Acute and chronic cervicitis: symptoms, diagnosis, treatment. Cervicitis may be a warning sign of cancer

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Questions and answers on: cervical inflammation, suppository treatment

2015-11-28 10:00:44

Ekaterina asks:

Hello!
I was diagnosed with inflammation of the cervix (leukocyte count 60-65) - ureoplasmosis. I was prescribed doxycycline for 10 days, 2 tablets,
neotrizol 1 suppository 8 days
fluomizin 1 suppository for 6 days
secnidox 2 tablets one-time use.
Now I started taking Lactiale and Gynoflor.
My husband donated sperm at the same time for Trichomonas - result +.
What to do next with treatment? Just start treating Trichomonas with antiprotozoals? Did doxycycline make the whole situation worse??

Answers Wild Nadezhda Ivanovna:

Finish treatment, take a break for 1-2 weeks and be examined for trichomoniasis. It is advisable to abstain from sexual activity during the examination and treatment.

2015-06-18 13:17:04

Victoria asks:

Good afternoon
I was tested for ureaplasma urealiticum. >10^4 detected. Micoplasmy hominis was not detected! What does this mean and is it worth taking a second course of antibiotic treatment? I have already completed one course of treatment for ureoplasma urealiticum and mycoplasma hominis. The doctor prescribed treatment: josamycin, Klion-D, Laferobion suppositories, Lactovit Forte, Chophytol, Ureoplasma-immune (liquid immunoglobulin). My husband’s tests are normal, no ureoplasma or other infections were detected. Before this, the analysis was: positive 10^3. It turns out that before treatment the tests were better. She was treated for inflammation of the cervix. Thank you.

Answers Bosyak Yulia Vasilievna:

Hello, Victoria! Firstly, concentrations up to 10*4 are generally not subject to sanitation. Secondly, ureaplasma is an opportunistic microflora and it is found in 85% of healthy people. If you have already completed a course of treatment, then repeated antibiotic therapy is not required.

2015-05-20 09:42:31

Alina asks:

Hello. I am concerned about the question: can the temperature rise and persist after finishing taking antibiotics? long time(10 days - 37 degrees)? I was treated by a gynecologist - Staphylococcus aureus and inflammation of the cervix. I took fluconazole, hexicon suppositories and 2 more medications (antibiotics) for staphylococcus. The temperature first rose a day after taking the last suppository. Is this related to treatment or should I see another doctor? I thought it was a cold (the temperature during colds and flu is also always at this level for several days in a row), but no further symptoms of the disease appeared. Thanks in advance.

Answers Wild Nadezhda Ivanovna:

To clarify the diagnosis or possible adequate consultation, a gynecologist needs to examine and examine the patient. Without examination, it is difficult to guess the cause of the increase in body temperature. You may need to take a pregnancy test.

2012-04-03 11:00:09

Nick asks:

Good afternoon My husband and I are having trouble conceiving a baby. The gynecologist discovered inflammation of the cervix. Prescribed Neotrizol suppositories and Citeal douching for 16 days. Please tell me whether this treatment will help and whether the diagnosis affects the rate of conception? Thank you.

2012-03-05 12:06:01

Natalia asks:

Hello, the gynecologist diagnosed me with cervicitis with inflammation of the cervix, and prescribed the use of Agnus Cosmoplex suppositories and douching with calendula herb, I have been taking everything for 14 days, but I have aching pain in the lower abdomen and I feel in myself that this is the treatment for me helps...what can be prescribed other than these suppositories to cure cervicitis and relieve inflammation?? Tell me please...

Answers Kravchuk Inna Ivanovna:

Dear Natalia. Of course it is possible, just to avoid disappointment again - a study of the microflora and its sensitivity is necessary.

2011-04-02 08:00:08

HURA asks:

Hello, when I went through a medical examination, my gynecologist told me that I had inflammation of the cervix, I was tested for 7 infections, they found trichomanas vaginalis, I went to a venirologist, they prescribed ornedozole tinidozole Klion and Neo-Ponotran suppositories, the instructions say that all this is from trimoniasis, is this or that So? And the inflammation will subside with the treatment of this disease or do I need to take other methods? And I have 50 leukocytes

Answers Medical consultant of the website portal:

Hello! detailed information about the principles of treatment of trichomoniasis (a disease caused by microbes called Trichomonas vaginalis) is contained in the materials of a popular scientific article on our medical portal. Take care of your health!

2011-02-20 14:49:13

Mila asks:

Hello. Six months ago, a biopsy showed moderate dysplasia. A month later, with virtually no treatment (only Dalatsyn suppositories), they did a biopsy again - it showed mild dysplasia. HPV 31, 51 was discovered. Now the biopsy showed simple leukoplakia (?) and inflammation of the cervix. The doctor insists on cryo. I am 37 years old, I have not given birth, there have been no pregnancies. Married for two years. We want children. Is cryo necessary? How to treat inflammation? In addition to everything there is a small endometrial cyst. What contraceptives are best to take to prevent endometriosis (while my husband is abroad)? Please advise.

Answers Tovstolytkina Natalia Petrovna:

Hello, Mila. Let's start with a small endometrioid cyst, which can only be treated with surgery. Prevention of endometriosis is necessary in its absence; in its presence, treatment of endometriosis is necessary. Treatment is not prescribed in absentia, neither for endometriosis, nor for ordinary inflammation of the cervix. In addition, any changes in the cervix, including leukoplakia, require adequate treatment. Listen to your doctor. After cryodestruction of cervical diseases, you can become pregnant without problems.

2010-11-26 16:26:47

Anya asks:

Now I have been treated for inflammation of the cervix and for an infection (the gynecologist did not determine what kind of infection) according to the following scheme:
fromilid 500 mg 2 times a day - 5 days
fluconazole 50 mg once a day - 5 days
trichopolum 500 mg 2 times a day for 5 days
Terzhinan suppositories in the vagina for 6 days.
Treatment was prescribed for 7 days, but I was treated for 5 days because I started developing hives with itching on my legs.
The fact is that after this treatment I was going to treat pseudo-erosion with Solkovagin.
When should I now go to the gynecologist for treatment of erosion, if I drank Jazz from the 2nd day of my period? During the entire 3.5 weeks that I drank this COC, I had my periods, I had nausea, headaches and rapid heartbeat, from -Why did I stop taking Jazz? I’m asking because I won’t go to the gynecologist who was treated for inflammation and infection, because she insists on continuing “Jazz.” “I haven’t been taking Jazz for 2 days, but I still have spotting (like at the end of my period) There is. My period starts on November 4th.
Please answer, when should I go to the gynecologist to treat erosion?

Answers Korop Zlata Anatolevna:

Good afternoon. After such a hormonal disruption, you need to undergo an ultrasound scan, and if the picture is normal, after a month, begin treatment for erosion, i.e. after normal menstruation.

2016-05-03 12:05:48

Olga asks:

Hello, I'm 22 years old. I have cervical erosion, which occupies 2/3 of the cervix. I was tested for sexually transmitted infections and found trichomonas and ureaplasma. The doctor prescribed treatment. Initially, the smear was very inflammatory: 70-80 leukocytes + key cells, coccal flora, after treatment: in the cervical canal - 40-50; in the vagina - 50-60, key cells no, the flora is mixed. I don't have sex during treatment. I don’t understand why the treatment didn’t help, she said the inflammation would go away gradually, I was prescribed another course, but the medications were changed, now I’m being treated with metronitazole (suppositories + tablets) and vitamins. Strictly followed all instructions. The doctor said that you need to be treated for three menstrual cycles (if the inflammation has not gone away), but there is no need to get tested, since the result will still be weakly positive, is that true? (I don’t want to kill the liver) When can erosion be cauterized, what number of leukocytes should there be before cauterization?

Answers Bosyak Yulia Vasilievna:

Hello Olga! Leukocytosis is observed due to cervical erosion, no matter how much you take antibiotics until you solve the problem with erosion, increased level leukocytes will be observed. If you have completed one full course of antibiotic therapy, then this is enough. Next, the gynecologist, based on the necessary examinations (colposcopy, cytology smear, cervical biopsy if necessary), must select the optimal treatment method.

Cervicitis is inflammation of the cervix. This is a disease that often does not manifest itself in any way, but can lead to very serious consequences and even cancer. There are external (exocervicitis) and internal (endocervicitis). But this division is very conditional, since in the presence of a pathological process all parts of the cervix are involved - both the superficial squamous epithelium of the vaginal part and the cylindrical epithelium in the cervical canal. How to treat cervicitis most effectively?

Read in this article

Principles of therapy

Even with a routine gynecological examination, the doctor may suspect cervicitis. This may be pathological discharge, a special color of the cervical epithelium, etc. In any case, the gynecologist conducts a cytological examination, material is collected both from the outside and from the cervical canal. These actions are only sufficient to confirm/refute inflammation, as well as to identify signs of malignant growth.

For the most effective treatment, a more detailed examination is necessary. After all, the range of pathogens that can cause such inflammatory changes is huge. But the tactics and drugs used are completely different.

So, the doctor and the patient are always faced with the question of how to treat cervicitis in this situation. The options for solving the problem are as follows:

Prescribe therapy without an in-depth examination, using only the results of cytology with signs of cervicitis. But the range of possible pathogens is such that even if you select the most common ones, it will take no less to buy drugs Money rather than a detailed study. It should also be taken into account that some microbes may be resistant to many medications.
Prescribe treatment taking into account a detailed examination. This gives the best chance that therapy will work the first time. After all, it will be known who caused the inflammatory process, how deep the changes are, and to which drugs the pathogen is most sensitive. This way you can save more time, money, effort, and most importantly, health.

In any case, only a doctor can suggest the most effective regimens in a given situation. When starting treatment, it is better to adhere to the following recommendations:

It is better to start therapy after a detailed examination.
In most cases, both sexual partners need to be treated.
As a rule, cervicitis is a chronic condition, so one package of suppositories is clearly not enough. The most effective is complex treatment using etiotropic therapy, immunomodulatory therapy, restoration of microflora, etc.
Monitoring is required, preferably 2 or even 3 times at intervals of several months.
If cervicitis persists, one should not forget that cervical cancer may be hidden behind it.

Drug treatment of cervitis

The choice of drugs depends on several components. Namely:

viral or bacterial flora caused the disease, whether it is conditionally or clearly pathogenic;
sensitivity of the microbe to drugs;
how long does it last chronic cervicitis;
What concomitant diseases does the woman have?

Nonspecific bacterial cervicitis

The vagina should never be sterile. Only in the presence of beneficial flora, fermented milk sticks, does a woman feel healthy, and in most cases she is not at risk of gynecological diseases.

But even normally, the vagina can contain opportunistic microbes, which, under a combination of conditions, can cause illness. For example, similar ones include coli, streptococci and others. They can also cause cervicitis, including chronic ones.

In the latter case, the underlying disease may be a constant provocateur of the disease, for example, etc. For nonspecific cervicitis, the treatment regimen will be as follows:

Antibiotics by mouth, most often macrolides(Azithromycin, Josamycin, Clarithromycin, etc.), aminoglycosides (Amikacin and others), protected penicillins (Amoxiclav), tetracyclines (Doxycycline), cephalosporins (Cefotaxime), Metronidazole and others, taking into account the sensitivity of microorganisms to them. The regimen and dose are determined by the doctor in each specific case. The classic option can be considered Doxycycline tablets (any of its generics) at a dose of 0.1 g, 1 2 times a day for 10 days. It is also popular to prescribe Azithromycin 1 g twice with an interval of 7 - 10 days.
Local suppositories or vaginal capsules/tablets. In general, preference is given to complex teas, for example, Terzhinan helps fight cervicitis well, as well as Polygynax, Ginocaps and others. They act locally, while protecting against the development of thrush when taking antibiotics, contain an antibacterial component in addition, and sometimes hormones that help relieve acute signs inflammation. In rare cases, you can still limit yourself to local treatment only, without using oral antibiotics.
Preparations to strengthen the immune system. Usually these are drugs of the interferon series, for example, Ruferon, Genferon and others. The classic prescription regimen is one suppository rectally or vaginally for 10 to 14 days. But individual regimens, including extended ones, can often be used.
Preparations for restoration of flora. Used to fill “empty niches” after taking antibiotics. If this is not done, there is a high risk of relapse of the pathology or development, etc. You can use drugs such as Laktozhinal, Bioflor and others like that. Sometimes, in addition to healthy fermented milk sticks, the composition includes vitamins, such as C, which enhances the therapeutic effect.

Watch the video about cervical diseases:

Specific bacterial cervicitis

If it is purulent cervicitis, or there are some special discharges (foamy, curdled, etc.), most likely we're talking about about some specific infection.

Also, pathogenic microorganisms can only be detected during examination for STIs, since they are practically asymptomatic.

Treatment in such situations will be more specific, taking into account the identified pathogens. So, most often we have to state the following:

Trichomoniasis is a fairly common pathology. Its danger lies in the fact that Trichomonas can transform into special intracellular forms without being detected in this state conventional methods research. Therefore, it is necessary to treat the infection with strict adherence to all doctor’s prescriptions. Trichomonas are most sensitive to metronidazole. The minimum regimen is 0.5 g per day in one or two doses for 10 days.

Against this background, it is also necessary to carry out immunomodulatory therapy with interferons, as well as the local use of suppositories containing metronidazole (Metrogyl, Flagyl, Ginocaps and others).

– a sexually transmitted disease, which is also diagnosed with cervicitis, especially purulent. Its treatment is carried out using intramuscular antibiotics, as well as locally - complex suppositories. As a rule, therapy is carried out either in a hospital setting or on an outpatient basis with a venereologist.
When myco- and ureaplasmosis are detected, the treatment regimens are approximately the same. First of all, these are specific antibiotics (usually macrolides or tetracyclines), as well as suppositories or vaginal tablets of complex action. To increase the effectiveness of treatment, immunomodulatory therapy (interferons) is prescribed, as well as drugs to restore the vaginal microflora after the main course of treatment.
Candida fungi can also give a specific effect. But before treating thrush, you must make sure that there is no specific infection. In the case of candidal inflammation only, treatment is carried out according to classic scheme. These are antifungal suppositories or tablets in courses over several weeks against the background of immunocorrection and lactobacilli preparations.

Viral cervicitis

Viral cervicitis is not so effectively treatable. Most often this is a single etiotropic therapy followed by constant maintenance of immunity at the proper level. Speaking about viral cervicitis, in most cases we mean the following:

with detection of HPV (human papilloma),
HSV (herpetic),
CMV (cytomegalovirus) and others.

The range of antiviral drugs is relatively small, therefore the treatment regimens are approximately the same in all cases. Main groups of means used:

Specific antiviral drugs - Acyclovir, Valacyclovir, Valganciclovir (for CMV) and others. The duration and dose are determined depending on the clinical picture, sometimes it is two or more weeks.
Immunocorrection with the help of interferon courses (Ruferon, Viferon and others).
Drugs that strengthen your own antiviral immunity, for example, Groprinosin.
Vaccination is also effective, but not in the acute period, but after the main course of treatment. It will help maintain immunity against these pathogens much longer.
In the fight against viruses, various physical procedures can be used, such as, for example, ILBI - intravenous laser irradiation blood and the like.

Atrophic cervicitis

These cervicitis can occur not only during menopause, but also against the background of long-term use of hormonal contraceptives, during the treatment of endometriosis with gonadotropin agonists, with natural estrogen deficiency, etc.

Treatment of atrophic cervicitis in women includes drugs with an estrogen component in mandatory. For example, Ginocaps, Ovestin and others. You should also include long courses of probiotics (Lactozhinal, Bioflor, etc.) in the regimen. Otherwise, the treatment does not differ from the treatment of bacterial and viral cervicitis.

Surgical methods

In some situations conservative treatment turns out to be ineffective. As a rule, this can be observed in the following cases:

in the presence of erosion, ectopia, cicatricial deformation of the cervix;
with a hidden course of the malignant process.

How to treat chronic cervicitis in this case? The only radical treatment is surgery. Depending on the degree of change in the cervix and the complexity of the pathological process, the following techniques can be used:

diathermocoagulation,
cauterization with liquid nitrogen,
impact,
cauterization with chemical reagents,
surgical amputation.

Volume and most suitable method Only a doctor can choose treatment. Moreover, after the manipulation, the woman still has a recovery period of about 30 days.

Traditional methods

Instead of using antibiotics in the treatment of nonspecific cervicitis or any other type of inflammation, some prefer traditional methods. But it is still more effective to use these drugs in combination with drug treatment. The most commonly used recipes and preparations are based on the following plants:

Sea buckthorn. These can be either suppositories (Olazol, etc.) or self-prepared oil-based tampons.
Chamomile. Has an antiseptic and healing effect. Infusions, decoctions and tinctures for douching are more often used.
Mumiyo. Ready-made candles are used, and you can also prepare the composition for tampons yourself. But the main thing here is not to end up with a low-quality product.
. For treatment, both a pharmaceutical solution in ampoules and leaves of a home plant are used.
Red brush, hog queen and many other herbs.

Prevention

Prevention of cervicitis of any etiology is as follows:

it is necessary to be regularly examined by a gynecologist and detect pathology on time;
for protection in case of uncertainty in a partner or frequent changes of partners, it is better to use condoms, since this is the only means of protection against infections;
it is recommended to maintain healthy image life and thus maintain immunity, then the body itself will be able to cope with most pathologies;
you should not overdo it with personal hygiene - the vagina should not be sterile;
all douching and others similar procedures perform only as prescribed by a doctor.

Cervicitis is a simple disease at first glance, but chronic inflammation in the cervix is a direct path to the development of oncological pathology, as well as many benign ailments (polyps, endometritis, infertility, etc.). Therefore, it is necessary to undergo regular examinations with a gynecologist and strictly follow the prescribed treatment.

Cervicitis

Symptoms of cervicitis

According to the course, acute and chronic cervicitis are distinguished, according to the degree of damage - focal cervicitis and diffuse cervicitis. Sometimes cervicitis may initially occur in an erased form. In acute cervicitis, there is abundant mucous or purulent discharge, and less commonly, dull pain in the lower abdomen. Swelling and hyperemia of the external opening of the cervical canal, protrusion of the mucous membrane, minor hemorrhages and ulcerations are observed.

Cervicitis has various manifestations depending on the nature of the pathogen and the state of immunity. Cervicitis of gonorrheal nature usually occurs acutely, with clearly expressed signs, with chlamydial infection the signs are less noticeable. With herpetic cervicitis, the cervix is bright red, loose, with areas of ulceration (a symptom of “continuous erosion”). With trichomonas cervicitis, small hemorrhages (“strawberry cervix”) and atypical cells in the smear are detected. When affected by actinomycetes, the symptom of a “yellow granular spot” is observed. The human papillomavirus can cause the formation of condylomas and cervical ulcerations of various sizes.

Cervicitis, undetected or untreated in the acute stage, develops into a protracted chronic process. The discharge becomes cloudy and mucous, and pseudo-erosion is observed on the vaginal part of the uterus (overgrowth of columnar epithelium). In the chronic stage of cervicitis, signs of inflammation (hyperemia, edema) are less pronounced. Columnar epithelium may be replaced by squamous epithelium. Inflammation can spread to surrounding tissues and glands, with the formation of infiltrates, cysts, and thickening of the cervix.

Cervicitis is often asymptomatic, which does not force patients to see a doctor. Most cervicitis is discovered by chance during routine medical examinations or when women consult a gynecologist for other diseases. Diagnosis of cervicitis is aimed primarily at identifying the causes that caused inflammation of the cervix.

Bacteriological research allows you to identify the genus and type of microorganisms, as well as select the appropriate antibiotic. Cytomorphology of a smear for cervicitis shows structural cell damage and dynamic changes during treatment. The detection of some infections (gonorrhea, chlamydia, mycoplasmosis, papillomavirus, herpes) in cervicitis is impossible without PCR diagnostics and enzyme-linked immunosorbent assay (ELISA).

Treatment of cervicitis

Treatment of cervicitis includes the use of antibacterial, antiviral and other agents and depends on the identified pathogen, its sensitivity to this drug, stages of the inflammatory process. Thus, for chlamydial cervicitis, tetracycline antibiotics (doxycycline, monomycin), macrolides (erythromycin), quinolones (ofloxacin, lomefloxacin), azalides (azithromycin) are prescribed. For candidal cervicitis, the use of fluconazole is indicated. In the treatment of cervicitis, combined local drugs. Medicines can be in the form of suppositories and creams.

Viral cervicitis is difficult to treat. For genital herpes, long-term therapy is required, including antiviral drugs (acyclovir, valacyclovir), the use of specific antiherpetic Ig, vitamins, and immunostimulants. In the treatment of human papillomavirus infection, interferons and cytostatics are used, and condylomas are removed. In the treatment of atrophic cervicitis, estrogens are used topically, in particular, Ovestin, which helps restore the epithelium of the vaginal and cervical mucosa and natural microflora. For specific infections, the sexual partner is treated in parallel.

Prevention of cervicitis consists of observing the rules of personal hygiene, excluding sexually transmitted infections, preventing abortions, proper management of childbirth, and treating endocrine disorders.

Treatment of cervicitis

Causes of cervicitis

Cervicitis - inflammatory process affecting the cervix. If inflammation develops on the mucous membrane of the vaginal part of the cervix, we will talk about exocervicitis. If the inflammation is localized in the cervical canal, it is endocervicitis. The cervix performs a barrier function; it prevents infection from entering the uterus and upper genital tract due to the functioning of the narrow cervical canal, mucus plug, and protective secretion. Under certain circumstances, a violation of this protective function occurs, penetration of foreign microflora occurs and the development of the inflammatory process of cervicitis, divided into exo- and endo-processes.

The danger of the disease lies in the rather deep localization of the inflammatory process, often of an infectious nature, which means a high risk of inflammation spreading to the mucous membrane of the uterus itself, which is an even greater nuisance.

To the causes of cervicitis include:

bacterial agent - mainly Trichomonas, gonococci, chlamydia, mycoplasma;

viral agent - herpes virus (type 2) or human papillomavirus (HPV);

proliferation of opportunistic microflora - for example, fungi of the genus Candida or E. coli;

the presence of untreated inflammation of the vulva or vagina, as well as bacterial vaginosis, as well as STDs, incl. caused by the previously listed infections;

complication of other cervical diseases, for example, ectopia of the cervix;

mechanical irritants - trauma to the cervix, for example, due to diagnostic uterine curettage, abortion or childbirth.

Conditionally pathogenic microflora that causes cervicitis enters the cervix by contact from the rectum or through blood and lymph, while specific microflora enters through sexual contact. Factors that provoke cervicitis include: scar deformities, malignant neoplasms, weakening of general and local immunity, use of contraceptives, such as installation or removal intrauterine device. The duration of the disease is associated with the penetration of microbes into the branching glands (among them crypts and canals) of the mucous membrane of the cervical canal.

Symptoms of cervicitis are not always obvious to a woman, but they are noticeable. The clinical picture of cervicitis largely depends on its form - acute or chronic. Acute cervicitis more restless:

mucopurulent vaginal discharge;

occasionally nagging pain lower abdomen, may radiate to the lower back;

pain or discomfort after sexual intercourse, increased discharge;

minor hemorrhages and ulcerations;

during a gynecological examination - hyperemia around the external opening of the cervical canal and protrusion of hyperemic mucosa, mucopurulent and purulent discharge from the canal, eroded surface.

Chronic cervicitis represents the consequences of an untreated acute illness and manifests itself as follows:

the inflammatory reaction spreads to connective tissue and muscle elements;

the discharge becomes cloudy and mucous, intensifying in the first days after the end of menstruation;

the cervical canal undergoes maceration and secondary infection, epithelial rejection is likely;

there is a partial replacement of the cylindrical epithelium with flat epithelium in places of rejection, epithelial metaplasia is likely;

the cervix thickens and hypertrophies;

likely the occurrence of infiltrates, and subsequently hyperplastic and dystrophic changes;

the occurrence of pseudo-erosions is replaced by the formation of cysts.

Histological examination for cervicitis will show following signs:

hyperemia of the mucous membrane;

swelling of the mucous membrane;

peeling and desquamation of the upper epithelium;

the appearance of infiltrates in the subepithelial layer and stroma;

formation of periglandular abscesses is likely.

Treatment of cervicitis primarily involves eliminating its causes, that is infectious agent and concomitant diseases (hormonal, gynecological, immune disorders). Various modern and very effective methods are used in treatment.

Treatment tactics are developed based on the cause of the disease, medications are selected taking into account sensitivity to the causative microorganism. The basis for drawing up a treatment strategy is to determine the sensitivity of microorganisms to antibiotics; if the agent is not of a bacterial, but of a viral or fungal nature, then antiviral or antifungal drugs are prescribed accordingly.

Thus, for chlamydial cervicitis, tetracycline antibiotics (Doxycycline, Monomycin), macrolides (Erythromycin), quinolones (Tarivid, Maxaquin), azalides (Sumamed) are prescribed. For candidal cervicitis, the use of Diflucan is indicated. In the treatment of cervicitis, combined local drugs, in particular Terzhinan, are widely used. For genital herpes, long-term therapy is required with the use of antiviral drugs, such as Acyclovir or Valtrex, the use of specific antiherpetic immunoglobulin, vitamins, and immunostimulants. In the treatment of human papillomavirus infection, interferons and cytostatics are mainly used, and condylomas are removed.

When it is possible to achieve a decline in the acute process, it is advisable to local treatment as treatment of the vagina and cervix with a 3% Dimexide solution, 1-2% Chlorophyllipt solution, silver nitrate solution.

As part of the treatment of atrophic cervicitis, it is appropriate to use estrogens (for example, Ovestin), which helps restore the epithelium of the vaginal and cervical mucosa and natural microflora. It is preferable to use intravaginal forms of drugs.

The methods of physiotherapy used in this case are UV irradiation of the panty area, UHF on the uterus area in the acute stage of cervicitis; DMV therapy for the uterine area, magnetic therapy of the uterus, SMT for the uterine area, magnesium electrophoresis for the uterine area, local darsonvalization using a vaginal electrode in the chronic stage.

Conservative treatment is not considered extremely effective in the case of chronic cervicitis; then diathermocoagulation, cryotherapy, laser therapy can be used, but subject to the preliminary elimination of the infection. At the same time, concomitant pathologies are treated and the natural microflora is restored.

Treatment of cervicitis must be carried out under the supervision of colposcopy and laboratory tests.

What diseases can it be associated with?

Cervicitis, depending on the localization of inflammation, is divided into exo- and endo-processes, which can occur simultaneously:

exocervicitis - inflammation of the mucous membrane of the vaginal part of the cervix;

endocervicitis - inflammation of the cervical canal.

It is extremely rare that cervicitis develops independently, without previous inflammation or damage, or the addition of an infectious agent. Typically, cervicitis is combined or preceded by the following diseases:

bartholinitis - inflammation of the large gland of the vestibule of the vagina;

vulvitis -

colpitis - inflammation of the vaginal mucosa;

erosion and pseudo-erosion of the cervix - damage to the epithelium of the mucous membrane of the cervix;

salpingitis - inflammation of the fallopian tube;

ectropion - inversion of the cervix;

endometritis - inflammation of the uterine mucosa.

Treatment of cervicitis at home

Treatment of cervicitis possible at home, that is, the patient does not need hospitalization (an exception may be women with a difficult pregnancy). However, this is not a reason to indulge in self-medication. It is important to understand that any disturbing symptoms should be perceived by a woman as a signal for an unscheduled visit to her gynecologist. Only a thorough professional diagnosis can form the basis for prescribing adequate drug therapy. Medicines (for oral and intravaginal administration) can be supplemented with physiotherapeutic procedures (which may require a visit to a medical facility) and herbal medicine (the use of folk remedies, but discussed with a professional doctor).

During the period of treatment, a woman is recommended to abstain from sexual activity; in some cases, its continuation is acceptable, but this must be clarified with your doctor. In the latter case, only condoms are acceptable means of contraception. It would also be useful to visit a urologist with your sexual partner, since he may be a carrier of pathogenic microflora, which will subsequently reduce the results of treatment to zero.

The use of antibiotics is not recommended to be combined with the consumption alcoholic drinks. Along with the use of antibiotics, the use of hepatoprotectors is indicated (to maintain liver function), and after a course of antibiotic therapy, restoration of the natural microflora of both the intestines and vagina.

What drugs are used to treat cervicitis?

Acyclovir - 1 tablet. (200 mg) 5 times a day for 5 days;

Valtrex - 500 mg 2 times a day for 3-5 days;

Doxycycline - 0.2 g/day throughout the entire period of therapy;

Maxaquin - 1 tablet. (400 mg) 1 time per day, the duration of the course is determined by the attending physician;

Sumamed - single dose in the dosage specified by the attending physician (depending on the type of pathogen)

Tarivid - 2 tables. once, but not more than 0.8 g per day;

Terzhinan - 1 vaginal tablet before bedtime, for 10 days; soak the tablet in water for 20-30 seconds, insert it deeply into the vagina, then lie down for 10-15 minutes;

Erythromycin - the dosage and duration of the course are determined based on the type of pathogen.

Treatment of cervicitis with traditional methods

Today, the following remedies are popular among adherents of traditional medicine:

decoctions for douching

combine birch leaves, white willow bark, stinging nettle grass, toadflax grass, coltsfoot leaves, young juniper roots, oat straw, caraway berries and bird cherry leaves in equal proportions; 2 tbsp. collection, pour ½ liter of boiling water, simmer over low heat for another 10 minutes, strain, use warm;

combine in equal proportions the leaves of the three-leaf watch, knotweed grass, elecampane roots, cuff leaves, agrimony grass, fennel fruits and shepherd's purse grass; 2 tbsp. collection, pour ½ liter of boiling water, simmer over low heat for another 10 minutes, remove from heat and leave covered until cool; strain, use warm;

combine equal amounts of Icelandic moss, plantain leaves, cinquefoil grass, lilac flowers, sage leaves, chicory root and woodruff grass; 2 tbsp. pour a liter of boiling water over the collection, keep on low heat for another 15 minutes, strain, use warm;

combine birch leaves, roots in equal proportions snake mountaineer, fireweed leaves, St. John's wort herb, flax seeds, dandelion root, wormwood herb, lilac flowers and celandine herb, sage herb; Grind 50 grams of the collection into powder, add ½ water, boil by half in a water bath, add 50 ml of melted butter and boil for another 15 minutes, remove from heat; add 50 ml glycerin, cool;

combine in equal proportions Icelandic moss, clover flowers, calendula flowers, flax seeds, juniper needles, plantain leaves, sea buckthorn fruits, wheatgrass roots, chamomile flowers and horsetail grass; cook according to the previous recipe; use for homemade bandage swabs;

decoctions for oral administration

combine 1 part each of eucalyptus leaves, yarrow grass and alder cones, 2 parts each of tansy flowers, juniper berries, sage leaves and birch buds; 2 tbsp. pour a glass of boiling water over the collection and put on low heat, closing the lid, after 10 minutes remove from the heat, leave to steep for another half hour; take 70 ml three times a day for three months.

Treatment of cervicitis during pregnancy

Cervicitis that develops during pregnancy is a difficult medical problem, the solution of which must be entrusted to a qualified gynecologist. Any discomfort and painful symptoms should be a reason for an urgent visit to a doctor, and increased risk for a pregnant woman is caused by hormonal changes, weakened immunity during pregnancy, anatomical changes in organism.

Since cervicitis is mostly an infectious disease, postponing its treatment until delivery is extremely dangerous. A wide variety of complications for both mother and child is a direct threat of cervicitis. The risk lies in the following possibilities:

termination of pregnancy in the early stages;

premature onset of labor;

fetal death and miscarriage;

intrauterine infection of the fetus;

embryopathies of an infectious nature - placental insufficiency and disorders in the formation of the fetus;

delay in the development of the child inside the womb;

in the later stages of pregnancy, local narrowing of individual openings and canals develops, which causes abnormal development of formed organs;

purulent lesions of the skin and internal organs of a child in the first days of his life;

Treatment of cervicitis During pregnancy, its goal is to eliminate the cause of the disease, that is, infection. Antibacterial, antiviral or antifungal drugs can be used for this. Since each of these categories is aimed at destroying specific groups of microorganisms, it is necessary to understand the nature of cervicitis. The use of antibiotics should be based on a sensitivity test to microorganisms. Of all the effective antibiotics against a specific pathogen, choose the one that is most harmless to the expectant mother and baby. It is important to strictly follow the doctor’s instructions, observe the dosage and duration of the course of treatment.

Which doctors should you contact if you have cervicitis?

Painful symptoms should be a reason for an unscheduled visit to a gynecologist. In addition, cervicitis can be diagnosed at a routine examination, which should occur twice a year for every sexually mature woman.

Initially, the doctor, in a conversation with the patient and when familiarizing himself with outpatient card establishes an anamnesis of the disease, inquires about the characteristics of the patient’s sexual life, the presence of pregnancies, abortions, and childbirth. Next, he begins a gynecological examination using speculum.

The group of examinations required for diagnosing cervicitis includes:

microscopy of discharge from the cervical canal, vagina and urethra for bacterial flora;

bacteriological seeding of native material with isolation of the pathogen and determination of its sensitivity to antibiotics;

smear for oncocytology.

Additionally, the following may be performed (at the discretion of the doctor):

general blood analysis;

general urine analysis;

blood test for syphilis and HIV;

culture for gonococcus;

diagnosis of sexually transmitted infections (herpes, papillomavirus, chlamydia, mycoplasma, ureaplasma);

colposcopy detection of altered areas in the form of separate formations that differ from the rest of the surface in color, structure, vascular structure, etc.

Treatment of other diseases starting with the letter - c

Inflammation in the vaginal part of the cervix is called cervicitis.

The disease makes itself felt by purulent or mucous discharge, nagging or dull pain in the lower abdomen. A woman with cervicitis experiences pain during sex and urination. The chronic form of cervicitis is dangerous because the inflammatory process is distributed to the upper parts of the uterus, as well as to the ovaries. With cervicitis, the cervix is at risk of significant thickening, which subsequently causes erosion (damage to the mucosa) and becomes a factor in the development of cancer.

Causes of cervicitis.

Regardless of the specific causes, there are risk factors that contribute to the occurrence of cervicitis:

- sexually transmitted infections - gonorrhea, chlamydia, trichomoniasis.

— genital herpes and human papillomaviruses;

- microflora of opportunistic type - cocci (streptococcus, staphylococcus), Escherichia coli;

— abortive and postpartum curettage, injuring the cervix;

- early start of sexual activity is a plus frequent change partners;

- reaction to contraceptive drugs, to condom latex and elements of spermicides, to gels, wipes for genital hygiene;

— regular failure to comply with the deadlines for replacing hygienic tampons;

- hormonal imbalances;

- immunodeficiency states.

Symptoms and signs of cervicitis.

IN early stage symptoms indicating cervicitis may not be observed. Suspicion is caused by intense discharge for several days after menstruation. Subsequently, pronounced signs of cervicitis appear:

- bleeding;

- burning sensation when urinating, itching in the genital area;

- irritation of the mucous membrane in the vaginal area;

- pain in the genital area, lower back, peritoneum during coitus, post-coital bleeding.

A severe form of cervicitis results in copious secretion of foul-smelling pus, severe vaginal itching, abdominal pain, nausea, and fever.

Treatment of cervicitis.

Modern methods of treating cervicitis are very diverse. First of all, the treatment of cervicitis is designed to neutralize the factors in the development of the disease (endocrine, immune disorders) and associated ailments.

Therapeutic agents for the treatment of cervicitis include antibiotics, antifungal, and antiviral drugs prescribed based on test results. Laboratory evaluation involves identifying the pathogen that caused cervicitis. When drawing up a prescription, the gynecologist takes into account the sensitivity of bacteria or viruses to this medicine, as well as the stage of cervicitis. For example, a woman with chlamydial cervicitis is prescribed antibacterial agents of the tetracycline series (monomycin or doxycycline), erythromycin from the macrolide series. It is possible to assign more modern drugs- quinolones (maxaquin or tarivid), azalides - semisynthetic derivatives of erythromycin. Candidal cervicitis is successfully treated with antifungal agents, in particular Diflucan. Among the combined topical preparations for the treatment of cervicitis, terzhinan in the form of vaginal tablets and suppositories has proven itself well. Some drugs are available in a creamy consistency.

Local therapy for cervicitis is started after the acute process has been neutralized. The vagina and cervix are treated with a 3% solution of dimexide, alcohol-based chlorophyllipt (1-2%), silver nitrate from 0.25 to 0.5%, diluted in water.

Viral cervicitis is one of the most difficult forms of the disease to treat. Genital herpes needs to be treated for a long time with antiviral drugs - acyclovir, Valtrex. In addition, antiherpetic IG, vitamins, and immunostimulants are used. Papillomavirus is eliminated with interferon-based drugs, cytostatics, and any condylomas that have arisen are removed.

Atrophic cervicitis requires hormonal treatment with estrogens (ovestin), which promotes the renovation of the epithelial layer of the cervix, vagina, and the restoration of disturbed microflora.

The sexual partner of a woman with cervicitis must undergo therapy if specific infections related to STDs are detected.

Treatment of cervicitis is carried out under laboratory and colposcopic control. Prevention of cervicitis is based on following the rules intimate hygiene, protection against sexually transmitted infections, treatment of hormonal imbalances. Also, to prevent the occurrence of cervicitis, it is important to prevent abortions and take care of the correct management of childbirth.

Chronic cervicitis.

Cervicitis becomes chronic due to bacterial, viral, or fungal infection of the genital organs.

The infectious process is usually caused by prolapse of the vagina, cervix, inflammatory phenomena in the pelvis, incorrect use of contraceptives and hormonal drugs, promiscuous sexual activity, as well as neglect of hygiene.

The characteristics of chronic cervicitis depend on the causative agent of the infection and are largely determined by the individual reaction of the body. Chronic cervicitis is characterized by small discharges of cloudy mucus, sometimes with purulent admixtures. The mucous membrane and cervix are swollen, with redness. Typical symptoms include dull pain in the abdomen (lower part), some itching and burning, bleeding after coitus, and painful urination.

Untreated chronic form of cervicitis is extremely dangerous due to the risk of complications. The cervix becomes denser and thickens. Active division of mucosal cells causes erosion and further creep of epithelial layers. The process turns into a vicious circle: excess layers are destroyed, provoking new ones, which causes distortion of the normal structure of the genital organs, infertility, and cancer.

Diagnosis of cervicitis is based on examination of the uterus using a gynecological speculum and colposcope. Hypertrophy of the uterine walls and cloudy discharge give a presumptive diagnosis of chronic cervicitis. It is confirmed by bacteriological and bacterioscopic analysis of the secretions of the cervical canal, examination of the composition of blood and urine for sexually transmitted infections. To detect cervicitis in the pelvic organs, an ultrasound examination is performed. Based on the results of all diagnostics, the type of pathogen and the nature of the disease are determined, and an effective therapy plan is drawn up.

In this case, conservative treatment of cervicitis will give insignificant results, so surgical intervention is often practiced. His methods include laser correction, diathermocoagulation (electric cauterization of eroded areas), cryotherapy (freezing of pathological lesions with watery nitrogen). Before surgical treatment For cervicitis, it is necessary to carry out antibacterial, antiviral or antifungal therapy, and treat associated ailments. They can involve neighboring parts of the genital organs - the vagina (colpitis), ovaries (salpingoophoritis), and additionally affect the cervix (eversion, as a complicated form of erosion). It is also worth paying attention to functional disorders concerning menstrual cycle, and restore the natural microflora of the female genital organs.

Cervicitis– inflammatory process in the vaginal segment of the cervix. The course is characterized by cloudy (mucous or purulent) discharge, nagging or dull pain in the lower abdomen, painful urination and sexual intercourse. Protracted chronic cervicitis leads to the development of erosion and hypertrophy of the cervix. spread of infection to the upper parts of the genital apparatus.

The cervix is a barrier that prevents infection from entering the uterus and upper genital tract (narrow cervical canal, mucus plug, protective secretion). Under certain factors, a violation of its protective function occurs, the penetration of foreign microflora and the development of an inflammatory process - cervicitis, including exocervicitis and endocervicitis. Exocervicitis refers to inflammation of the vaginal segment of the cervix or exocervix. Endocervicitis is an inflammation of the inner lining of the cervical canal of the cervix - endocervix.

The development of cervicitis is facilitated by certain factors: birth trauma to the cervix, during diagnostic curettage. termination of pregnancy; use of contraceptives (installation and removal of an IUD). Cervicitis can be provoked by cicatricial deformities and benign formations of the cervix, and decreased immunity.

Cervicitis rarely develops in isolation; it is usually accompanied by other diseases of the reproductive system: vulvitis. vaginitis bartholinitis. pseudo-erosion of the cervix. ectropion (eversion of the cervix). Cervicitis is more common in women in reproductive age(up to 70%), less often during menopause. Cervicitis is a common cause of miscarriage and premature birth. The consequences of cervicitis are polyps and erosions of the cervix, inflammation of the upper genital tract.

Diagnosis of cervicitis

The diagnosis of cervicitis is established based on the following data:

examining the cervix using speculum

colposcopy result. which allows you to detail pathological changes cervical epithelium with cervicitis (hyperemia, swelling of the mucous membrane, the presence of vascular loops, ectopia, erosion, diffuse or focal inflammation).

laboratory methods (smear microscopy, bacterial culture for microflora and sensitivity to antibiotics, PCR diagnostics, cytomorphological examination)

In the acute course of cervicitis, smears contain many leukocytes (more than 30), as well as lymphocytes and histiocytes, columnar epithelium with a hypertrophied nucleus and squamous epithelium with dystrophic changes. In chronic cervicitis, columnar epithelial cells of different sizes are visible, sometimes the phenomenon of cytolysis (cell destruction).

Modern gynecology uses in its practice a fairly large number of different methods for treating cervicitis. But first of all, treatment of cervicitis should be aimed at eliminating predisposing factors (hormonal, metabolic, immune disorders) and concomitant diseases.

In the chronic stage of cervicitis, conservative treatment is less successful, so surgical methods are used - diathermocoagulation, cryotherapy, laser therapy; a prerequisite is the absence of infections. At the same time, concomitant pathologies (ectropion, colpitis, salpingo-oophoritis, functional disorders) are treated and the natural microflora is restored. Treatment of cervicitis is carried out under the control of colposcopy and laboratory tests.

Cervicitis treatment and symptoms | How to treat cervicitis

When diagnosing this disease, folk remedies are used to treat it only in cases where the prescription of potent drugs is undesirable: for example, in the presence of concomitant diseases or during pregnancy.

Herbal baths for cervicitis

To prepare a herbal decoction for external use, do the following:

To treat cervicitis, take the following components: coltsfoot leaves, nettle leaves, caraway seeds, whitish willow bark, oats for crops, bird cherry leaves, juniper leaves, birch catkins and mix everything in equal proportions;

Grind thoroughly and pour two tablespoons of the mixture into half a liter of water, previously brought to a boil in a water bath. Boil the folk remedy for a quarter of an hour;

After this, wrap the container in a terry towel and let the folk remedy brew for two hours, then filter;

For one wash, take one glass of broth, repeat this procedure three times a day. It is best to take a bath while sitting.

Traditional treatment of cervicitis

Speaking about cervicitis, the treatment of which with the help of folk remedies gives good results, it should be said that it is very useful to take herbal infusions internally, because they not only heal, but also serve as natural immunomodulators, increasing the body's defenses. To do this, you can use the following recipes:

To treat cervicitis, take St. John's wort, horsetail, dried birch leaves, mint leaves and young raspberry leaves. Mix all this and grind in equal quantities. Brew a tablespoon of the treatment mixture with a glass of boiling water and leave in a water bath for 15 minutes. After the folk remedy has cooled, strain it and drink a third of a cup 20 minutes before meals three times a day;

You will need flax grass, wormwood, three-leaf foliage, calendula flowers, lemon balm, and blueberry leaves in equal proportions. Finely chop all this, mix and brew with boiling water in the ratio: 1 tablespoon of the mixture per one and a half glasses of water. After this, wrap the container with the infusion in a blanket and leave it for two hours, then filter. You should drink this folk remedy 20 minutes after eating.

Treatment of cervicitis in women

Using herbs for vaginal irrigation and douching for cervicitis gives good results, so in this case you can safely use the following recipes:

Take birch leaves, toadflax grass, oat straw, bird cherry leaves, stinging nettle grass, coltsfoot leaves, white willow bark, caraway berries and young juniper roots. All this must be mixed in the same quantity;

You can also prepare an infusion of calendula flowers, angelica roots, dandelion leaves, St. John's wort, meadowsweet herb, blueberry shoots and peppermint herb, taken in equal proportions;

Quite effective is douching with a decoction prepared from fennel fruits, three-leaf leaves, agrimony herb, elecampane roots, knotweed herb, cuff leaves and shepherd's purse herb;

For cervicitis, an infusion of chicory root, Icelandic moss, cinquefoil herb, fragrant woodruff herb, plantain leaves, lilac flowers and sage leaves, which are taken in equal proportions, is also used.

When treating cervicitis with folk remedies, do not forget to regularly visit your doctor, who will monitor how successful the recovery is.

How to treat cervicitis?

Treatment of candidal cervicitis

In this case, we take juniper berries, sage leaves, yarrow, tansy flowers, eucalyptus leaves, alder cones, birch buds in the ratio 2:2:1:2:1:1:2. Mix all the herbs thoroughly, take 2 tablespoons of this mixture and pour a glass of boiling water. After this, put it in a water bath, close the lid and leave for 5-10 minutes. Then infuse for half an hour, filter and take the folk remedy, a third of a glass three times a day after meals for three months in a row. If you add 10 ml of chlorophyllipt tincture in alcohol or eucalyptus tincture to the decoction, it can also be used for douching.

Ointments from medicinal plants with cervicitis

To prepare medicinal ointments, you can use the following folk remedies:

Mix in equal proportions wormwood herb, birch leaves, dandelion roots, knotweed roots, lilac flowers, fireweed leaves, celandine herb, St. John's wort herb, flaxseeds and sage herb;

The ointment is prepared in the following way: 50 g herbal collection grind to a powdery state, add 0.5 liters of water, evaporate the mixture in a water bath by half, add 50 g of butter and cook for a quarter of an hour. After this, add 50 ml of glycerin or honey, mix everything and cool. Then we apply a thick layer of ointment to the strip of bandage, roll it into an oblong candle, leaving the end of the bandage free by about 6 cm. Before going to bed, such a candle must be placed in the vagina overnight.

Treatment of cervicitis with folk remedies is quite mild and at the same time its results will impress you.

Causes of cervicitis

Not so much rare disease genital area is cervicitis, the causes of which can be very different, but in order to choose the right treatment, it is necessary to establish exactly what led to the onset of the disease. Let's consider the main sources of infection with this dangerous disease and the causes of its occurrence.

Main causes of the disease

Most often, cervicitis occurs for certain reasons in women who are active. sex life, because it is caused by sexually transmitted infections. In this case, it may be a consequence of the following diseases:

Urogenital chlamydia, manifested by redness of the skin and itching in the external genital area, clear or yellowish vaginal discharge, painful urination, etc.;

Urogenital mycoplasmosis, the symptoms of which are similar to ureoplasmosis, therefore the occurrence of cervicitis can be diagnosed only by laboratory methods;

Gonorrhea. In this case, green-yellow discharge occurs from the urethra and vagina, sharp pain in the lower abdomen, which intensifies when trying to urinate;

Urogenital trichomoniasis, which causes profuse foamy discharge with an unpleasant odor, itching and a slight burning sensation in the perineal area;

Candidiasis. This disease is manifested by itching in the vaginal area, discomfort when urinating, curdled discharge white;

Bacterial vaginosis, which occurs and is accompanied by a decrease in the number of beneficial lactobacilli in the vagina and increased proliferation of pathogenic ones. For this reason, the patient may complain of discomfort during sexual intercourse, heavy unpleasant vaginal discharge, and itching in the perineal area.

All these diseases can ultimately cause acute or chronic cervicitis.

Causes of non-infectious cervicitis

When analyzing cervicitis, the causes of which can be different, one should point out a number of non-infectious factors in its development:

Damage to the cervix during childbirth or abortion;

Inadequate hygiene care behind the genital area;

Frequent use of spermicidal contraception;

Various hormonal disorders;

A sharp decrease in immunity.

The clinical picture of the resulting disease largely depends on the stage of cervicitis. So, the signs of acute cervicitis include the following:

Unpleasant sensations in the vaginal area, such as mild itching or burning;

Vaginal discharge that is yellow-white or yellow-green in color, containing pus or a mixture of mucus and pus, which can be either scanty or copious;

Discharge from the cervical canal is also mucous or mucopurulent in nature, but is quite scanty;

Cervicitis is characterized by not too significant hyperemia and swelling of the cervical tissue;

If chronic cervicitis is not treated for a long time, thickening of the cervix may occur, which ultimately leads to its erosion. The reason for this is an inflammatory reaction that spreads to the adjacent connective and muscle tissue. This reason contributes to the occurrence of infiltrates, which further contribute to the development of dystrophic changes and hyperplasia processes.

Timely detection of signs of the disease is the key to quick and successful treatment.

Acute cervicitis

A disease such as acute cervicitis is, in essence, an acute inflammatory process that affects the cervix. Among acute cervicitis caused by a variety of bacteria, the most common is gonorrheal cervicitis with obvious symptoms, although there are other dangerous microorganisms, such as corynebacteria, streptococci, chlamydia, enterococci and mycoplasmas.

The inflammatory process during cervicitis can sometimes affect squamous epithelial cells, but usually it does not spread beyond the endocervical glands. The route of infection spread and the localization of the inflammatory process in acute cervicitis appears to be determined by the type of pathogen. Thus, gonococci usually infect only epithelial cells endocervical glands, while streptococci and staphylococci penetrate into the depths of these glands, affecting the internal membranes of the cervix and spreading to other pelvic organs through the lymphatic tract.

Symptoms of acute cervicitis

As a rule, acute cervicitis is characterized by the following symptoms:

Presence of discharge. With this disease they can be different both in character and in quantity, but usually they are profuse and purulent, especially if the cause is a gonorrheal infection;

Women who have suffered from cervicitis for a long time know that even the most severe and unpleasant symptoms can be quickly eliminated with the help of suppositories. However, complete cure is impossible without identifying exact reason inflammation.

In most cases, the trigger for inflammation is an infection, so local medications (which include suppositories) will not be able to solve the problem on their own. It is imperative to drink or inject antibiotics, antiviral or antifungal drugs selected by a specialist.

Important! Refusal of systemic treatment in favor of the use of suppositories alone can lead to the spread of the inflammatory process to the area fallopian tubes and abdominal cavity.

And yet, suppositories for cervicitis remain one of the most used forms of medicine. With the help of vaginal and rectal suppositories, the fastest possible therapeutic results are achieved.

What you need to remember when using suppositories to treat cervicitis

Anti-inflammatory suppositories in gynecology are used to treat various diseases of the reproductive system. It is important to pay attention to the fact that the doctor may also prescribe rectal suppositories.

This absolutely does not mean that the drug should be used vaginally. It is necessary to strictly adhere to the instructions, and then the anesthetic and anti-inflammatory effect will not take long to appear.

Remember! Despite the fact that the article will give many names of truly effective drugs, using them without first consulting a doctor is strictly prohibited.

Suppositories with anti-inflammatory effects are usually only an addition to the main therapeutic course. The topical medicine will enhance the effect of other antibacterial or antiviral drugs used systemically.

Terzhinan and Polygynax: vaginal capsules with combined action

The drug called Terzhinan contains several active components: nystatin, neomycin sulfate, ternidazole. This wide range of antibacterial agents is distinguished by its activity against:

Staphylococcus;
Streptococci;
Gram-negative organisms;
Yeast-like candida.

The dosage is selected by the doctor individually for each patient, and only based on test results. Standard instructions require the use of no more than one vaginal tablet in a day.

The duration of therapy for cervicitis should not exceed 10 days. For chronic inflammation of the cervix, Terzhinan can be used for prophylaxis (a course lasting 6 days).

Polygynax vaginal capsules consist of neomycin, polymyxin B, nystatin. Just like Terzhinan, Polygynax is effective in the fight against fungal organisms, gram-positive and gram-negative bacteria. Most often, these 2 types of vaginal capsules are prescribed as part of complex therapy for nonspecific vaginitis.

It is very easy to use Polygynax: it is enough to place one capsule deep into the vagina once a day. The duration of treatment should not exceed 12 days. During therapy, it is recommended to wear only cotton underwear and avoid using tampons and condoms. But during menstruation you should not interrupt the administration of capsules.

Klion-D: combined vaginal tablets

Suppositories for cervicitis Klion-D (main active ingredients: metronidazole, miconazole) are usually prescribed to women with chronic, constantly recurrent cervicitis caused by Gardnerella vaginalis and Candida albicans. The course of therapy lasts 10 days: once a day (preferably before bedtime), one vaginal tablet should be administered.

The results of using the drug Klion-D will be more effective if the therapy is supplemented with oral metronidazole, and a week after completion of the course of treatment, the microflora is restored with the help of lactobacilli.

It has also been proven that Klion-D has an anti-inflammatory effect and helps reduce the number of abnormal discharge already after the first use. Only 7% of women who completed the full course of treatment had relapses.

Diclofenac: rectal suppositories for cervicitis

A suppository called Diclofenac is usually prescribed to relieve pain caused by an exacerbation of cervicitis. Diclofenac will not cure the inflammation itself, but will quickly relieve unpleasant symptoms and help the woman return to normal daily life.

Despite the fact that these suppositories are prescribed for inflammation of the cervix, they must be administered rectally. The main components will reach their goal by being absorbed into the blood. But with vaginal administration, the risk of bleeding will increase.

Apply rectal suppositories Diclofenac is as simple as other vaginal medications. You just need to insert the suppository into the rectum, lying on your left side, bending your right knee.

Remain in a lying position for a few minutes, and also restrain the urge to have a bowel movement for an hour to ensure complete dissolution of the suppository. The dosage is selected individually. However you need to ensure that the daily intake does not exceed 100 milligrams per day.

Suppositories with lactobacilli for the treatment of cervicitis

Since one of the causes of cervical inflammation is an imbalance of the natural vaginal flora, suppositories containing lactobacilli are often prescribed in the gynecological office. The most popular trade names of such drugs remain Lactonorm and Acylact.

Of course, such suppositories cannot be called full-fledged medicines, because they only eliminate the imbalance in the vagina without affecting pathogenic bacteria, viruses, and fungi.

Acilact and Lactonorm can be used according to a similar scheme: you need to administer one suppository 2 times a day (morning and evening) for 10 days. After a given period of time, take a smear for microflora. If the test results confirm the presence of an imbalance, repeat the course of treatment after a week's break.

cistitus.ru

What is endocervicitis

In essence, this is inflammation of the cervix of various etiologies, which disrupts the functionality of the genitourinary area and reproductive system. The mucous membrane of the cervical canal and vagina is involved in the pathological process. At first, this disease predominates in an asymptomatic form, and the patient finds out about its existence unexpectedly - during a planned visit to antenatal clinic. Once endocervicitis is detected, treatment must be immediate, otherwise the disease becomes chronic.

Symptoms

The attending physician answers questions not only about what endocervicitis is and how to treat it, but also how the characteristic disease manifests itself in the female body. At the initial stage, the activity of the pathogenic flora is moderate, but over time the unpleasant symptoms only intensify and are frightening in their intensity. Endocervicitis occurs in acute and chronic form, and the second stage develops in the absence of timely response measures to the symptoms of the first.

Acute endocervicitis

The disease worries unexpectedly; the patient may confuse endocervicitis with signs of classic thrush. It all starts with internal discomfort, a burning sensation and itching in the vaginal area. Specific discharge from the genital organs, which has an unpleasant odor, mucous consistency, and impurities of pus, cannot be excluded. Other characteristic signs of acute endocervicitis are presented below:

vaginal burning;
discharge of purulent masses;
instability of the emotional sphere.

Chronic

If you ignore the acute stage of inflammation, the disease acquires a chronic modification with less pronounced symptoms. Endocervicitis of the cervix can be detected with careful examination, comprehensive study fluid in the cervical canal on the flora. The characteristic symptoms of the disease occur with periodic relapses and periods of remission, when the woman mistakenly believes that the pathology has receded forever. The deep layers of the mucous membrane of the cervical canal become foci.

Echo signs of endocervicitis

If a woman, after an abortion or long-term use of antibiotics, experiences internal discomfort and complains of thrush, it is possible that these are echo signs of endocervicitis, which, in the absence of a timely response from the patient, will only progress. The process of inflammation begins when the protective forces, under the influence of other provoking factors in a once healthy body. The disease is not venereal, but is infectious and inflammatory in nature and is sexually transmitted.

Causes

Before treating endocervicitis, it is necessary to reliably determine the etiology of the pathological process and assess the real condition of the patient. The diagnosis most often prevails in adulthood, and is preceded by the penetration and presence of a pathogenic infection in the pelvic organs. These may be streptococci, staphylococci, corynobacteria, E. coli, fungal infection or bacteroides. Other causes and prerequisites for the development of endocervicitis are presented in detail below:

chronic form of chlamydia, gonorrhea, trichomoniasis, and other sexually transmitted diseases;
fungal infections of the female genitourinary area;
cervical injuries after abortion, pathological childbirth;
the presence of an intrauterine device;
inflammation of the appendages;
endometriosis;
vaginal dysbiosis;
promiscuous sex life;
inflammation of the pelvic organs;
periods of menopause, menopause;
sexual intercourse during menstruation;
weakened immune system;
uterine prolapse.

Kinds

In order to successfully treat uterine endocervicitis using conservative methods, it is first important to determine the nature and specificity of the pathological process and identify the main pathogenic factor. Abnormal changes in the structure of the cervix or cervical canal have the following conditional classification depending on the nature of the harmful pathogen:

Specific endocervicitis. Symptoms of a characteristic disease arise from the pathogenic activity of pathogens that are predominantly sexually transmitted.
Nonspecific endocervicitis. The pathology progresses due to increased activity of Escherichia coli, streptococci, staphylococci, corynebacteria and other anaerobes and aerobes.

Diagnostics

Before effective treatment of endocervicitis is prescribed, it is necessary to determine the dependence of the pathogenic flora and the nature of the pathogen. For this purpose, one gynecological examination of the patient is not enough; in addition, a number of laboratory research, clinical examinations. Since endocervicitis can be transmitted sexually, both sexual partners are diagnosed. So, you need to undergo the following examinations:

tank culture from the cervical canal;
smear for atypical cells from the endocervix and exocervix;
extended colposcopy;
examination for the presence of infectious agents;
Ultrasound of the pelvic organs;
blood and urine tests to identify the inflammatory process;
PCR method for determining pathogenic flora.

Cytogram

This is the main examination of the inflammatory epithelium, carried out in a hospital setting, which determines the form of endocervicitis, the degree of neglect characteristic pathology. If the tissues of the cervical canal or cervix are pathologically compacted, the disease predominates in a chronic form. A cytogram for acute endocervicitis can confirm the fact that the area of the external pharynx is pathologically inflamed and covered with small erosions.

Treatment of endocervicitis

Recovery after infection is long, and chronic endocervicitis is generally considered an incurable diagnosis. The use of conservative methods of intensive therapy ensures stable positive dynamics and prolongs the period of remission. An integrated approach to treatment is required, which is individually prescribed by a gynecologist. The main goal is to destroy pathogenic flora, eliminate the inflammatory process, normalize hormonal background, strengthen the immune system weakened by the disease with useful vitamins.

Drugs

If endocervicitis predominates in the acute stage, the doctor first recommends broad-spectrum antibiotics for oral use. The choice of a specific medication depends on the nature of the pathogenic flora, and the duration of antibacterial therapy depends on the neglect of the pathological process. On average, a woman will have to be treated with antibiotics and others for 2 weeks. A positive result will definitely be achieved if, when prescribing treatment, the doctor pays attention to representatives of the following pharmacological groups:

For chlamydial infection, macrolides (Sumamed) and tetracycline antibiotics (Doxycycline) are indicated.
For fungal infections, antifungal drugs are recommended (Nizoral, Fluconazole, Diflucan, Flucis).
When infected with Trichomonas, antiprotozoal drugs are indicated (Trichopol, Metronidazole).
If staphylococci and streptococci are active, antibiotics are prescribed penicillin series fourth generation (Amoxiclav, Augmentin, Ampicillin).

In addition to the antibiotics described above, the patient with endocervicitis is recommended to use other medications for oral and local use at home. This:

Lactobacilli to restore damaged vaginal microflora (Acidophilin, Bifidobacterin.
Immunostimulants to increase the body's defenses (Likopid, Genferon, Interferon, Cycloferon, Timolin).
Natural preparations for the productive restoration of vaginal microflora (Linex, Acylact, Vaginorm).
Antiviral agents for the extermination of pathogenic viruses (Valavir, Vairova, Valtrex).
Multivitamin complexes for safely strengthening the immune system (Elevit, AlfaVit, Duovit, Pikovit).

Candles

With the simultaneous use of suppositories with antibiotics, the therapeutic effect is only enhanced. Suppositories for vaginal use act locally, relieve inflammation and unpleasant signs of endocervicitis, and speed up the healing process. Moreover, like this conservative method it is possible to eliminate other diseases of the woman’s genitourinary system that accompany endocervicitis. It is necessary to highlight the following vaginal suppositories, which can be bought at a pharmacy without a prescription, but used strictly according to medical recommendations for up to 10 days:

Betadine;
Terzhinan;
Galangin;
Micromore;
Genferon.

Traditional medicine methods

Alternative medicine recipes give positive reaction in the treatment of endocervicitis, are auxiliary method conservative therapy. To avoid dangerous consequences for the body, you must first consult with a gynecologist and jointly determine the most effective folk remedies. Below are several recipes that help cure endocervicitis:

Combine half a bottle of propolis and calendula tincture, add 60 g of lanolin. Mix the composition and use vaginally as homemade tampons at night. Course – 10 days.
Make homemade tampons, moisten them with sea buckthorn oil, and insert them into the vagina before bed. Course – 7-10 days.
4 tbsp. l. Steam dried St. John's wort herb and infuse in 2 liters of boiling water. Cool, leave, strain, and use as an evening douche.

Illness during pregnancy

When planning a pregnancy, a woman should perform a vaginal smear to exclude a characteristic pathological process. If endocervicitis is detected, a series of additional examinations and especially a cytogram to exclude oncological diseases like a woman. To avoid serious complications during pregnancy and “scars on the heart” due to miscarriage or pathological birth, treatment of endocervicitis should take place before successful conception. Infection during pregnancy is dangerous, so the woman remains under medical supervision.

Prevention

Photos of patients and complicated clinical pictures can be found on the Internet. To avoid such health problems, it is necessary to take timely measures to prevent endocervicitis. Preventive measures are as follows:

treat diseases of the female reproductive system in a timely manner;
be selective in choosing sexual partners;
visit a gynecologist regularly;
strengthen immunity;
avoid abortion.

sovets.net

Symptoms characteristic of endocervicitis:

Eliminates discharge.

www.astromeridian.ru

Suppositories for the treatment of endocervicitis

Today, it is a fairly common disease in women, which occurs in the mucous membrane of the cervix. The main causes of endocervicitis can be: sexually transmitted infections, mechanical irritants and inflammatory processes of the vagina and cervix. In the treatment of endocervicitis, suppositories are used both for preventive purposes (after visiting the pool, swimming in various bodies of water), and for the direct treatment of diseases such as cervical inflammation, trichomoniasis, erosion, uterine fibroids and various fungal diseases.

Copious discharge with an unpleasant odor as a symptom of endocervicitis.

Feeling of discomfort and pain during sexual intercourse.

Bloody discharge after sexual intercourse.

Of course, in order for a specialist to prescribe treatment for endocervicitis with suppositories, you need to undergo a series of studies. Diagnosis of endocervicitis consists of a gynecological examination of the uterus, using a colposcope or speculum, as well as studying smears under a microscope. Treatment of endocervicitis with suppositories is mainly aimed at eliminating the cause of the disease. Most effective candles in the treatment of endocervicitis, they are considered feminine hygiene products that have an excellent healing effect.

Suppositories for the treatment of endocervicitis - benefits of use

Eliminates discharge.

Restores new healthy tissue by removing damaged tissue.

Has an antipyretic effect.

It is prescribed for the following symptoms: itching in the vagina, pain in the lower abdomen, pain in the lower back, with various types of discharge and the appearance of dryness and bitterness in the mouth.

Suppositories for the treatment of endocervicitis - method of application:

A course of treatment for endocervicitis requires 10 suppositories; it is advisable to insert them into the vagina with the sharp end facing you 2-3 days after the end of menstruation, every other day before bedtime. The best effect is achieved by combining treatment with candles and medicated sanitary pads. It is not recommended to use suppositories in the treatment of endocervicitis for pregnant women and during menstruation. If itching, redness or peeling, or pain in the lower abdomen occurs, it is recommended to interrupt treatment and consult a gynecologist.

To avoid softening, it is better to store suppositories for endocervicitis in the refrigerator or immediately before use, immerse them in cold water; when they harden, they can be used. Do not use three days before the start of a new menstrual cycle.

Source: http://www.astromeridian.ru/medicina/jendocervicit_svechi.html

Chronic endocervicitis

Endocervicitis is a disease in which an inflammatory process occurs in the mucous membrane of the cervical canal. Endocervicitis mainly affects women of reproductive age and those who are sexually active with frequent changes of partners.

Kinds

Depending on the course of the disease, acute and chronic endocervicitis are distinguished, and it should be noted that the acute process very quickly passes into the chronic phase.

According to the extent of inflammation, endocervicitis can be focal (local) and diffuse (widespread).

Causes

Since endocervicitis refers to inflammatory diseases of the cervix, accordingly, infectious pathogens can be safely attributed to the causes of its development. Often the disease develops against the background of activation of opportunistic microflora, which includes streptococci. staphylococci. E. coli, mushrooms and other microorganisms.

Specific endocervicitis is caused by sexually transmitted microorganisms (gonococci, trichomonas, ureaplasma, chlamydia). But to start the inflammatory process in the cervix, certain conditions are necessary, that is, predisposing factors:

the presence of other inflammatory diseases of the genitourinary system (colpitis, adnexitis, endometritis, cervical ectopia); age.

a large number of sexual partners;

uncontrolled use of certain methods of contraception (spermicides, acid douching);

weakened immune system;

mechanical manipulation of the cervix and uterus (abortion and curettage, insertion of an IUD, cervical rupture during childbirth);

premenopausal and menopausal age.

Symptoms of endocervicitis

The clinical picture of the disease directly depends on the stage of the process and the pathogen that served as the impetus for the development of endocervicitis.

Acute endocervicitis has a clear course, patients complain of discharge (usually purulent, cloudy, mucous and thick), itching and burning in the vagina. Often women are bothered by so-called “causeless” pain in the lower abdomen of a pulling or aching nature.

If the infection in acute endocervicitis rises higher, then inflammation of the uterus and/or appendages develops, which is characterized by increased pain syndrome, increased temperature and the development of intoxication syndrome.

Chronic form

Chronic endocervicitis is either sluggish or completely asymptomatic. As a rule, there is no pain, itching or burning either. The only thing that patients can pay attention to is constant leucorrhoea of a strange appearance (thick, cloudy, possibly mixed with blood or with an unpleasant odor).

When examined in the mirrors, a hypertrophied and thickened cervix is visible, pseudo-erosion often develops (constant discharge irritates and injures the cervical mucosa). This picture of a gynecological examination is characteristic of chronic endocervicitis.

Diagnostics

Differential diagnosis of endocervicitis is carried out

with ectopia (pseudo-erosion) of the cervix: when examining the cervix through a colposcope, a characteristic picture of ectopia is visible - a cylindrical epithelium is visualized on the vaginal part of the cervix;

with cervical cancer (the cervix is significantly hypertrophied, looks like cauliflower, “pockmarked” and bleeds upon any touch).

Diagnosing the disease is quite simple: endocervicitis can be suspected already during the initial gynecological examination. In addition, additional instrumental and laboratory research methods are prescribed:

colposcopy (allows you to differentiate the disease from other pathologies of the cervix);

Ultrasound of the pelvic organs (transabdominal and transvaginal) to identify concomitant pathology of the genital organs;

microscopic examination of vaginal smears;

smear for oncocytology from the cervix and cervical canal (exclude cell atypia);

Wasserman reaction (exclude syphilis);

blood for hepatitis and HIV infection;

OAC and OAM (exclude general inflammatory process in the body);

blood for clotting;

PCR reaction for sexually transmitted infections (HPV, genital herpes, chlamydia and ureaplasmosis, cytomegalovirus infection);

tank. sowing of vaginal discharge for microflora and sensitivity to antibiotics.

Treatment of endocervicitis

First of all, therapy for endocervicitis is aimed at combating and eliminating the infectious pathogen. Depending on the pathogenic microorganism isolated, antibacterial, antiviral or antifungal drugs are prescribed.

Treatment of acute form

Acute endocervicitis is preferably treated with systemic drugs that have a complex effect, since local treatment promotes the rise of infection.

Treatment of the chronic form

For chronic endocervicitis, suppositories and tablets with multidirectional effects are used for local therapy: antimicrobial, antifungal and antiprotozoal. These may be Polygynax, Klion-D, Terzhinan.

For chlamydial and ureaplasma infections, tetracyclines are prescribed systemically (tetracycline, josamycin, doxycycline).

When viruses are detected, antiviral drugs are prescribed (acyclovir, Zovirax), and for fungal infections, antimycotic drugs (flucostat, Diflucan, Orungal).

Anti-inflammatory therapy lasts 7-10 days, after which they begin the 2nd stage of treatment - restoration of normal vaginal microflora. For this purpose, acylact, bifidumbacterin, lactobacterin, hilak-Forte and immunocorrectors are used topically to restore immunity.

The second stage of treatment lasts 7-14 days.

Consequences and complications

Untreated endocervicitis can become chronic and cause the development of cervical erosion or ascending infection (adnexitis, endometritis).

In extremely rare cases, untreated disease causes cervical cancer.

Source: http://www.diagnos.ru/diseases/ginec/endocervicit-hr

Endocervicitis is an inflammatory process that occurs in the mucous membrane of the cervix.

Treatment

To prevent endocervicitis after visiting pools, beaches, or using someone else's towel, you can use special vaginal suppositories with an antiseptic component.

These suppositories are effective both in preventing inflammation and in treating cervical erosion, complex treatment trichomoniasis, candidal vaginitis and other gynecological infections.

Clinical manifestations

Endocervicitis is characterized by clinical signs:

Copious discharge from the external genital tract of a mucous or mucopurulent nature, sometimes with an unpleasant odor;

Discomfort when urinating;

Itching, burning during sex;

Bloody vaginal discharge after overly active sexual intercourse.

Before prescribing therapy, a woman must be examined by a gynecologist. Endocervicitis is characterized by redness and swelling of the cervical canal and the mucous membrane of the cervix.

During the examination, the gynecologist takes a smear from the cervical canal and vagina, after which he conducts a bacterial culture of the discharge to determine the causative agent of the infection and its sensitivity to antibacterial drugs.

By far the most effective drug To combat endocervicitis, vaginal suppositories with antibacterial properties are used. This drug belongs to products for intimate hygiene of women, which can be used both for preventive purposes and as a treatment for gynecological diseases.

Vaginal suppositories eliminate vaginal dryness and have a pronounced antiseptic property, promote the regeneration of mucous membranes during erosion, normalize the microflora of the vagina, relieve itching and burning, eliminate symptoms of inflammation and swelling of the mucous membrane.

The pathogen that triggered the onset of the inflammatory process must be treated with antibiotics. The doctor selects the antibiotic for each woman individually, depending on the severity of the disease, the sensitivity of the pathogen to the drug and the patient’s individual tolerance to the components of the drug.

Source: http://www.ginekolog-klinika.ru/bolezni/endocervicit/svechi.php

Endocervicitis

Endocervicitis is acute or chronic inflammatory changes in the mucous membrane of the cervical canal. In the body, the cervix serves as a natural barrier that prevents infection from entering the holy of holies - the cradle for the unborn child. This is helped by its structure - a cylinder, one end of which opens into the uterus (internal os), the other into the vagina (external os). The inside of the canal is covered with a single-layer columnar epithelium with many glands that produce thick mucus with bactericidal properties. This mucus prevents infection from entering and helps maintain sterility in the upper and middle parts of the cervix.

For a number of reasons, these mechanisms fail and microbes penetrate inside the canal, causing an inflammatory tissue reaction. Bacteria, protozoa or viruses get inside the glandular cells, settle there and completely destroy them becomes difficult. As a result of active cell proliferation, the exit duct is often clogged - endocervix cysts are formed.

Traumatic injuries - ruptures and tears of the cervix during childbirth, when its canal expands during curettage. hysteroscopy and other interventions. A risk factor is unsutured old defects, when the external pharynx is always slightly open and gapes;

Prolapse of the uterus. It is easier for infections to get from the perineal area directly to the cervix, cause inflammation on its vaginal part and penetrate inside;

Sex during menstruation. During this period, cervical mucus becomes less viscous and is easily overcome by microorganisms, and the blood is ideal for their reproduction;

Protection with an IUD. The antennae are conductors of infection from the vagina to the cervix and uterus;

Incorrect use of mechanical and chemical contraception, frequent douching;

Sexually transmitted infections. In first place are gonorrhea and chlamydia. These pathogens easily settle on the single-layer cylindrical epithelium of the cervical canal despite all protective factors;

Promiscuous sexual intercourse. All people have their own set of microbes; with constant contact, addiction occurs and protection against the partner’s bacteria is developed. If each time local protective factors encounter new pathogenic agents, they can’t cope, inflammation develops;

Decreased local and general immunity, persistent vulvovaginitis, changes in the composition of the vaginal microflora;

Malignant tumors of the cervix

Endocervicitis threatens to develop the following complications:

The constant presence of pathogenic flora in the cervical canal leads to its gradual spread upward - to the entire thickness of the endometrium. fallopian tubes and ovaries. The peritoneum covering the internal genital organs becomes inflamed, and adhesions develop - the cause of frequent pain in the lower abdomen. With a strong adhesive process, it is even possible intestinal obstruction– dangerous acute surgical disease;

Violated reproductive function: pregnancy becomes more difficult, the risk of ectopic pregnancy, miscarriage, complications during childbirth and common postpartum infections is higher;

The chronic inflammatory process reconfigures the immune system and promotes aggression against the body's own cells. Reactive arthritis and nephritis develop;

There is a greater risk of cystitis, acute and chronic pyelonephritis;

In chronic forms of the disease, the process involves the entire thickness of the wall, deforms the cervix, and leads to the development of cervical metritis.

Types of endocervicitis

By origin:

Specific – caused by sexually transmitted infections;

Nonspecific – caused by bacteria, fungi, viruses. Often the cause is opportunistic flora living in the vagina.

By distribution:

Focal. There are separate areas of inflammation in the cervical canal, which often occurs at the beginning of the disease;

Diffuse. Involvement of the entire mucous membrane in the process when the infection spreads;

Atrophic. Often observed during menopause - in addition to inflammation, thinning of all tissues is noted.

With the flow:

Acute – a fresh inflammatory process with severe symptoms;
Chronic – the clinic is erased, periodically gives exacerbations. The reason is inadequate treatment or its complete absence, self-prescription of drugs.

Symptoms

An increase in the amount of discharge, a change in its color and smell.

Normal daily amount of clear fluid from the genital tract healthy woman should be no more than 1-4 ml. This can be determined by the diameter of the stain on the laundry (1-5 mm).

With endocervicitis, the leucorrhoea becomes cloudy, white or yellow, profuse, liquid or viscous and viscous. The smell depends on the type of pathogen;
Often concomitant vulvovaginitis is manifested by itching, burning, redness of the external genitalia;
Pain appears during the chronic course of the disease and depends on the degree of involvement of other organs, damage to the muscle layer, and the development of complications.

Often the symptoms are not expressed, there are no general symptoms of intoxication (fever, weakness), so women do not pay attention to these signs. As a result, the infection spreads further and further, it is more difficult to treat such a process, and it takes more time.

Diagnostics

Endocervicitis is detected when reporting complaints or during a routine examination, standard diagnostic procedures are performed:

Gynecological examination on a chair using mirrors. The cervix is edematous, hyperemic, often irregularly shaped with a large number of nabothian cysts. It bleeds easily when touched. The external pharynx is inflammatory, purulent fluid is released from it;

Colposcopy reveals dilated vessels extending from the cervical canal. The study allows us to suspect cell degeneration and take material for a biopsy. Schiller's test with Lugol's solution clearly shows inflammatory areas - white unpainted spots on a dark background;

Ultrasound - the cervix is deformed, its size and thickness are larger than usual, hypoechoic inclusions are noticeable - endocervical cysts;

A smear from the cervical canal contains a lot of leukocytes (50 or more), pathogens of the disease are often detected;

The taken material is sown on nutrient media. This allows not only to determine the specific microbe that caused the inflammation, but also to identify its susceptibility to various antibiotics. Without bacteriological research It is not advisable to start treatment, since it is difficult to guess whether the prescribed medicine will be effective for a given patient.

Liquidation pathogenic microorganisms. Depending on the pathogen, antibiotics are prescribed, antifungal medications or agents that destroy protozoa (Trichomonas, chlamydia, etc.). A preliminary determination of sensitivity to medications is carried out. Often required complex circuit, which combines several types of drugs;

Routes of administration – in the form of tablets (oral), intravenous, intramuscular. For gynecological infections, medications must also be prescribed locally, in the form of treatments, baths, vaginal suppositories and tablets. For the convenience of patients, combination drugs have been developed, the components of which act on several types of microorganisms at once;

Normal acidity and vaginal microflora are restored (for example, gynoflor and gynoflor E). This allows you to increase local immunity and avoid relapses;

For menopause and mucosal atrophy, local hormonal agents and emollients are additionally used;

Surgical exposure. To eliminate all possible sources of infection, Nabothian cysts and endocervical cysts are opened, and cervical plastic surgery is performed;

Physiotherapy. Consolidates the results obtained and helps prevent the recurrence of the disease. Laser, ultrasound, electrophoresis, and magnetic therapy are used.

Video: Treatment of chronic cervicitis using phonopharesis of an aqueous solution of chlorhexidine using low-frequency ultrasound

Endocervicitis and pregnancy

When planning a pregnancy, it is better to be examined by a gynecologist in advance and improve the health of your genitals. Acute or chronic infectious process increases the risk of miscarriage, leads to infection of the child in utero or he becomes infected during childbirth.

Source: http://www.ginomedic.ru/ginekologiya/zabolevaniya-sheyki-matki/endocervicit.html

Endocervicitis: symptoms and treatment

The inflammatory process of the mucous membrane of the cervical canal is classified in medicine as endocervicitis. This pathology can develop in a woman as a complication after an artificial termination of pregnancy or childbirth, when there is a rupture of the cervix. In addition, endocervicitis can be a consequence of any instrumental manipulation in the uterus - for example, the disease in question often develops after diagnostic curettage.

A distinctive characteristic of the inflammatory process under consideration is the rapid transition of the acute form to the chronic form and the practically asymptomatic course of the disease. The main symptom will be the presence heavy discharge from the vagina, and they can be of a different nature, be completely transparent or mixed with pus. And the second symptom of the disease in question is pain in the lower abdomen. which will have varying degrees of intensity, but is never sharp.

Note: It is precisely such uncharacteristic symptoms, and mild ones at that, that prevent timely diagnosis endocervicitis.

In the acute period of endocervicitis, the gynecologist, when examining the patient on the chair, will note the bright red color of the cervix and slight swelling; directly in the pharynx, the specialist will see small erosions in large quantities, which will have a pronounced crimson tint and are covered with a purulent coating (not always, it all depends on how advanced the inflammatory process is).

After the acute phase of endocervicitis develops into a chronic phase, all symptoms disappear or become so mild that the woman considers herself completely healthy. A gynecologist will be able to make an accurate diagnosis, who, when examining the patient, will note a thickened and dense cervix, hypertrophy of the muscular layer of the cervix. Even in the complete absence of symptoms of the acute period of development of the inflammatory process in question, upon examination, the doctor will find a red corolla, which will be located around the pharynx (external) of the cervix.

Reasons for the development of endocervicitis

The International Classification of Diseases distinguishes three large groups inflammatory pathologies that can develop on the cervical mucosa:

gonococcal cervicitis;

inflammation of the cervix;

chlamydia cervicitis.

Most often, the inflammatory disease of the cervix under consideration occurs against the background of curettage procedures performed in the uterus - abortions, cervical ruptures, uterine probing, diagnostic scrapings, etc. But besides this, endocervicitis can also occur against the background of other pathologies of the female genital area - colpitis (inflammation of the vaginal walls), endometritis (inflammation of the mucous membrane of the inner surface of the uterine walls), cervical ectopia (pseudo-erosion).

Note: the listed diseases may precede the inflammatory disease in question, occur simultaneously with it, or occur after the acute phase of endocirvicitis.

There are a number of provoking factors in relation to the pathology in question:

small ruptures of the cervix (they may not be noticeable without the use of special devices);

incorrect use of contraceptives, self-prescription of such drugs;

prolapse of the vagina and uterus, including prolapse of these organs;

cervical erosion.

How to treat endocervicitis

The course of therapy when diagnosing the inflammatory disease in question is selected by a gynecologist in a strictly individually, which involves conducting tests to identify the true pathogen. After this, the woman will be prescribed antibacterial drugs (antibiotics).

In addition, patients diagnosed with endocervicitis must be prescribed local medications - suppositories, tablets and suppositories, which are inserted directly into the vagina. Similar means have an antibacterial effect and a wide spectrum of action; from this group of drugs we can distinguish Ginalgin, Terzhinan, Macmiror, Betadine.

After the course of treatment is completed, the woman must take antifungal drugs, and the vagina generally must be populated with lactobacilli.

Note: many women who have undergone treatment antibacterial drugs, they simply ignore the need to prevent the development of candidiasis (thrush) and as a result “get” untreated endocervicitis and a fungal disease as a background.

The last stage of full treatment of the inflammatory disease in question is immunotherapy. Normalization and stabilization immune system necessary to prevent recurrence of endocervicitis. The most effective immunomodulators include Levamisole, Timolin, and Interferon.

Endocervicitis – dangerous disease, because it is practically asymptomatic, but can lead to serious complications. The inflammatory process can begin to expand its areola of activity, and moving along the ascending paths, it causes pathologies of the peritoneum, endometrium and uterine appendages. That is why you need to regularly visit a gynecologist for preventive examinations(helps diagnose endocirvicitis at an early stage of development) and respond to even minor changes in health.

Tsygankova Yana Aleksandrovna, medical observer, therapist of the highest qualification category

Source: http://okeydoc.ru/endocervicit-simptomy-i-lechenie/

Endocervicitis is a fairly common female disease, which is an inflammation of the mucous membrane of the cervical canal and cervix.

Causes of endocervicitis

The cause of inflammation of the mucous membrane is an infection that has entered the female body. Endocervicitis can be caused by sexually transmitted infections (chlamydia, gonococci, trichomonas), as well as mycoplasmas, staphylococci, streptococci, E. coli, and less commonly, viruses and fungi of the genus Candida. Cervical injuries (ruptures during childbirth, microtraumas during abortion, installation of an intrauterine device, etc.) increase the risk and provoke infection. Pathogenic microorganisms, against the background of reduced general and (or) local immunity for one reason or another, lead to the development of acute endocervicitis.

It is very important to recognize acute endocervicitis in time and begin treatment, as it tends to quickly develop into a chronic form. The causes of chronic endocervicitis, in addition to the untreated acute form of the disease, may be other chronic diseases(colpitis, endometritis, etc.). Incorrect use of hormonal contraceptives can also provoke the development of chronic endocervicitis.

What is dangerous about chronic endocervicitis?

Over a long period of time, without proper treatment, endocervicitis can lead to such unpleasant and dangerous consequences as deep hyperplastic and dystrophic changes in the tissues of the cervix, the formation of cysts.

Signs of chronic endocervicitis

The severity of symptoms of endocervicitis in the acute phase depends on the type of pathogen. For example, endocervicitis caused by gonococci has a pronounced clinical picture and, as a rule, is successfully diagnosed already at the initial stage. And endocervicitis of chlamydial etiology, on the contrary, occurs initially in an erased form and, remaining unnoticed at the first stage, becomes a chronic process.

With chronic endocervicitis, patients usually complain of the following symptoms:

uncharacteristic mucous, purulent or liquid discharge from the genital tract, which can be either abundant or insignificant in quantity;

dull nagging pain in the lower abdomen and lower back.

Other complaints, such as pain when urinating or cramping uterine spasms, may indicate that concomitant disease(urethritis, endometritis, etc.).

During a gynecological examination, the presence of endocervicitis may be indicated by swelling and redness of the cervix, its hypertrophy. An accurate diagnosis of chronic endocervicitis can be made as a result of examination using speculum, colposcopy, cytological examination, bacterial examination of discharge (vaginal smears make it possible to determine the type of pathogen and prescribe optimal treatment).

Treatment of chronic endocervicitis

The treatment regimen for endocervicitis is selected by the doctor and depends on the type of pathogen and the stage of the disease. Complex therapy is prescribed, which includes:

taking antibacterial or antifungal agents (depending on the type of pathogen) - both internally and locally;

taking immunomodulators - to activate general and local immunity;

enzymatic agents - to prevent the development of dysbiosis;

local procedures (allowed only in the chronic stage, with an attenuated inflammatory process): tampons, vaginal baths, douching;

physiotherapy: laser therapy and electrophoresis;

taking vitamins;

in case of severe cervical hypertrophy, the doctor may prescribe surgical treatment: partial excision of the cervix.

There are many folk remedies for treating endocervicitis at home. For example, tampons with sea buckthorn oil, when used daily for 2 weeks, promote healing of inflamed areas of the mucosa. Really, ethnoscience often helps to recover faster from many ailments. But the main thing when using folk remedies is to coordinate their choice with the attending physician and only complement, and not replace, the complex therapy prescribed by a specialist.

Source: http://womanadvice.ru/hronicheskiy-endocervicit

Endocervicitis: features of treatment and prevention

A fairly common pathology of the female reproductive system is endocervicitis, the treatment of which consists of complex drug therapy. Endocervicitis is an inflammatory disease that affects the mucous membranes in the canal uterine cervix. Most patients encounter the lesion in question during their reproductive years (20-40 years).

Symptoms of the disease

Before treating endocervicitis, it is worth determining the characteristic manifestations of the pathology. The main symptoms of the disease in acute form are:

the presence of mucous or purulent vaginal discharge;

discomfort, such as itching and burning, in the genital area;

Pain manifestations localized in the lumbar and groin area are possible.

In chronic forms of the disease, all manifestations that may bother patients disappear. This is one of the main dangers of pathology. This phenomenon is explained by the fact that with the chronic nature of endocervititis, the inflamed areas of the mucous membranes begin to heal, and the symptoms are minimized. Healing tissues stop producing symptomatic amounts of mucus, but pathological processes at the cellular level continue to progress. In this case the only way Identifying the disease is a thorough medical examination.

During a medical examination, the cervix affected by endocervititis turns out to be inflamed, characterized by profuse redness, and often surface erosion. In the chronic form, cloudy, mucous-purulent discharge is also possible.

Treatment of the disease

Treatment of cervical endocervicitis takes quite a long time, especially if the disease is associated with concomitant pathologies.

If the pathology is detected at an early stage, the duration of the treatment course may be limited to one week.

The dynamics and nature of treatment are determined by a qualified specialist, based on the nature of the development of the disease, as well as the type of pathological pathogen that caused endocervititis.

The acute stage of the disease is characterized by etiotropic treatment aimed at eliminating the effects of the infectious pathogen. The course of treatment may be based on the use of antibiotics, antiviral or antifungal agents.

Specifics antibacterial treatment is based on the fact that it is formed based on the sensitivity of infectious cultures to antibiotic drugs. When acute progress begins to subside, it is time for local treatment.

For endocervititis, treatment occurs in the following ways:

using a range of antifungal drugs (fluconazole, Diflucan, Nizoral);

with the use of tetracycline and macrolide antibiotics (for chlamydial infections);

treatment with antiprotozoal drugs (trichopolum, metronidazole) for trichomonas endocervititis.

If the pathology in question is accompanied by characteristic additional diseases, it is necessary to carry out appropriate therapy. In addition, it is necessary to carry out immunocorrection, take a course of recommended vitamins and immunomodulators.

In order to restore the disturbed vaginal microflora, a course of lactobacterial therapy is prescribed.

In case of chronic endocervicitis, treatment can be complicated by the protracted process of development of the pathology, so surgery remains the only effective method.

In this case, diathermocoagulation, cryotherapy, and laser removal of affected tissue areas are used. It is worth noting that after surgical intervention mucous membrane tissues regenerate.

Chronic form of the disease

Treatment of chronic endocervicitis is usually complicated by its late diagnosis.

If you have been diagnosed with endocervicitis, suppository treatment may be quite effective. The use of suppositories for endocervicitis is possible only as prescribed by a doctor.

It is important to remember that the effectiveness of therapy for the disease in question depends entirely on the accurate implementation of medical prescriptions. Self-medication is highly not recommended.

For a disease such as endocervicitis, treatment with folk remedies is not recommended. It is possible to use some additional auxiliary means, rinsing and washing, but doctors do not recommend relying on their exceptional effectiveness.

Prevention of endocervititis

In order to prevent inflammatory processes in the cervix. It is necessary, first of all, to adhere to the simplest recommendations in the field of personal hygiene and medical safety.

First of all, you should go through gynecological examinations at least twice a year.

In case of difficult childbirth or abortion, uterine ruptures must be sutured.

In case of inflammatory diseases in the pelvic organs, it is worth undergoing a full course of therapy. To fully restore the body, it is recommended to take an additional course of vitamins and supporting medications.

Cervicitis refers to pathologies of the female genital area of an inflammatory nature. It is an inflammation of the mucous membrane of the cervix (vaginal part) and its cervical canal. Very often it accompanies more extensive pathological processes (vulvovaginitis, colpitis), and is rarely an independent disease.

The cervix is a kind of barrier whose task is to prevent the spread of infection upward path into the uterus and its appendages. If her protective function is violated, pathogenic microorganisms penetrate the upper parts of the woman’s internal genital organs, provoking the development of cervicitis. The woman begins to be bothered by atypical discharge, periodic or constant pain localized in the lower abdomen, which intensifies during sexual intercourse or urination.

note: 7 out of 10 women with cervicitis are of childbearing age, and only 3 are in menopause. This is due to a greater extent to the reasons that provoke it. It is important not to postpone a visit to the gynecologist if alarming symptoms appear, since untreated cervicitis provokes the development of cervical erosion, the formation of polyps on it and other complications.

Possible causes of cervicitis

This inflammatory disease is formed as a result of the following reasons:

Opportunistic microorganisms cause cervicitis by entering the cervix by contact (directly from the rectum), and specific microorganisms (chlamydia, gonococci, trichomonas) by sexual contact. Factors that provoke inflammation in this case are malignant tumors, scars on the cervix, decreased immune forces of the body, contraceptives.

Important:Cervicitis can be different: atrophic, viral, candidal, chlamydial, purulent, bacterial. That is why treatment must be selected taking into account the pathogen, since different groups of drugs must be included in the therapeutic regimen.

Varieties of cervitis

Cervitis can manifest itself in the form of endocervicitis (inflammation of the vaginal part of the cervix) and exocervicitis (inflammation of the vaginal part), have an acute and chronic form.

Exocervicitis

Exocervitis is an inflammation that develops in the area of the exocervix, that is, the segment of the cervix located in the vagina. In the acute stage, patients complain of mucopurulent discharge and pain in the lower abdomen.

Upon examination, the doctor will find the following signs of exocervicitis:

eroded surface of the cervix;
visually noticeable redness in the area of the external opening of the cervical canal;
microabscesses;
swelling of the mucous membrane of the neck;
copious discharge (mucus, pus);
periglandular infiltrates in the plural.

If the process is chronic, inflammation spreads to deeper connective and muscle tissues, and upon examination, pseudo-erosion can be detected. Secondary infection also occurs, the epithelium on the cervix is torn off, it hypertrophies, becomes denser, and cysts can form on it.

Endocervicitis

Endocervicitis is considered to be the presence of an inflammatory process on the endocervix - the mucous membrane that lines the cervical canal of the cervix from the inside. It is usually caused by specific microorganisms, that is, viruses, bacteria and fungi.

In most cases, endocervicitis is diagnosed in women aged 20 to 40 years. It develops after intrauterine medical procedures and diseases of other female genital organs. This type Cervicitis progresses very quickly and turns into a chronic form with an erased symptom complex. Discharge of various types, pain of varying intensity, and local itching may be observed. During the examination, the gynecologist will notice swelling of the cervix, cherry coloring of the mucous membrane, small erosions in the plural (with purulent plaque sometimes), mucus with pus in the cervical canal.

The potential danger of endocervicitis is complications. They occur when the pathological process spreads along the ascending pathways, which can cause adnexitis, endometritis, etc.

Chronic cervicitis

Cervicitis becomes chronic if its acute phase is not treated.

This condition has the following typical manifestations:

Diagnosis of cervicitis

Taking into account the fact that pathology often does not make itself felt, it is usually detected during the next preventive examination.

Examination of a woman, making and confirming a diagnosis consists of the following mandatory diagnostic points:

collecting anamnesis (features of sexual life, number of pregnancies, births, abortions, past illnesses);
gynecological examination (bimanual and using speculum);
colposcopy (its task is to clarify the presence and type of pathological changes on the epithelial layer of the cervix);
laboratory research:
- bacteriological seeding of material (discharge, mucus) to determine the type of pathogen and the level of its sensitivity to a/b;
- cytology smear, which allows you to determine the presence of oncological changes at the cellular level;
- microscopy of secretions to study the bacterial flora, which are taken from three places (urethra, cervical canal, vagina).

As additional studies, if necessary, the gynecologist may prescribe:

general urine analysis;
HIV analysis;
clinical blood test;
culture for gonococcus;
RW analysis.

note: Cervicitis has a fairly deep localization. Taking into account the fact that it is most often infectious in nature, it greatly increases the risk of endometritis (inflammation of the uterine mucosa), etc.

Treatment of cervicitis of the cervix

There are general rules for treating cervicitis:

mandatory unscheduled visit to the urologist by the partner;
refusal of active sexual life (exclusively for the period of treatment);
Only condoms are allowed as a contraceptive.

Treatment of cervicitis cervix is based on eliminating its root cause (infection).

Today there are a lot of different and quite effective methods and drugs that are selected based on the causative agent of cervicitis:

in case of atrophy, estrogens are used;
chlamydial is treated with such drugs as Sumamed, Doxycycline, Maxaquin;
herpetic requires taking Acyclovir, vitamins, immunostimulants, antiherpetic immunoglobulin;
candidiasis implies the prescription of Diflucan;
Cervicitis due to a virus requires the use of cytostatics, interferon and removal of the condylomas themselves.

Usually, the regimen also includes combined local drugs, such as Terzhinan, and after the acute period has been eliminated, treatment of the cervix with Chlorophyllipt is prescribed. For the fastest regeneration of the epithelium and normalization of natural microflora, Ovestin is used.

Among the methods of physiotherapy, the following procedures are practiced on the uterine area:

magnetic therapy;
DMV therapy;
darsonvalization with a vaginal electrode;
electrophoresis with magnesium;

Chronic cervicitis is difficult to treat classical ways Therefore, it is more effective to use the following methods:

diathermocoagulation;
cryotherapy;
laser therapy.

Important: The treatment process for cervicitis should be accompanied by laboratory monitoring and colposcopy to monitor the pathology over time and evaluate the effectiveness of therapy.

Local treatment of cervicitis with suppositories

Suppositories, tablets and cream that are applied locally, that is, topically, also give good results, but provided that they are part of a comprehensive treatment regimen for cervicitis. All of them are divided into several types, and they are prescribed exclusively by a gynecologist after receiving test results.

In particular, cervicitis is treated with suppositories of the following pharmacological groups:

antifungal;