Cervicitis

　　The main causes of cervicitis are frequent sexual activity or habitual abortion, delivery, and artificial abortion, which cause injury to the cervix, leading to bacterial invasion and inflammation, or infection caused by the placement or retention of foreign objects in the vagina.

　　1. Chronic cervicitis:Mostly caused by acute cervicitis that has not been treated or treated incompletely, or by infection caused by pathogens after injury to the cervix during delivery, abortion, or surgical procedures; secondly, by pathogens of sexually transmitted diseases; poor hygiene or estrogen deficiency, poor local resistance to infection, can also easily lead to chronic cervicitis.

　　2. Vaginal inflammation:Acute trichomoniasis vaginitis, candidal vaginitis, or bacterial vaginitis can also cause acute cervicitis at the same time; gonococcal infection often also causes acute gonococcal cervicitis.

　　3. Foreign bodies in the vagina:When gauze, cotton balls, or other foreign objects are placed in the vagina for a long time, it is easy to cause infection, leading to acute cervicitis.

　　4. Stimulating factors of physical and chemical nature:This is also a cause of cervicitis. The use of high-concentration acidic or alkaline solutions to rinse the vagina, or the insertion of corrosive drugs into the vagina, can destroy the vaginal and cervical tissues, which may cause cervicitis and vaginitis.

　　5. Mechanical stimulation or injury:Secondary infection caused by cervical laceration during delivery or abortion is a common cause of acute cervicitis; excessive sexual activity can also increase the opportunity for cervical infection.

　　1. Causing various complications:After suffering from cervicitis, the pathogen can ascend and infect the endometrium; it can spread to chronic pelvic inflammatory disease through the parametria and lymphatic vessels. In addition, it can also cause diseases such as cervical polyps, inversion, and cysts.

　　2. Causing infertility:When suffering from cervicitis, the cervix secretion increases significantly, becomes thick, and contains a large number of leukocytes, which can have an adverse effect on the motility of sperm, hinder the entry of sperm into the uterine cavity, affect pregnancy, and even lead to infertility.

　　3. Affecting the quality of sexual life:Severe pain or bleeding during sexual life can make women feel disgusted with sexual life, thus seriously affecting the couple's feelings.

　　4. Inducing cervical cancer transformation:According to statistics, the incidence of cervical cancer in women with cervicitis is ten times higher than that in women without cervicitis. Chronic cervicitis that is not treated or not cured for a long time is considered an important factor in the development of cervical cancer.

　　5. Inducing abortion:Long-term cervicitis can cause changes in the cervix tissue, a decrease in elasticity, and make the labor process not go smoothly.

　　Typical symptoms include: increased leukorrhea, lower abdominal pain, pruritus of the vulva with an unpleasant smell, irregular menstruation, lumbar pain, and vaginal bleeding.

　　Acute cervicitis is characterized by purulent leukorrhea, accompanied by lower abdominal and lumbar sacral pain, or symptoms such as frequent urination, urgency, and dysuria. Chronic cervicitis is characterized by milky white mucus-like leukorrhea or pale yellow purulent discharge. When the inflammation spreads to the pelvic cavity along the uterosacral ligament, there may be lumbar sacral pain, a feeling of lower abdominal distension, and dysmenorrhea, which worsens during defecation and sexual intercourse. Chronic cervicitis can lead to yellowish leukorrhea in women with a slight smell.

　　1. The symptoms of cervicitis are sometimes difficult to distinguish from early cervical cancer using general methods. Married women should have a cervical smear examination at least once a year for the prevention and treatment of chronic cervicitis, in order to facilitate the early detection of abnormalities and early treatment.

　　2. Patients with cervicitis need to pay attention to the hygiene of sexual life, appropriately control sexual life to prevent cervicitis, and resolutely prohibit extramarital sexual behavior and avoid sexual life during the menstrual period. This is one of the preventive methods for cervicitis.

　　3. The prevention of cervicitis should involve timely and effective contraception measures to reduce the incidence of induced abortions and induced labor, thereby reducing the opportunities for artificial trauma and bacterial infection.

　　4. For those with a short menstrual cycle or a prolonged menstrual period, active treatment should be provided to prevent the occurrence of cervicitis.

　　5. Prevent cervical damage during childbirth. If cervical laceration is found after childbirth, it should be sutured promptly, which can achieve the preventive effect of cervicitis.

　　5. The incidence of cervicitis is high in multiparas due to multiple induced abortions or deliveries. Multiple induced abortions or pregnancies can stimulate or damage the cervix, causing abnormal hyperplasia and inflammation of the cervical epithelium, which can further develop into cancer. Multiple induced abortions for unmarried women or women who do not pay attention to contraception after marriage also increase the chance of cervicitis. Therefore, the prevention of cervicitis requires careful adoption of contraception measures to avoid damage to the cervix from multiple deliveries or induced abortions.

　　It mainly includes vulvar examination, colposcopic endoscopic detection, cervical scraping detection, and cervical internal tissue examination. Through detection, the location of the patient's cervical lesion, the condition of the cervical canal, and the situation of the vulva, vagina, and bleeding are diagnosed.

　　1. Gynecological examination: examine the size, shape, texture, and diameter of the cervical canal, as well as the presence of contact bleeding. Next, examine the status of the vulva, vagina, uterus, and parauterine tissues;

　　2. Colposcopy: colposcopy can quickly detect lesions that are not visible to the naked eye. Taking a biopsy from the suspicious area during colposcopy can significantly improve the accuracy of the biopsy;

　　3. Cervical scraping cytology examination, which is a routine gynecological examination, simple and easy to perform, cost-effective, and is also the most important auxiliary examination and the first choice for cancer screening in general cancer screening;

　　4. Iodine test and visual observation: most of the lesions can be detected.

　　1. Foods to eat:

　　1. Cucumber and Smilax Glabra Snake Soup: 500g cucumber, 100g Smilax glabra, 60g adzuki beans, 250g snake meat, 30g ginger, and 8 red dates. Peel the snake, remove the internal organs, and boil in a pot of boiling water; wash the fresh cucumber. Place the above ingredients with the snake meat in the pot, add an appropriate amount of water, bring to a boil over high heat, then simmer for 3 hours over low heat. Season and serve. Take one dose per day, with 5-7 days as one course of treatment. It has the effects of clearing heat and detoxifying, removing dampness, and is suitable for cervicitis.

　　2. Dandelion Lean Pork Soup: 250g lean pork, 30g dandelion, and 30g Job's tears. Clean the dandelion, Job's tears, and lean pork, then place them in a pot with an appropriate amount of water. Boil over high heat, then reduce to a low flame and simmer for 1-2 hours. Season and serve as a side dish. It has the effects of clearing heat and detoxifying, removing dampness and stopping leukorrhea, and is suitable for damp-heat type cervicitis.

　　3. During the acute stage, a diet of liquid or semi-liquid, easy-to-digest foods rich in calories, high in protein, and containing a variety of vitamins is recommended. For those who cannot eat, intravenous administration of nutrients and fluids should be considered, along with attention to correcting electrolyte imbalances and acidosis. During the chronic stage, it is important to strengthen nutrition, consume more high-protein and high-vitamin diets, and include chicken, lean meat, shrimp, milk, tofu, beans, and other foods;

　　4. Patients with pain should consume cuttlefish, red crabs, lobsters, clams, sea cucumber, tiger fish, beetroot, mung beans, radish, and chicken blood;

　　5. For those with increased leukorrhea, it is advisable to eat more leeks, broad beans, millet, tofu, lotus seeds, walnuts, white fungus, etc.

　　Secondly, it is not advisable to eat:

　　1. Avoid sweet and greasy foods: Excessive sweet and greasy foods such as candies, cream cakes, eight-treasure rice, glutinous rice cakes, lard and fatty pork, mutton fat, egg yolks, etc. have the effect of dampness, which will reduce the therapeutic effect and make the disease difficult to treat.

　　2. Avoid seafood and river products: Sea fish, crabs, shrimps, clams, sea snails, oysters, abalones, etc. are all allergens, which are not conducive to the regression of inflammation.

　　3. Avoid spicy, peppery, scallion, garlic, white wine and other stimulating foods and drinks.

　　4. It is not advisable to eat fatty, cold, sticky foods. Such as fatty meat, crab,螺蛳, preserved meat and so on.

　　Medication:Commonly used drugs include azithromycin, cervicitis lozenge, and cervicitis health lozenge.

　　Mild Cervicitis Patients: Metronidazole tablets are used, placed inside the patient's vagina, one tablet per day, for a treatment period of 10 days. Using the female inflammation liquid suppository, one pill per day, placed inside the vagina. The treatment period is 10 to 15 days. In addition, clean treatment of the perineum is performed daily, using 1:5000 furazolidone solution for vaginal lavage, or using the spray method to treat with furazolidone powder.

　　Moderate Cervicitis Patients: Treatment is implemented on the basis of medication, including microwave laser and other methods. Carbonization scabbing of the cervicitis tissue is achieved by using ultra-high temperature through the carbon dioxide laser of谬mi. The microwave high-frequency electromagnetic wave is focused to apply microwave electrode pressure to the local pathological tissue of the patient, achieving the effect of instant coagulation.

　　Severe Cervicitis Patients: Surgical treatment is performed on severe cervicitis patients using LEEP knife. The surgery is usually arranged three to eight days after the end of menstruation, and it is ensured that the patient has no gynecological acute inflammation. Appropriate care work should be done after the operation, and sexual life should be prohibited before healing, and no bathtub should be taken.

　　Physical Therapy:The treatment methods for this cervicitis include electrocautery, cryotherapy, laser, infrared rays, etc., which are suitable for patients with large erosive surfaces and deep inflammation. Generally, several treatments are required before a cure is possible. This therapy takes a long time and the therapeutic effect is not good.