Cervicitis, what is it? How to treat cervical cervicitis. Cervicitis - what is this disease of the cervix. Symptoms and treatment of chronic and acute cervicitis in women Cervicitis does not turn into cancer

Cervicitis (syn. endocervicitis) is an inflammation of the canal. For obvious reasons, only women suffer from cervicitis.

What causes the development of cervicitis?

The main cause of the development of cervicitis (endocervicitis) are various sexually transmitted infections. Most often, cervicitis is provoked by gonorrhea, trichomoniasis, chlamydia, ureaplasmosis, human papillomavirus, herpes virus.

Due to the fact that the above infections are rarely limited only to the cervix and, as a rule, spread to other organs, cervicitis is often not a separate disease, but only one of many manifestations of a sexual infection. In particular, simultaneously with cervicitis in a woman, signs of urethritis, colpitis (vaginitis), endometritis, and salpingo-oophoritis can be detected.

Rarely, cervicitis can be caused by an allergy to spermicides, lactex condoms, or intimate hygiene products.

From the medical literature or at a doctor's appointment, you can learn such terms related to cervicitis as:

Acute cervicitis means that the infection appeared relatively recently and is actively developing.

Chronic cervicitis means that the infection that provoked it most likely entered the body a long time ago and is currently developing slowly, gradually destroying the tissues of the cervix.

Purulent cervicitis- means that pus forms against the background of a woman. Purulent cervicitis especially often occurs against the background of gonorrhea.

Viral cervicitis- means that the causative agent of the disease is a sexually transmitted virus (most often HPV or herpes).

Bacterial cervicitis- means that the cause of cervicitis is a bacterial infection (most often, gonorrhea, bacterial vaginosis).

Candida cervicitis- means that it occurred against the background of a fungal infection (more on this: http://www.sitemedical.ru/content/%D0%BE%D0%B1%D1%8A%D1%8F%D1%81%D0%BD %D0%B5%D0%BD%D0%B8%D0%B5-%D0%BC%D0%BE%D0%BB%D0%BE%D1%87%D0%BD%D0%B8%D1%86% D1%8B-%D0%BA%D0%B0%D0%BD%D0%B4%D0%B8%D0%B4%D0%BE%D0%B7%D0%B0-%D0%BF%D0%BE% D0%BB%D0%BE%D0%B2%D1%8B%D1%85-%D0%BE%D1%80%D0%B3%D0%B0%D0%BD%D0%BE%D0%B2-% D1%83-%D0%BC%D1%83%D0%B6%D1%87%D0%B8%D0%BD-%D0%B8-%D0%B6%D0%B5%D0%BD%D1%89 %D0%B8%D0%BD-%D1%87%D1%82%D0%BE-%D1%8D%D1%82%D0%BE-%D1%82%D0%B0%D0%BA%D0% BE%D0%B5-%D1%8D%D1%84%D1%84%D0%B5%D0%BA%D1%82%D0%B8%D0%B2%D0%BD%D0%BE%D0%B5 -%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5)

Nonspecific cervicitis- means that inflammation of the cervix arose as a result of a change in the normal microflora of the vagina, but has no connection with sexual infections. Nonspecific cervicitis especially often occurs as a consequence of bacterial vaginosis.

Atrophic cervicitis- means that simultaneously with inflammation in a woman, there is a thinning of the tissues of the cervix. Usually, atrophic cervicitis is the result of chronic inflammation of the cervix.

Focal cervicitis- means that only certain parts of the mucous membrane of the cervical canal are inflamed.

Why is cervicitis dangerous? Possible consequences and complications

In the absence of adequate treatment of cervicitis and other manifestations of infection accompanying it, it greatly increases the risk of infertility, ectopic pregnancy, cervical cancer, premature birth and miscarriage.

Symptoms and signs of cervicitis

The main symptoms of acute cervicitis (endocervicitis) are:

  • foul-smelling, purulent, frothy discharge from their vagina %BD%D0%B8%D1%8F-%D0%B7%D1%83%D0%B4-%D0%B8-%D0%BD%D0%B5%D0%BF%D1%80%D0%B8% D1%8F%D1%82%D0%BD%D1%8B%D0%B9-%D0%B7%D0%B0%D0%BF%D0%B0%D1%85-%D0%B8%D0%B7- %D0%B2%D0%BB%D0%B0%D0%B3%D0%B0%D0%BB%D0%B8%D1%89%D0%B0-%D0%BA%D0%B0%D0%BA- %D1%80%D0%B5%D1%88%D0%B8%D1%82%D1%8C-%D1%8D%D1%82%D1%83-%D0%BF%D1%80%D0%BE %D0%B1%D0%BB%D0%B5%D0%BC%D1%83);
  • itching in the genital area;
  • pain in the lower abdomen %D0%BE%D1%82%D0%B5-%D1%83-%D0%B6%D0%B5%D0%BD%D1%89%D0%B8%D0%BD-%D0%B1%D0% BE%D0%BB%D0%B8-%D1%81%D0%B2%D1%8F%D0%B7%D0%B0%D0%BD%D0%BD%D1%8B%D0%B5-%D1% 81-%D0%BC%D0%B5%D1%81%D1%8F%D1%87%D0%BD%D1%8B%D0%BC%D0%B8-%D0%B1%D0%B5%D1% 80%D0%B5%D0%BC%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C%D1%8E-%D0%B3%D0%B8 %D0%BD%D0%B5%D0%BA%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0 %B8%D0%BC%D0%B8-%D0%B7%D0%B0%D0%B1%D0%BE%D0%BB%D0%B5%D0%B2%D0%B0%D0%BD%D0% B8%D1%8F%D0%BC%D0%B8)
  • pain during urination and frequent urge to urinate;
  • pain during sex and spotting from the vagina after sex %D0%B2%D1%80%D0%B5%D0%BC%D1%8F-%D0%B8%D0%BB%D0%B8-%D0%BF%D0%BE%D1%81%D0%BB %D0%B5-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D0%BE%D0%B3%D0%BE-%D0%B0%D0%BA%D1%82 %D0%B0-%D1%81%D0%B5%D0%BA%D1%81%D0%B0-%D1%83-%D0%BC%D1%83%D0%B6%D1%87%D0% B8%D0%BD-%D0%B8-%D0%B6%D0%B5%D0%BD%D1%89%D0%B8%D0%BD-%D0%BF%D1%80%D0%B8%D1 %87%D0%B8%D0%BD%D1%8B-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5);
  • dark spotting vaginal discharge between two periods B8%D1%81%D1%82%D1%8B%D0%B5-%D0%B2%D1%8B%D0%B4%D0%B5%D0%BB%D0%B5%D0%BD%D0%B8 %D1%8F-%D0%B8%D0%B7-%D0%B2%D0%BB%D0%B0%D0%B3%D0%B0%D0%BB%D0%B8%D1%89%D0%B0 -%D1%85%D0%B0%D1%80%D0%B0%D0%BA%D1%82%D0%B5%D1%80%D0%BD%D1%8B%D0%B5-%D0%B4 %D0%BB%D1%8F-%D0%BD%D0%BE%D1%80%D0%BC%D0%B0%D0%BB%D1%8C%D0%BD%D1%8B%D1%85- %D0%BC%D0%B5%D1%81%D1%8F%D1%87%D0%BD%D1%8B%D1%85-%D0%B8-%D1%80%D0%B0%D0%B7 %D0%BB%D0%B8%D1%87%D0%BD%D1%8B%D1%85-%D0%B3%D0%B8%D0%BD%D0%B5%D0%BA%D0%BE% D0%BB%D0%BE%D0%B3).

Chronic cervicitis most often does not show any symptoms.

Can there be cervicitis if there are no symptoms?

Yes, this is possible. Quite often, genital infections, against which cervicitis develops, occur in a chronic form, completely asymptomatic and go unnoticed for a long time. In such cases, chronic cervicitis may be discovered during a routine gynecological examination or during an examination for some other problem.

The effect of cervicitis on pregnancy

The presence increases the risk of intrauterine infection of the fetus (an infection that provoked inflammation of the cervix).

In addition, against the background of cervicitis, the risk of preterm birth, low birth weight of the child, as well as infectious complications in the mother (for example, endometritis) after childbirth, is significantly increased.

Treatment of cervicitis during pregnancy is selected depending on the type of infection that provoked it. You can find detailed recommendations for treating infections during pregnancy in the Pregnancy section.

Tests and examinations to detect cervicitis

The main methods for diagnosing cervicitis are:

Examination by a gynecologist. During the examination, the doctor assesses the condition of the walls of the vagina and cervix. Heavy, foul-smelling vaginal discharge, redness and irritation of the vagina and cervix, and pus from the cervical canal are the most common signs of cervicitis that a doctor may notice during a physical examination.

To clarify the cause of the disease, the doctor may advise you to do a regular microbiological smear from the vagina and a cytological smear (Pap test).

A detailed explanation of how these tests are carried out, how to prepare for them and what their results can mean is presented in the articles: http://www.sitemedical.ru/content/%D0%B1%D0%B0%D0%BA%D1%82 %D0%B5%D1%80%D0%B8%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0 %B8%D0%B9-%D0%BC%D0%B0%D0%B7%D0%BE%D0%BA-%D0%B8%D0%B7-%D0%B2%D0%BB%D0%B0% D0%B3%D0%B0%D0%BB%D0%B8%D1%89%D0%B0-%D0%BA%D0%B0%D0%BA-%D0%BF%D1%80%D0%BE% D0%B2%D0%BE%D0%B4%D0%B8%D1%82%D1%81%D1%8F-%D0%B0%D0%BD%D0%B0%D0%BB%D0%B8%D0 %B7-%D0%BA%D0%B0%D0%BA-%D0%BF%D0%BE%D0%B4%D0%B3%D0%BE%D1%82%D0%BE%D0%B2%D0 %B8%D1%82%D1%8C%D1%81%D1%8F-%D1%87%D1%82%D0%BE-%D0%BE%D0%B7%D0%BD%D0%B0%D1 %87%D0%B0%D1%8E%D1%82-%D1%80%D0%B5%D0%B7%D1%83%D0%BB%D1%8C%D1%82%D0%B0%D1% 82%D1%8B and http://www.sitemedical.ru/content/%D0%BC%D0%B0%D0%B7%D0%BE%D0%BA-%D0%BD%D0%B0-%D1% 86%D0%B8%D1%82%D0%BE%D0%BB%D0%BE%D0%B3%D0%B8%D1%8E-%D1%87%D1%82%D0%BE-%D1% 8D%D1%82%D0%BE-%D1%82%D0%B0%D0%BA%D0%BE%D0%B5-%D0%BA%D0%B0%D0%BA-%D0%BF%D1 %80%D0%BE%D0%B2%D0%BE%D0%B4%D0%B8%D1%82%D1%81% D1%8F-%D0%BA%D0%B0%D0%BA-%D0%BF%D0%BE%D0%B4%D0%B3%D0%BE%D1%82%D0%BE%D0%B2% D0%B8%D1%82%D1%8C%D1%81%D1%8F-%D1%87%D1%82%D0%BE-%D0%BE%D0%B7%D0%BD%D0%B0% D1%87%D0%B0%D1%8E%D1%82-%D1%80%D0%B5%D0%B7%D1%83%D0%BB%D1%8C%D1%82%D0%B0%D1 %82%D1%8B.

In cases where the smear does not give accurate results, the doctor may prescribe a PCR test for genital infections (see also http://www.sitemedical.ru/content/%D0%9F%D0%A6%D0%A0-%D0 %B0%D0%BD%D0%B0%D0%BB%D0%B8%D0%B7-%D1%87%D1%82%D0%BE-%D1%8D%D1%82%D0%BE-% D1%82%D0%B0%D0%BA%D0%BE%D0%B5-%D0%BA%D0%B0%D0%BA-%D0%BF%D0%BE%D0%B4%D0%B3% D0%BE%D1%82%D0%BE%D0%B2%D0%B8%D1%82%D1%8C%D1%81%D1%8F-%D0%BA%D0%B0%D0%BA%D0 %B8%D0%B5-%D0%B8%D0%BD%D1%84%D0%B5%D0%BA%D1%86%D0%B8%D0%B8-%D0%BC%D0%BE%D0 %B3%D1%83%D1%82-%D0%B1%D1%8B%D1%82%D1%8C-%D0%B2%D1%8B%D1%8F%D0%B2%D0%BB%D0 %B5%D0%BD%D1%8B).

Depending on the symptoms of the disease and changes detected during the gynecological examination, the doctor may prescribe additional tests and tests (testing for syphilis, ultrasound of the pelvic organs, general urine and blood tests, etc.)

During an examination for cervicitis, a gynecologist can detect cervical erosion, leukoplakia, or dysplasia in a woman. A detailed description of what it is and what needs to be done about it is presented in the articles: http://www.sitemedical.ru/content/%D0%BF%D0%BE%D0%B4%D1%80%D0%BE %D0%B1%D0%BD%D0%BE%D0%B5-%D0%BE%D0%B1%D1%8A%D1%8F%D1%81%D0%BD%D0%B5%D0%BD% D0%B8%D0%B5-%D1%8D%D1%80%D0%BE%D0%B7%D0%B8%D0%B8-%D1%88%D0%B5%D0%B9%D0%BA% D0%B8-%D0%BC%D0%B0%D1%82%D0%BA%D0%B8-%D1%87%D1%82%D0%BE-%D1%8D%D1%82%D0%BE -%D1%82%D0%B0%D0%BA%D0%BE%D0%B5-%D0%BF%D1%80%D0%B8%D1%87%D0%B8%D0%BD%D1%8B -%D0%B2%D0%BE%D0%B7%D0%BD%D0%B8%D0%BA%D0%BD%D0%BE%D0%B2%D0%B5%D0%BD%D0%B8% D1%8F-%D0%BD%D0%B0%D1%81%D0%BA%D0%BE%D0%BB%D1%8C%D0%BA%D0%BE-%D1%8D%D1%82% D0%BE-%D0%BE%D0%BF http://www.sitemedical.ru/content/%D0%BF%D0%BE%D0%B4%D1%80%D0%BE%D0%B1% D0%BD%D0%BE%D0%B5-%D0%BE%D0%B1%D1%8A%D1%8F%D1%81%D0%BD%D0%B5%D0%BD%D0%B8%D0 %B5-%D0%BB%D0%B5%D0%B9%D0%BA%D0%BE%D0%BF%D0%BB%D0%B0%D0%BA%D0%B8%D0%B8-%D1 %88%D0%B5%D0%B9%D0%BA%D0%B8-%D0%BC%D0%B0%D1%82%D0%BA%D0%B8-%D1%87%D1%82%D0 %BE-%D1%8D%D1%82%D0%BE-%D1%82%D0%B0%D0%BA%D0%BE%D0%B5-%D0%BD%D0%B0%D1%81% D0% BA%D0%BE%D0%BB%D1%8C%D0%BA%D0%BE-%D1%8D%D1%82%D0%BE-%D0%BE%D0%BF%D0%B0%D1% 81%D0%BD%D0%BE-%D0%BA%D0%B0%D0%BA%D0%BE%D0%B5-%D0%BB%D0%B5%D1%87%D0%B5%D0% BD%D0%B8 and http://www.sitemedical.ru/content/%D0%B4%D0%B8%D1%81%D0%BF%D0%BB%D0%B0%D0%B7%D0%B8 %D1%8F-%D0%BF%D1%80%D0%B5%D0%B4%D1%80%D0%B0%D0%BA%D0%BE%D0%B2%D0%BE%D0%B5- %D1%81%D0%BE%D1%81%D1%82%D0%BE%D1%8F%D0%BD%D0%B8%D0%B5-%D1%88%D0%B5%D0%B9% D0%BA%D0%B8-%D0%BC%D0%B0%D1%82%D0%BA%D0%B8-%D1%87%D1%82%D0%BE-%D1%8D%D1%82 %D0%BE-%D1%82%D0%B0%D0%BA%D0%BE%D0%B5-%D0%BF%D1%80%D0%B8%D1%87%D0%B8%D0%BD %D1%8B-%D1%81%D1%82%D0%B0%D0%B4%D0%B8%D0%B8-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD %D0%B8%D0%B5-%D0%B2%D0%BB%D0%B8%D1%8F%D0%BD%D0%B8%D0%B5-%D0%BD%D0%B0-%D0% B1%D0%B5%D1%80%D0%B5%D0%BC%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C.

How to prepare for a visit to the doctor?
  1. Refrain from sexual intercourse 1-2 days before the examination
  2. 2-3 days before the examination, do not douche and refuse any intimate hygiene products
  3. As soon as possible before the examination, stop using any medications in the form of vaginal suppositories, tablets or sprays, unless their use has been previously agreed with the doctor
  4. Hygiene of the external genital organs should be carried out in the evening, before the examination - only with warm water. In the morning, on the day of the examination, it is not necessary to wash.
  5. It is advisable not to urinate 2-3 hours before a visit to the doctor.

Treatment of cervicitis

Treatment for cervicitis (endocervicitis) depends on the type of infection that caused the disease.

Due to the fact that many infections that cause cervicitis are contagious and are transmitted during sexual intercourse, treatment of both sexual partners is mandatory in most cases.
Even if a man does not show any signs of illness, this does not mean that he is not infected. Chlamyliosis, trichomoniasis and gonorrhea in men can be completely asymptomatic.

Before starting treatment, your doctor may ask you to take a pregnancy test. This is strictly necessary, as some medications that are used in the treatment of cervititis can adversely affect the development of pregnancy. If it turns out that you are pregnant, the doctor will select a special, safe treatment.

Medicines to treat cervicitis

The main treatment for cervicitis (endocervicitis) is the appointment of antibiotics that suppress the development of infection. The choice of antibiotic is made by the attending physician and depends on the type of infection that caused the disease.

Quite often, antibiotics for the treatment of cervicitis are prescribed in the form of vaginal suppositories or creams.

Detailed recommendations for the treatment of genital infections are presented in the articles http://www.sitemedical.ru/content/%D0%BE%D0%B1%D1%8A%D1%8F%D1%81%D0%BD%D0%B5 %D0%BD%D0%B8%D0%B5-%D1%82%D1%80%D0%B8%D1%85%D0%BE%D0%BC%D0%BE%D0%BD%D0%B8% D0%B0%D0%B7%D0%B0-%D1%83-%D0%BC%D1%83%D0%B6%D1%87%D0%B8%D0%BD-%D0%B8-%D0% B6%D0%B5%D0%BD%D1%89%D0%B8%D0%BD-%D1%87%D1%82%D0%BE-%D1%8D%D1%82%D0%BE-%D1 %82%D0%B0%D0%BA%D0%BE%D0%B5-%D0%BD%D0%B0%D1%81%D0%BA%D0%BE%D0%BB%D1%8C%D0% BA%D0%BE-%D1%8D%D1%82%D0%BE-%D0%BE%D0%BF%D0%B0%D1%81%D0%BD%D0%BE-%D0%BB%D0 %B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5, http://www.sitemedical.ru/content/%D0%BE%D0%B1%D1%8A%D1% 8F%D1%81%D0%BD%D0%B5%D0%BD%D0%B8%D0%B5-%D1%85%D0%BB%D0%B0%D0%BC%D0%B8%D0%B4 %D0%B8%D0%BE%D0%B7%D0%B0-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D1%85-%D0%BE %D1%80%D0%B3%D0%B0%D0%BD%D0%BE%D0%B2-%D1%83-%D0%BC%D1%83%D0%B6%D1%87%D0%B8 %D0%BD-%D0%B8-%D0%B6%D0%B5%D0%BD%D1%89%D0%B8%D0%BD-%D0%BD%D0%B0%D1%81%D0% BA%D0%BE%D0%BB%D1%8C%D0%BA%D0%BE-%D1%8D%D1%82%D0%BE-%D0%BE%D0%BF%D0%B0%D1% 81%D0%BD%D0%B E-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5, http://www.sitemedical.ru/content/%D0%BE%D0% B1%D1%8A%D1%8F%D1%81%D0%BD%D0%B5%D0%BD%D0%B8%D0%B5-%D0%B3%D0%BE%D0%BD%D0%BE %D1%80%D0%B5%D0%B8-%D0%BE%D1%82%D0%BA%D1%83%D0%B4%D0%B0-%D0%B1%D0%B5%D1%80 %D0%B5%D1%82%D1%81%D1%8F-%D0%BD%D0%B0%D1%81%D0%BA%D0%BE%D0%BB%D1%8C%D0%BA% D0%BE-%D0%BE%D0%BF%D0%B0%D1%81%D0%BD%D0%B0-%D1%81%D0%B8%D0%BC%D0%BF%D1%82% D0%BE%D0%BC%D1%8B-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5, http://www.sitemedical.ru /content/%D0%BE%D0%B1%D1%8A%D1%8F%D1%81%D0%BD%D0%B5%D0%BD%D0%B8%D0%B5-%D1%83%D1 %80%D0%B5%D0%B0%D0%BF%D0%BB%D0%B0%D0%B7%D0%BC%D0%BE%D0%B7%D0%B0-%D0%B8-%D0 %BC%D0%B8%D0%BA%D0%BE%D0%BF%D0%BB%D0%B0%D0%B7%D0%BC%D0%BE%D0%B7%D0%B0-%D0% BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D1%85-%D0%BE%D1%80%D0%B3%D0%B0%D0%BD%D0%BE %D0%B2-%D1%83-%D0%BC%D1%83%D0%B6%D1%87%D0%B8%D0%BD-%D0%B8-%D0%B6%D0%B5%D0 %BD%D1%89%D0%B8%D0%BD-%D1%81%D0%B8%D0%BC%D0%BF%D1%82%D0%BE%D0%BC%D1%8B-%D0 %BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5, http://www.sitemedical.ru/content/%D 0%B2%D0%B8%D1%80%D1%83%D1%81-%D0%BF%D0%B0%D0%BF%D0%B8%D0%BB%D0%BB%D0%BE%D0 %BC%D1%8B-%D1%87%D0%B5%D0%BB%D0%BE%D0%B2%D0%B5%D0%BA%D0%B0-%D0%B2%D0%BF%D1 %87-%D0%BE%D1%81%D1%82%D1%80%D0%BE%D0%BA%D0%BE%D0%BD%D0%B5%D1%87%D0%BD%D1% 8B%D0%B5-%D0%BA%D0%BE%D0%BD%D0%B4%D0%B8%D0%BB%D0%BE%D0%BC%D1%8B-%D0%B8%D1% 81%D1%82%D0%BE%D1%87%D0%BD%D0%B8%D0%BA%D0%B8-%D0%B7%D0%B0%D1%80%D0%B0%D0%B6 %D0%B5%D0%BD%D0%B8%D1%8F-%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5, http:// www.sitemedical.ru/content/%D0%BE%D0%B1%D1%8A%D1%8F%D1%81%D0%BD%D0%B5%D0%BD%D0%B8%D0%B5-% D0%BC%D0%BE%D0%BB%D0%BE%D1%87%D0%BD%D0%B8%D1%86%D1%8B-%D0%BA%D0%B0%D0%BD%D0 %B4%D0%B8%D0%B4%D0%BE%D0%B7%D0%B0-%D0%BF%D0%BE%D0%BB%D0%BE%D0%B2%D1%8B%D1% 85-%D0%BE%D1%80%D0%B3%D0%B0%D0%BD%D0%BE%D0%B2-%D1%83-%D0%BC%D1%83%D0%B6%D1 %87%D0%B8%D0%BD-%D0%B8-%D0%B6%D0%B5%D0%BD%D1%89%D0%B8%D0%BD-%D1%87%D1%82% D0%BE-%D1%8D%D1%82%D0%BE-%D1%82%D0%B0%D0%BA%D0%BE%D0%B5-%D1%8D%D1%84%D1%84 %D0%B5%D0%BA%D1%82%D0%B8%D0%B2%D0%BD%D0%BE%D0%B5-%D0%BB%D0%B5%D1%87%D0%B5% D0%BD%D0%B8%D0%B5.

Alternative methods of treatment of cervicitis

At the moment, there are no really effective folk methods or recipes for the treatment of cervicitis (endocervicitis).

Infections that provoke the development of cervicitis cannot be eliminated by medicinal herbs, therefore, the use of alternative methods of treating cervicitis is allowed only with the consent of the doctor and simultaneously or after the main treatment with antibiotics.

If you are planning treatment with folk remedies, pay attention to the following notes:

  • A false idea about the effectiveness of many of the described methods of alternative treatment of cervicitis arose due to the fact that, approximately 4-5 weeks after the onset of the disease, even without any treatment, the infection that provoked it can become asymptomatic, but it continues to develop.
  • Many folk recipes for the treatment of cervicitis involve the introduction of tampons moistened with infusions of medicinal herbs into the vagina or douching. Such treatment for cervicitis can greatly disrupt the composition of the vaginal microflora and provoke dangerous complications. see also http://www.sitemedical.ru/content/%D0%BE%D1%82%D0%B2%D0%B5%D1%82%D1%8B-%D0%BD%D0%B0-%D0 %B2%D0%BE%D0%BF%D1%80%D0%BE%D1%81%D1%8B-%D0%BE-%D1%81%D0%BF%D1%80%D0%B8%D0 %BD%D1%86%D0%B5%D0%B2%D0%B0%D0%BD%D0%B8%D1%8F%D1%85-%D0%B2%D0%BB%D0%B0%D0% B3%D0%B0%D0%BB%D0%B8%D1%89%D0%B0-%D1%83-%D0%B6%D0%B5%D0%BD%D1%89%D0%B8%D0% BD

A long-term inflammatory process in the mucous membrane of the vaginal and supravaginal part of the cervix, which in some cases extends to its connective tissue and muscle layer. During remission, symptoms are limited to an increase in the amount of vaginal discharge. With an exacerbation, the volume of secretions increases, they become mucopurulent, the patient notes pain in the lower abdomen. When making a diagnosis, the data of extended colposcopy, bacteriological, serological and cytological analyzes, gynecological ultrasound are taken into account. Antibiotics, hormonal preparations, eubiotics, immune agents are used for treatment.

General information

Diagnostics

Since the clinical manifestations of chronic cervicitis are nonspecific and usually mild, the leading role in the diagnosis is played by the data of physical, instrumental and laboratory studies. For diagnosis, the most informative:

  • Look at the chair. A slight swelling of the mucosa is determined, the cervix looks compacted and somewhat enlarged. In the area of ​​the exocervix, eroded areas and papillomatous growths are revealed.
  • Extended colposcopy. Examination under a microscope allows you to clarify the condition of the mucosa, in time to identify precancerous changes and malignant degeneration of the epithelium.
  • Laboratory etiological studies. A smear on the flora and sowing with an antibiogram are aimed at detecting the pathogen and assessing its sensitivity to etiotropic drugs. With the help of PCR, RIF, ELISA, it is possible to reliably determine the type of a specific infectious agent.
  • cytomorphological diagnosis. When examining a scraping of the cervix, the nature of the changes and the state of the cells of the exo- and endocervix are assessed. The histology of the biopsy is carried out according to indications for the timely detection of signs of malignancy.
    1. Etiotropic drug treatment. With the infectious genesis of cervicitis, antibacterial and antiviral drugs are used. When selecting an antimicrobial agent, the sensitivity of the pathogen is taken into account. Hormonal drugs (estrogens) are used in the treatment of atrophic cervicitis in women during menopause.
    2. Restoration of the vaginal microflora. After a course of antibiotic therapy, eubiotics are recommended locally (in the form of suppositories, tampons, vaginal irrigations) and inside.
    3. Complementary Therapy. To accelerate the processes of regeneration of the mucosa, strengthen the immune system and prevent possible relapses, immuno- and phytotherapy, physiotherapy procedures are indicated.

    In the presence of retention cysts, radio wave diathermopuncture is prescribed. In cases where conservative treatment is ineffective, or chronic cervicitis is combined with dysplasia, elongation, cicatricial deformity and other diseases of the cervix, surgical techniques are used - cryo- or laser therapy, tracheloplasty, etc.

    Forecast and prevention

    The prognosis of the disease is favorable. For the timely detection of possible cervical dysplasia, the patient after a course of treatment must undergo colposcopy twice a year, take cytological smears and bakposev. Prevention of chronic cervicitis includes regular examinations by a gynecologist, adequate treatment of inflammatory diseases of the female genital area, reasonable appointment of invasive procedures. It is recommended to follow the rules of intimate hygiene, streamline your sex life, use condoms (especially during sexual contact with unfamiliar partners), exclude sex during menstruation. For the prevention of relapses, courses of general strengthening and immunotherapy, adherence to sleep and rest, protection against hypothermia of the legs and pelvic area are effective.

Content:

Nonspecific cervicitis- means that inflammation of the cervix arose as a result of a change in the normal microflora of the vagina, but has no connection with sexual infections. Nonspecific cervicitis especially often occurs as a result of .

Atrophic cervicitis- means that simultaneously with inflammation in a woman, there is a thinning of the tissues of the cervix. Usually, atrophic cervicitis is the result of chronic inflammation of the cervix.

Focal cervicitis- means that only certain parts of the mucous membrane of the cervical canal are inflamed.

Why is cervicitis dangerous? Possible consequences and complications

In the absence of adequate treatment of cervicitis and other manifestations of infection accompanying it, it greatly increases the risk , premature birth and.

Symptoms and signs of cervicitis

The main symptoms of acute cervicitis (endocervicitis) are:

  • foul-smelling, purulent, frothy discharge from their vagina (see);
  • itching in the genital area;
  • pain in the lower abdomen other causes of abdominal pain in women)
  • pain during urination and frequent urge to urinate;
  • pain during sex and spotting from the vagina after sex ( other causes of pain during sex);
  • dark spotting vaginal discharge between two periods ( other causes of bleeding).

Chronic cervicitis most often does not show any symptoms.

Can there be cervicitis if there are no symptoms?

Yes, this is possible. Quite often, genital infections, against which cervicitis develops, occur in a chronic form, completely asymptomatic and go unnoticed for a long time. In such cases, chronic cervicitis may be discovered during a routine gynecological examination or during an examination for some other problem.

The effect of cervicitis on pregnancy

The presence of cervicitis in a pregnant woman increases the risk of intrauterine infection of the fetus (an infection that provoked inflammation of the cervix).

In addition, against the background of cervicitis, the risk of preterm birth, low birth weight of the child, as well as infectious complications in the mother (for example, endometritis) after childbirth, is significantly increased.

Treatment of cervicitis during pregnancy is selected depending on the type of infection that provoked it. Detailed recommendations for treating infections during pregnancy can be found in .

Tests and examinations to detect cervicitis

The main methods for diagnosing cervicitis are:

Examination by a gynecologist. During the examination, the doctor assesses the condition of the walls of the vagina and cervix. Heavy, foul-smelling vaginal discharge, redness and irritation of the vagina and cervix, and pus from the cervical canal are the most common signs of cervicitis that a doctor may notice during a physical examination.

To clarify the cause of the disease, the doctor may advise you to do a regular microbiological smear from the vagina and a cytological smear (Pap test).

For a detailed explanation of how these tests are done, how to prepare for them, and what their results might mean, see the articles: Bacteriological smear And Evidence-based guidance for women on issues related to cervical cancer protection.

Depending on the symptoms of the disease and changes detected during the gynecological examination, the doctor may prescribe additional tests and tests (testing for syphilis, ultrasound of the pelvic organs, general urine and blood tests, etc.)

During an examination for cervicitis, a gynecologist can detect cervical erosion, leukoplakia, or dysplasia in a woman. A detailed description of what it is and what needs to be done about it is presented in the articles:, and Evidence-based guidance for women on issues related to cervical cancer protection.

How to prepare for a visit to the doctor?

  1. Refrain from sexual intercourse 1-2 days before the examination
  2. 2-3 days before the examination, do not douche and refuse any intimate hygiene products
  3. As soon as possible before the examination, stop using any medications in the form of vaginal suppositories, tablets or sprays, unless their use has been previously agreed with the doctor
  4. Hygiene of the external genital organs should be carried out in the evening, before the examination - only with warm water. In the morning, on the day of the examination, it is not necessary to wash.
  5. It is advisable not to urinate 2-3 hours before a visit to the doctor.

Treatment of cervicitis

Treatment of cervicitis (endocervicitis), including its chronic form, depends on the type of infection that provoked the disease.

Due to the fact that many infections that cause cervicitis are contagious and are transmitted during sexual intercourse, treatment of both sexual partners is mandatory in most cases.
Even if a man does not show any signs of illness, this does not mean that he is not infected. Chlamydia, trichomoniasis and gonorrhea in men can be completely asymptomatic.

Before starting treatment, your doctor may ask you to take a pregnancy test. This is strictly necessary, as some medications that are used in the treatment of cervititis can adversely affect the development of pregnancy. If it turns out that you are pregnant, the doctor will select a special, safe treatment.

Medicines to treat cervicitis

The main method of treatment of cervicitis (endocervicitis), including its chronic form, is the appointment of antibiotics that suppress the development of infection. The choice of antibiotic is made by the attending physician and depends on the type of infection that caused the disease. , .

Alternative methods of treatment of cervicitis

At the moment, there are no really effective folk methods or recipes for the treatment of cervicitis (endocervicitis).

Infections that provoke the development of cervicitis cannot be eliminated by medicinal herbs, therefore, the use of alternative methods of treating cervicitis is allowed only with the consent of the doctor and simultaneously or after the main treatment with antibiotics.

If you are planning treatment with folk remedies, pay attention to the following notes:

  • A false idea about the effectiveness of many of the described methods of alternative treatment of cervicitis arose due to the fact that, approximately 4-5 weeks after the onset of the disease, even without any treatment, the infection that provoked it can become asymptomatic, but it continues to develop.
  • Many folk recipes for the treatment of cervicitis involve the introduction of tampons moistened with infusions of medicinal herbs into the vagina or douching. Such treatment for cervicitis can greatly disrupt the composition of the vaginal microflora and provoke dangerous complications. see also How safe is douching, can it be done, what can replace douching?

Cervicitis is a gynecological disease, inflammation of the cervical canal located in the cervix. Pathology is more common in women of reproductive age, accompanied by pulling pains, painful intercourse, specific discharge. It often becomes chronic, since in the acute phase it can be almost asymptomatic. Lack of treatment is fraught with the spread of the pathological process to other reproductive organs, cervical erosion, problems with conception and gestation.

In the article, we will find out what chronic cervicitis is and how to treat the disease effectively. You should also be aware of the specific symptoms of the pathology in order to timely contact a medical facility for diagnosis and treatment. A separate paragraph is devoted to the relationship of inflammation of the cervical canal with pregnancy problems. Of particular importance are preventive recommendations, the observance of which will preserve health and reproductive function.

The term "cervicitis" refers to an infectious and inflammatory process localized in the cervical (cervical) canal. This section of the uterus performs a barrier function, protecting the internal genital organs from the penetration of infections. Protection is provided by a combination of such factors as the narrowness of the canal, the presence of a mucous plug, and the development of a special secret. If for some reason the protective function is impaired, pathogens enter the cervical canal and cause an inflammatory process.

Classification

Cervicitis has been assigned the ICD-10 code N72, which unites all varieties of the disease. An additional coding B95-B98 is used to designate an infectious agent. The inflammatory process can affect different parts of the cervical canal. If the vaginal segment is affected, the diagnosis is "exocervicitis", and if the inner lining of the cervical canal becomes inflamed, we are talking about endocervicitis.

Like any inflammatory disease, cervicitis is divided into acute and chronic along the course. In the first case, the process is most often accompanied by pain during intercourse, pulling sensations in the lower abdomen, and abundant vaginal discharge (mucous or purulent). During the transition to the chronic form, erosion of the neck or ectropion often develops (eversion to the outside of the canal mucosa). In addition, the infection spreads to other pelvic female organs and contributes to inflammation of the uterus itself, fallopian tubes, and ovaries.

The diagnosis of cervicitis is usually supplemented by an indication of the degree of tissue damage: inflammation of a focal and diffuse nature is distinguished. In addition, during the diagnosis, a specific pathogen is detected, due to which several more types of pathology are distinguished. In more detail, the names, causes and factors contributing to the development of the disease are discussed in the next section.

Causes of cervicitis

As already mentioned, the inflammatory process develops as a result of damage to the mucous membrane of the cervical canal by infectious agents. Depending on the type of pathogen, two types of pathology and its causes are distinguished:

  • Nonspecific cervicitis - the pathogen enters the cervix with the flow of lymph and blood, from the vagina or by contact from the rectum. That is, this type of inflammation occurs when the opportunistic microflora is activated and multiplied, which is normally always present in the body in certain quantities. This category includes candidal cervicitis, staphylococcal and streptococcal, as well as provoked by Escherichia coli.
  • Specific is a consequence of infection from the outside with viruses, protozoa, bacterial flora. In this case, infection occurs during sexual intercourse. In accordance with the type of infectious agent, ureaplasma cervicitis, trichomonas, herpetic and others are isolated.

Factors such as weakened immunity, hormonal imbalance, chemical burns and mechanical trauma to the cervical canal during childbirth, abortion, diagnostic curettage, and the use of intrauterine contraceptives contribute to inflammation. Benign neoplasms, cicatricial deformities of the cervix also affect susceptibility to infection.

Symptoms of cervical cervicitis

The acute form of the inflammatory process can proceed in different ways, including asymptomatically. The general symptoms include, first of all, abundant discharge. They may be purulent or mucous. Sometimes the patient complains of dull pain in the lower abdomen. When viewed in the mirrors, swelling and redness around the external opening of the canal, small ulcerations and hemorrhages, and protrusion of the mucosa are revealed.

Depending on the type of infectious agent that caused acute inflammation, characteristic symptoms may occur:

  • Gonococcal (the most common) is acute, all the typical signs of this cervicitis in women are clearly expressed.
  • Trichomonas is accompanied by multiple hemorrhages on the mucosa - the so-called "strawberry cervix".
  • Herpetic cervicitis is determined by severe hyperemia and friability of the cervix. There is also a symptom of "continuous erosion" - numerous ulcerations.
  • If actinomycetes are the cause of the pathological process, characteristic formations are found - a symptom of a "granular yellow spot".
  • Chlamydial cervicitis has the least obvious signs, is often ignored for this reason and becomes chronic.
  • Viral cervicitis caused by HPV is often accompanied by the formation of genital warts.

Often, inflammation of the cervical canal develops in parallel with erosion, and then the specific symptoms of cervical cervicitis occur along with contact bleeding from the vagina. If the infection spreads to the urinary tract, pain occurs when urinating, burning sensations. The defeat of the walls of the vagina leads to colpitis.

The transition of the disease to the chronic stage in the absence of proper treatment occurs after 2-3 weeks. It is also called moderate cervicitis, because it creates the illusion of recovery. The fact is that the inflammatory process spreads deep into the tissues of the cervix, and the surface layer is restored. Allocations in chronic cervicitis become less abundant, more viscous and have a white or yellowish color. Laboratory blood tests often do not reveal signs of an inflammatory process. On examination, the following are revealed:

  • compaction of the neck and its increase due to edema;
  • the mucosa around the pharynx of the cervical canal is eroded;
  • an extensive ulcer that occurs when the squamous epithelium is replaced by a cylindrical one.

Since the regeneration of epithelial tissue is not carried out correctly, the ducts of the glands that produce cervical mucus overlap. Nabothian cysts form in them and cystic cervicitis develops. Chronic cervicitis of the cervix during menopause is accompanied by atrophy of the mucous membranes.

Diagnostics

It is difficult to establish an accurate diagnosis based on clinical symptoms, since discharge and pain accompany many inflammatory diseases of the female pelvic organs. The primary examination, which is carried out by a gynecologist, allows you to detect swelling, hyperemia, ulceration and hemorrhage. After it, the patient is assigned a mandatory colposcopy.

This instrumental research method allows to detect characteristic structural changes in the tissue. In addition, in order to identify the specific cause of inflammation, laboratory diagnostics is carried out:

  • smear on flora;
  • cytological examination;
  • bakposev;
  • PCR diagnostics.

The blood is also examined for RW and the presence of HIV.

How to treat cervicitis?

In the acute period of the disease, conservative therapy is carried out. It is carried out in several successive stages:

  • Elimination of the immediate cause of inflammation. According to the results of tests to identify the pathogen, appropriate drugs are prescribed for the treatment of cervicitis in women - antimicrobial or antiviral. It should be borne in mind that local drugs are not relevant at this stage, since they fight the infection superficially. Usually, systemic antiviral drugs (, interferons) and antibiotics for cervicitis are first prescribed. The latter include , .
  • As the clinical manifestations of the disease decrease, local therapy is also prescribed. The cervix and vagina are regularly treated with solutions of dimethyl sulfoxide, chlorophyllipt, silver nitrate. Combined intravaginal creams and suppositories for cervicitis are also used. After completion of antimicrobial therapy, preparations with lactic acid are indicated to restore the vaginal biocenosis.
  • Immunostimulants and vitamin complexes are prescribed to activate the body's defenses. Appropriate therapy is required by hormonal disorders, against which inflammation of the cervical canal develops. Postmenopausal women who are diagnosed with an atrophic type of the disease should use estrogen suppositories for cervicitis.

When sexually transmitted infections (, trichomoniasis,) become the cause of the inflammatory process, both partners need to undergo a course of antibiotic therapy. Efficiency is controlled by laboratory tests and with the help of colposcopy.

If the appeal to the doctor for any reason was untimely, or inadequate therapy (self-treatment) was carried out, the process usually becomes chronic. Treatment of chronic cervicitis of the cervix is ​​carried out mainly by surgical methods, since conservative ones are ineffective. Cryo- and laser therapy, diathermocoagulation are used. The infection is preliminarily treated with systemic drugs, and after surgery, restorative therapy is prescribed.

Treatment of cervicitis with folk remedies

The use of alternative medicine prescriptions is possible only as an addition to the main therapy with the permission of the doctor. Basically, infusions of medicinal herbs with an anti-inflammatory effect (eucalyptus, calendula) are used in the form of douches. You can also insert tampons soaked in them into the vagina. Self-treatment of inflammation of the cervical canal with folk remedies is unacceptable.

Is it possible to get pregnant with cervicitis

If the patency of the cervical canal is preserved, then the spermatozoa may well penetrate the uterus. However, this process is hampered by a change in the acid-base balance of the vagina, the presence of secretions. When the epithelium grows and deforms, the cervical canal closes and fertilization of the egg becomes impossible. In order for conception to be carried out without problems, it is necessary even before pregnancy, at the planning stage, to undergo a complete examination and cure all diseases.

Cervicitis during pregnancy

What is fraught with inflammation of the cervical canal in the event of pregnancy? First of all, due to the lack of a protective barrier, the infection spreads freely along the ascending path. Infection of the fetus in the early stages most often leads to its death and spontaneous abortion. In the second and third trimesters there is a high occurrence of intrauterine infections. In addition, chronic cervicitis during pregnancy is fraught with premature birth due to cervical insufficiency.

Prevention

It is possible to prevent the disease if any infections of the genital organs and endocrine disorders are detected and treated in a timely manner. It is also necessary to avoid casual sex, use contraception to prevent abortion.

Chronic cervicitis is a pathology that occurs in 30% of women who turn to a gynecologist with complaints about the health of the genital area.

This disease affects mainly women of childbearing age who are sexually active.

Women in menopause and cervicitis practically do not suffer.

Chronic cervicitis of the cervix is ​​a disease based on an active inflammatory process of the cervical canal, which occurs with periods of exacerbation and remission.

The pathology acquires a chronic course when the acute form has not been completely cured.

Information about what it is and how to treat it will be discussed further.

Causes of cervicitis

The causes of cervicitis can be diverse: they can be both infectious and non-infectious in nature. The most common etiological factors include:

  • infectious diseases of the reproductive system: , , , as well as other STIs that are caused by staphylococci, streptococci, , ureaplasmas, Pseudomonas aeruginosa and Escherichia coli;
  • traumatic damage to the reproductive organs, which may be the result of surgery (curettage of the uterus and termination of pregnancy) and even inaccurate gynecological examination or incorrect performance of some therapeutic or diagnostic manipulations (installation of an intrauterine device). Complicated childbirth are also frequent (tears, tissue ruptures);
  • prolonged use of intrauterine contraceptives;
  • the presence of neoplasms of benign genesis on the cervix.

As an etiological factor, one of the above listed items, or several at once, can act.

Factors provoking the development of pathology

The role of factors that have a provoking effect on the development of diseases such as chronic cervicitis can be:

  • rough sexual contact;
  • a general decrease in the body's defenses (primary or secondary immunodeficiency);
  • prolapse of the genitals;
  • vaginal dysbiosis.

To push the body to the development of cervicitis in young girls can: early onset of sexual activity, frequent change of sexual partners, early childbirth.

Clinical picture of chronic cervicitis

The photo shows the manifestations of chronic cervicitis

Chronic cervicitis may not bother a woman for a long time. It is often discovered when a patient seeks help from a specialist for a urinary tract infection. As for cervicitis in women, which is of a non-infectious nature, only a gynecologist can determine its presence during examination. Indeed, in this case, the symptoms may be absent altogether.

The clinical picture of the disease can be divided into 2 large groups:

  • what a woman feels
    • non-intensive pain syndrome, projected over the bosom. More often it is aching or pulling in nature;
    • intermittent bleeding from the genital tract not associated with the menstrual cycle. In some cases, an admixture of pus can be noted. Bleeding is spotting and disappears on its own;
    • with a cloudy tint, not associated with a specific phase of the cycle;
    • algodismenorrhea (painful menstruation);
    • characteristic signs of an infectious process: burning, with an unpleasant odor;
    • with an active inflammatory process, there is an increase in body temperature to subfebrile figures, weakness and general malaise;
    • with the transition of the inflammatory process to the bladder, there are frequent urges to urinate, accompanied by painful pains.
  • what the doctor sees
    • hyperemia (redness) of the mucous membrane;
    • swelling of the affected tissues (see photo above);
    • the mucosa is loose, may have traces of erosion and bruising.

The clinical picture may vary depending on the degree of neglect of the disease and the individual characteristics of the woman's body.

Disease classification

Chronic inflammation of the mucous membrane of the cervical canal can be classified as follows:

  • by etiological factor:
    • specific cervicitis, which is caused by specific pathogens of STIs;
    • non-specific - occurs under the influence of agents of a non-infectious nature or as a result of the active growth and reproduction of opportunistic vaginal microflora;
    • atrophic - the result of an inflammatory process localized in a thinned exocervix and endocervix.
  • according to the scale of the spread of the inflammatory process:
    • exocervicitis - only the vaginal part of the uterine neck is affected;
    • - inflamed mucous membrane along the cervical canal;
    • diffuse - inflammation affects the entire mucous membrane;
    • macular - local foci of inflammation are formed, separate from each other.
  • depending on the stage of activity of the inflammatory process:
    • exacerbation;
    • remission.

Diagnostic search

Only a qualified gynecologist can make a diagnosis of "chronic cervicitis" after collecting an anamnesis and examining the patient in the mirrors. If it is necessary to confirm the diagnosis or differential diagnosis with other diseases of the cervix, such studies are carried out as:

  • colposcopy - allows you to assess the condition of the cervix and identify erosive lesions, dysplasia, precancerous conditions. It is carried out using special equipment that increases the possible viewing angle;
  • analysis of a smear taken from the vagina and cervical canal to determine the microflora - bakposev;
  • cytology - determination of the cellular composition in the pathological focus;
  • , ELISA, RIF - allow you to isolate a specific infectious agent that caused the development of the disease;
  • transvaginal ultrasound - allows you to identify a thickened and deformed cervix. In some cases, to exclude oncology.
  • study of the hormonal status of women.

Treatment of chronic cervicitis

Treatment of cervicitis can only be prescribed by a qualified specialist. Self-medication, as well as self-diagnosis, is strictly prohibited.

Irrational therapy can lead to aggravation of the state of health, progression of the disease and the appearance of complications.

The treatment regimen is determined by the doctor, depending on the cause of the appearance of XP. cervicitis and the degree of neglect.

Conservative therapy (drug treatment)

If chronic cervicitis is caused by a bacterial pathogenic flora, then the doctor prescribes antibiotic therapy, taking into account the susceptibility of the pathogen to a particular drug. Drug therapy of the disease consists in local and systemic effects. Local treatment is based on the use of:

  • suppositories (suppositories from cervicitis), capsules, vaginal tablets - Hexicon, Terzhinan, Polygynax, Fluomizin and others. Candles to restore the normal microflora of the vagina - Acylact, Lactonorm;
  • creams;
  • solutions - Dimexide, silver nitrate and etc.

Systemic exposure includes reception:

  • vitamins;
  • immunomodulators - Viferon, Cycloferon, Kagocel, Isoprinosine, Groprinosin etc.;
  • immunostimulants - Polyoxidonium;
  • probiotics and drugs that normalize the microflora of the vagina and intestines - Bifidumbacterin, Baktisubtil, Biogaya.

Menopausal women who have been diagnosed with this diagnosis (atrophic form) should undergo estrogen hormone therapy.

Candles from cervicitis have an anti-inflammatory, healing, antibacterial or antiviral agent (depending on the active substance).

It is necessary to treat cervicitis without interrupting the therapeutic course for a single day. Therapy should be continuous and combined. If the disease is caused by specific microorganisms, viruses or fungi, then treatment should be carried out in both sexual partners at the same time.

Physiotherapy

Physiotherapy in combination with the main methods of treatment gives good results. So, in the acute phase of the disease, a course of UHF or UVR is shown on the lower abdomen. In the stage of remission and in subacute course, you can use such methods of exposure as: vaginal laser therapy, electrophoresis with magnesium, SMT.

Only the attending physician who prescribes this or that procedure can explain the essence of each method and talk about what it is.

Surgery

Surgical treatment is used if conservative medical methods have not brought proper results.

As a radical method of influencing chronic cervicitis, coagulation of the mucous membrane of the cervix at the site of the localization of the pathological process (cauterization of the focus with electrodes by the formation of a scab, which is eventually replaced by normal healthy tissue) acts.

Surgical treatment of cervicitis is most often used when it is accompanied by the development of ectopia.

In addition, methods such as:

  • diathermocoagulation - laser therapy - laser vaporization. The advantages of this method are: the absence of cicatricial changes, high efficiency and accuracy of surgical intervention;
  • radio wave therapy - exposure to high-frequency current. A rather expensive technique that requires special knowledge and skills on the part of physicians. Radio waves eliminate the upper modified layer of cells;
  • cryodestruction - freezing the lesion with nitrogen. The technique does not require anesthesia, leaving areas of scar tissue.

Non-traditional (folk methods of therapy)

Treatment of the disease with traditional medicine can be used as an additional therapy to the main methods of influencing the pathological process. Currently, the most popular tools are:

  • Camomile tea. To prepare it, you need 2 tbsp. pharmacy chamomile insist on 500 ml of boiling water for 20 minutes. Separate the liquid part from the flowers, soak a gauze pad in it well and insert it deep into the vagina for a quarter of an hour. Repeat the manipulation three times during the day;
  • Decoction of oak bark. To prepare an anti-inflammatory and astringent, pour 1 tbsp. l. Crushed oak bark 500 ml of boiling water and leave in a water bath for no more than a quarter of an hour. Strain the broth thoroughly, allow to cool to room temperature and use for douching twice a day;
  • A mixture of medicinal plants for oral administration. Mix in equal proportions oak bark, wormwood, bird cherry color. Add 2 parts green raspberry leaves and 3 parts juniper berries. Mix everything thoroughly. 2 tbsp. l. pour the resulting mixture into a thermos and pour 1 liter of boiling water. Insist 12 hours. Take 100 ml before main meals three times a day.

Cervicitis, which is not subjected to rational therapy, eventually leads to the appearance of signs of ectopia. A chronic focus of inflammation provokes active hypertrophy of the tissues of the mucous membrane of the cervical canal. As a result, the inner layer that lines the canal actively grows and comes out.

Cervical ectopia of the cervix with chronic cervicitis is compared with pseudo-erosion. And, if you do not pay due attention to the disease, in place of atypical cells with infiltrate, true erosion will eventually form, which will become a prerequisite for the development of the tumor process, including malignant nature.

Prevention of chronic cervicitis

In order to prevent any gynecological disease, including such as chronic cervicitis, every woman should visit a gynecologist at least once every 6 months

Higher education (Cardiology). Cardiologist, therapist, functional diagnostics doctor. I am well versed in the diagnosis and treatment of diseases of the respiratory system, gastrointestinal tract and cardiovascular system. Graduated from the academy (full-time), has a lot of work experience behind her.

Specialty: Cardiologist, Therapist, Doctor of Functional Diagnostics.