An examination for urogenital infections will be scheduled.

When diagnosing cervical erosion, one cannot do without a cytological examination of a scraping. A routine examination cannot show the existing violations, and a cytological examination will cope with this once or twice. This procedure should not be intimidated. When taking a smear, a woman will not feel anything.

The patient will be asked to be screened for papillomaviruses. Some of their types can provoke the development of cervical cancer.

Treatment of cervical erosion in nulliparous

Erosion needs to be treated. An individual approach will be applied to each woman who has applied with a similar problem. Nulliparous patients require special attention. Treatment of erosion by conventional methods can lead to scarring. During childbirth and pregnancy, they can deliver a lot of problems. Therefore, doctors recommend using more gentle methods.

Chemofixation

The method is recognized as the best option for the treatment of erosion in nulliparous chemofixation. This is a method of treatment with the help of special medicines. Chemofixation does not require special equipment. The woman does not feel anything during the procedure. Complete healing of the wound will occur in a few weeks, but it is possible to return to the usual way of life without any restrictions in a few days. A big plus of this procedure is that there are no scars after it. No special mode required. There are no restrictions on sex and access to the pool.

Cryodestruction

Another method in the fight against erosion in nulliparous is called cryodestruction. It is carried out using liquid nitrogen. Pain is minimal. The procedure is short in time. A cryoprobe is inserted into the vagina. Through it, the areas affected by erosion are treated with liquid nitrogen at its ultra-low temperature. It turns out that the affected areas are simply frozen out. Recovery takes up to several weeks. There are no scars after this procedure. Efficiency can be achieved only with scanty erosion. At deep levels, efficiency is reduced.

Radio wave treatment

radio waves recommend treating cervical erosion in nulliparous. The method is safe and painless. The procedure is performed using the drug "Surgitron". With it, you can destroy the affected areas in the deepest layers. The procedure is almost painless. It won't take much time. The recovery period is short. The risk of infection during the operation is minimal. Therefore, this method is most often advised to young girls who have yet to become mothers.

Folk remedies

You can also fight cervical erosion at the initial stage. Be sure to coordinate everything with your doctor first. It should be remembered that no folk remedy can replace a full-fledged therapy. Many herbs can cause an allergic reaction. Those who suffer from such a reaction should be careful with most recipes so as not to harm themselves.

Is it possible to get pregnant with cervical erosion

Erosion is not subject to control the process of conception. Conception is possible with and without it, but during childbirth and pregnancy itself, it can cause you problems. Among which:

increased risk of miscarriage;
the occurrence of infectious processes;
the appearance of ruptures at the onset of labor.

It is better for you to get rid of cervical erosion so that there are no health troubles in the future.

Damaged epithelium is an open gate for the penetration of various infections. The inner epithelial layer of the cervix is able to protect the uterine cavity and the fetus that develops in it. The damaged area cannot guarantee 100% protection.

During childbirth, erosion can also make itself felt. Erosion-affected areas can easily be injured. They are the cause of "ruptures" during labor.

During the first pregnancy, erosion sometimes goes away on its own, but not all are among these lucky ones. Only a doctor can determine if treatment is necessary or not.

Do not put yourself and your unborn child at risk. Get examined and treated for erosion before pregnancy. Timely treatment can protect you from various unforeseen problems.

Recovery after treatment

Help yourself in recovery after treatment really at home. It is enough to follow a few rules:

Wash your genitals thoroughly. Try to use neutral means for intimate hygiene. Read the ingredients carefully. It should not contain dyes and flavors. This procedure should be performed at least twice a day. Try to change pads frequently when you have discharge. Remember that uncleanliness plays into the hands of bacteria and germs.
Forget about smoking and other bad habits. Try not to eat anyhow. Take this matter seriously. Sugar is your enemy. Do not lean on muffins and sweets.
Do not be nervous. Stress load for the body negatively affects overall health in general.
Don't use tampons, even if before you could not do without them, now you have to forget about them. By using them, you delay the healing time.
Avoid physical activity. For the first few days, put household chores on someone else, and for now you have more rest. Walk. Breathe in fresh air.
Hold off on sexual pleasures as much as you don't want to. Sex is possible only after the wound has completely healed and with the approval of your doctor. A month and a day earlier.
douching under strict prohibition.
No baths, baths, saunas and pools. If you bring an infection, you will have to be treated again.
Compliance drinking regime.
We follow the weight. We don't overeat. It is better to part with meals, but the portion should be small.
We increase immunity.
After 1-1.5 months, do not forget about return visit to the doctor.

Disease prevention

Prevention of the disease begins with the observance of the rules of personal hygiene not only by the woman, but also by her partner. It is desirable to have one man than to change partners like gloves. It is not safe. It entails various kinds of sexually transmitted diseases. Contraception can help reduce the risk of infection. Do not forget to undergo preventive examinations at the gynecologist. Many people cannot be dragged to the hospital on the lasso, especially when nothing bothers them, but this must be done. Any disease is better to prevent than to start.

Erosion of the cervix in nulliparous is dangerous because for a long time it is not inclined to reveal itself. When a woman goes to the doctor with complaints, time is often lost. The slightest feeling of discomfort is a reason not to delay a visit to the clinic. Any intermenstrual discharge, pain covering the lower abdomen, fever, require close attention. Erosion is easiest to defeat at the initial stage. Only in this case the outcome will be favorable.

Any woman should once again be reminded that the annual examination of a specialist is not a whim of medical staff who want to make you languish in long lines. You need to pass a medical examination! At least once a year, try to set aside time for a visit to the gynecologist. Even if nothing bothers you, and you do not see the point in it. It is better to make sure once again than to spend money, nerves and health on a problem that could have been avoided if you contacted on time. On examination, the doctor will see any changes that are pathological in nature. Erosion of the cervix is a dangerous disease that can not give itself away for a long time. Turning to the doctor with complaints that appear even when the pathology is in advanced form, the consequences can be the most sad. You need to start worrying about your health as early as possible. This is especially true for girls who have yet to experience the joy of motherhood. Take care of yourself! Nowadays, almost everything is treated. The main thing is to contact specialists in a timely manner, and not wait until you are really pressed.

Erosion of the cervix is a defect in the mucous membrane. Often this condition is confused with cervical ectopia (pseudo-erosion) - the exit of the epithelium that lines the cervical canal into its vaginal part. It can be both congenital and acquired. Even girls who do not have sex or have not given birth can be diagnosed with this condition. Pseudo-erosion does not pose any danger to the girl's life.

Ectopia is detected in about 50% of women, and in more than 10% it is a congenital condition. Most often it is diagnosed in girls under 30 years old.

Synonyms of ectopia are pseudo-erosion, endocervicosis, false erosion, glandular-muscular hyperplasia.

What does it come from?

What causes erosion and ectopia of the cervix? Possible causative factors for this condition include:

During puberty, the restoration of the normal picture of the mucous membrane of the cervix, which was observed earlier, is most often observed.

Gynecologists note that before starting a course of pseudo-erosion therapy, one should find out why this condition arose and eliminate provoking factors as much as possible. Special attention is paid to this if ectopia is diagnosed in nulliparous women. Otherwise, relapses may occur after treatment.

Whether it is necessary to treat it and in what cases?

If the ectopia does not have any complications, then treatment is not required.. In this case, constant monitoring by a gynecologist is indicated for the timely detection of deviations in the clinical course, since ectopia is a predisposing factor to the occurrence of oncological diseases in this area.

Treatment is indicated only if pseudo-erosion has acquired a complicated course.

In this case, etiotropic therapy (antibacterial and antiviral) agents, anti-inflammatory drugs are prescribed, immune disorders in the body are corrected, and the correct selection of hormonal contraceptives is made.

After that, surgical methods of treatment are used:

cryogenic impact;
radiosurgery;
laser coagulation;
diathermocoagulation;
coagulation methods using chemicals.

If complications of pseudo-erosion are leukoplakia, dysplasia, polyps, endometriosis, then specific methods of therapy are used.

Prevention methods

Preventive measures include:

The prognosis of this condition is favorable.

When ectopia is detected, regular swabs from the cervical canal are shown for the timely diagnosis of pathological precancerous conditions.

Ectopia of the cervix should not be confused with erosion of the cervical canal, as they have different causative factors, manifestations and methods of treatment. To prevent the occurrence of pseudo-erosion, simple preventive measures should be followed, as well as being observed by a gynecologist, which will allow you to evaluate the process in dynamics.