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Moderate cervical erosion

  The classification method of cervical erosion is divided according to the size of the erosion area, which can be divided into mild cervical erosion, moderate cervical erosion, and severe cervical erosion. When the erosion area is less than 1/3 of the total cervical area, it is mild cervical erosion; when the erosion area accounts for 1/3 to 2/3 of the cervical area, it is moderate cervical erosion; when the erosion area accounts for more than 2/3 of the total cervical area, it is severe cervical erosion.

 

Contents

1. What are the causes of moderate cervical erosion
2. What complications can moderate cervical erosion easily lead to
3. What are the typical symptoms of moderate cervical erosion
4. How to prevent moderate cervical erosion
5. What laboratory tests are needed for moderate cervical erosion
6. Diet recommendations for patients with moderate cervical erosion
7. Routine methods of Western medicine for the treatment of moderate cervical erosion

1. What are the causes of moderate cervical erosion

  1. Unhygienic sexual intercourse:Once both men and women have sexual intercourse, the vagina is relatively in an 'open' state. During sexual intercourse, the penis has direct contact with the cervix. If men do not pay attention to sexual hygiene, they can directly introduce bacteria into the vagina, infect the cervix, and trigger cervical erosion.

  2. Prolonged menstrual duration:Research shows that cervical erosion is related to menstrual cycle and duration: the incidence rate of those with menstrual cycle ≤ 20 days is 81.80%, and for those with ≥ 20 days, the incidence rate is ≤ 43.81%; for those with menstrual duration ≤ 2 days, the incidence rate is only 33.33%, and for those with ≥ 8 days, the incidence rate is 83.33%. Therefore, women with cycles that are too short or too long have a higher possibility of developing cervical erosion. The incidence rate of erosion can be reduced by extending the cycle and shortening the menstrual period.

  3. Multiple induced abortions:Repeated induced abortions can cause varying degrees of cervical injury, giving pathogens an opportunity to take advantage and trigger cervicitis. Due to the stimulation of inflammation, local secretions increase, and the long-term immersion of the cervix in inflammatory secretions can lead to cervical erosion.

  4. Over-cleaning:Frequent use of disinfectant solutions with high concentrations for vaginal washing results in the opposite effect. Because doing so not only affects the growth of the normal vaginal flora, reducing its inhibitory effect on pathogens, but also can cause varying degrees of damage to the cervical epithelium, ultimately leading to cervical erosion.

 

2. What complications can moderate cervical erosion easily lead to

  Cervical erosion increases the difficulty of conception and can lead to infertility. Due to the obvious changes in the physical and chemical properties of cervical mucus, it contains more white blood cells and the pH value of the mucus is alkaline. When sperm pass through the cervix, not only will the inflammatory microenvironment of the cervix reduce the vitality of sperm, but also the thick secretion is difficult for sperm to pass through. The toxic effect of inflammatory secretion on sperm causes excessive energy consumption and shortens their lifespan, and a large number of sperm are also engulfed by inflammatory cells and destroyed by bacteria and their toxins. Among them, Escherichia coli has a strong agglutinating effect on sperm, causing sperm to lose vitality and ultimately unable to conceive normally.

  1. Cause complications

  If cervical erosion is not treated in time after the onset or only some ineffective drugs are used, it can cause chronic inflammation at the cervix, causing inflammation of other organs, such as cervicitis caused by the upward spread of pathogens of cervical erosion; it can spread to chronic pelvic inflammatory disease through parametria and lymphatic vessels.

  2. Cause cervical lesions

  Under the long-term stimulation of chronic inflammation, it can cause polyps, lacerations, inversion and cysts. In addition, the incidence of cervical cancer in women with cervical erosion is significantly higher than that in women without cervical erosion, and the incidence of cervical cancer in women with cervical erosion is 10 times higher than that in women without cervical erosion. Under the long-term stimulation of chronic inflammation, the columnar epithelium that grows from the cervical canal can undergo atypical hyperplasia. If not treated in time, a part of them will eventually develop into cancer, but this process of development and transformation is relatively slow.

  3. Cause infertility and abortion

  The quality and secretion of cervical mucus are directly related to whether sperm can pass through the cervix into the uterine cavity. When cervical erosion, especially moderate and severe cervical erosion occurs, the cervical secretions will increase significantly, become sticky, and contain a large number of leukocytes, which will have an adverse effect on the motility of sperm, and at the same time can hinder the entry of sperm into the uterine cavity, thereby affecting fertility. Even if pregnant, cervical erosion is easy to cause abortion.

3. What are the typical symptoms of moderate cervical erosion

  When women have moderate cervical erosion, they usually have increased leukorrhea, yellowish in color, sticky and smelly; when the inflammation stimulates the vulva, it may also cause itching; when the erosion surface becomes obviously congested, red or easy to bleed, there will be sexual contact bleeding and irregular vaginal bleeding. Pain: It is not common for patients with cervical erosion to have pain symptoms. When the range of pathogens involved is deep, it can cause chronic parametritis, resulting in lumbar sacral pain, pelvic lower坠痛 and dysmenorrhea. If the inflammation spreads to the cardinal ligament, sexual intercourse pain may occur, affecting sexual life.

  1. Increased leukorrhea:Increased leukorrhea is the main symptom of cervical erosion, and sometimes it is even the only symptom. Occasionally, it may also contain a small amount of blood丝 or blood, and some patients may also produce sexual bleeding during sexual intercourse, which is also known as

  2. Lumbar sacral painIt is not common for patients with cervical erosion to have pain symptoms. When the range of pathogens involved is deep, it can cause chronic parametritis, resulting in lumbar sacral pain, pelvic lower坠痛 and dysmenorrhea. If the inflammation spreads to the cardinal ligament, sexual intercourse pain may occur, affecting sexual life.

  3. Bladder symptomsThe inflammation of the cervix can spread or directly spread to the trigone of the bladder, thereby stimulating the bladder to present symptoms such as frequent urination and dysuria, and sometimes can also lead to urinary tract infection.

 

4. How to prevent moderate cervical erosion

  As the incidence of cervical erosion is increasing, the prevention of cervical erosion and daily health care have become increasingly important to women. Below are some daily health care tips for cervical erosion, which are hoped to be helpful to friends with cervical erosion. The treatment of moderate cervical erosion can also use some professional medications, such as Qingfei Zhuili.

  Diet should be light, eat more fruits and vegetables, and pay attention to rest.

  Pay attention to health care during key periods: Many women are very susceptible to this disease, so attention should be paid to health care, especially during the menstrual period, pregnancy, and postpartum period.

  Maintain the cleanliness of the external genitalia: It is very necessary to maintain the cleanliness of the external genitalia, and it is also recommended to go to the hospital for regular check-ups to achieve early detection and early treatment, while avoiding unclean sexual intercourse.

  Surgical treatment may be required if necessary, and surgical treatment may be adopted according to the condition, if necessary.

 

5. What laboratory tests are needed for moderate cervical erosion

  Diagnosis based on clinical manifestations is not difficult, but attention should be paid to the fact that cervical erosion, cervical intraepithelial neoplasia, or early cervical cancer are difficult to distinguish from each other in appearance. It is recommended to perform routine cervical scraping, cervical canal aspiration, and if necessary, vaginoscopy and biopsy to clarify the diagnosis.

  Gynecological examination: Focus on checking the size, shape, texture, and thickness of the cervical canal, whether there is contact bleeding, and then check the condition of the external genitalia, vagina, uterus, and parauterine tissues (ovaries, fallopian tubes, pelvic lymph nodes, etc.).

  Cervical scraping cytological examination: It is a routine gynecological examination, simple and easy to perform, cost-effective, and is the most important auxiliary examination and the preferred initial screening method for cancer screening.

  Vaginoscopy: It can quickly detect invisible lesions. For patients with cervical erosion, especially those with bloody leukorrhea or contact bleeding, it is necessary to differentiate them from early cervical cancer.

  The iodine test and肉眼 observation method are very simple and inexpensive, at least they can detect 2/3 of the lesions. Currently, the World Health Organization recommends the use of肉眼 observation in developing countries. As a primary screening method for cervical cancer, it involves applying a 3%-5% acetic acid solution to the cervix and observing the reaction of the cervical epithelium to acetic acid. Then, a biopsy is taken from the white lesion area.

  Since the symptoms of cervical erosion are similar to the early symptoms of cervical cancer, a pathological examination of the cervical living tissue is required, which is one of the bases for diagnosing cervical cancer.

 

6. Dietary taboos for patients with moderate cervical erosion

  Avoid spicy foods: Spicy, warm, and strong刺激性 foods can aggravate pelvic congestion and inflammation, or cause overcontraction of the uterine muscle, thereby worsening symptoms. Therefore, it is recommended to eat less or not at all foods such as chili, pepper, garlic, scallion, ginger, chives, chicken soup, durian, and spicy seasonings.

  Avoid eating foods with properties of heat, coagulation, and hormone components such as longan, jujube, ejiao, royal jelly, and so on.

  Eat more lean meat, chicken, eggs, quail eggs, grass carp, turtle, white fish, cabbage, asparagus, celery, spinach, cucumber, winter melon, mushrooms, tofu, fruit, and so on.

 

7. The conventional method of Western medicine for treating moderate cervical erosion

  In the treatment of moderate cervical erosion, three methods can be adopted: drug treatment, physical treatment, and surgical treatment. Generally, mild and moderate cervical erosion is suitable for drug treatment. In addition, physical treatment is also a widely used treatment method at present, suitable for patients with large erosion areas and deep inflammation infiltration. However, it has significant side effects and is prone to recurrence. Common methods include electric iron method, laser therapy, and cryotherapy. Routine disinfection of the vulva, vagina, and cervix should be performed before physical treatment surgery. Due to the large amount of discharge after surgery, attention should be paid to keeping the vulva clean and dry to prevent infection.

  1. Drug Treatment

  For those with small erosion surfaces and shallow inflammation infiltration, drug treatment can be adopted.

  2. Physical Treatment

  Used for cervical erosion with a large area and deep inflammation infiltration.

  1. Electric Iron:Using a special electric iron, burn the erosion surface tissue, causing it to necrotize and fall off, and it must reach a certain depth to achieve good therapeutic effects.

  2. Cryotherapy:Using a special rapid freezing device, the erosion tissue of the cervix is frozen, necrotic, and falls off. The commonly used freezing agent is liquid nitrogen, which can reduce the temperature of the freezing head of the freezer to -196 degrees Celsius, placed on the surface of the cervix, causing the erosion tissue to freeze necrotic and fall off, and then grow new epithelial tissue. One treatment can be cured. Generally, there are no adverse reactions, and a few patients may have mild dizziness, lower abdominal pain, and other symptoms.

  3. Laser Treatment:Commonly used carbon dioxide laser treatment equipment, using a special laser treatment head to照射 cervical erosion tissue, causing the erosion tissue to carbonize, scab, and fall off, and then grow new squamous epithelium. Generally, one treatment can be cured. There is no special discomfort during the operation, and a few patients may have bleeding when the scab falls off.

  4. ks Treatment:It is a treatment using special waveband light and heat, painless, and effective. During the treatment process using the above methods, attention should be paid to the cleanliness of the vulva, and it is forbidden to have sexual life, vaginal irrigation, and sitting in a bath. It should also be regularly reviewed to observe the healing condition of the erosion surface.

  3. Traditional Chinese Medicine Treatment

  The external application of traditional Chinese medicine has a good therapeutic effect, which is a method of external powder. Persistent use can achieve therapeutic effects.

  4. Surgical Treatment

  For those who are ineffective to drug and physical therapy, have deep or large cervical erosion, cervical hypertrophy, or suspected cancer, consider cervical conization or total hysterectomy.

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