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Writer's pictureDoç. Dr. Erdoğan ASLAN

Cervical Inflammation (Cervicitis)


Cervicitis, which is known as a wound in the cervix among the people, is one of the most common gynecological problems.

In general terms, cervicitis is inflammation of the cervix tissue. It is often due to an infection, but can sometimes occur after irritation or trauma.

More than half of women will get this disease at some point in their lives. Any sexually active woman, regardless of age, is a suitable candidate for cervicitis.

Most women with groin pain and vaginal discharge may have cervicitis alone or in combination with another disease.

It is difficult for a person to suspect self-cervicitis because its symptoms are similar to many other diseases and do not cause specific complaints.

It is usually noticed by a gynecological examination performed for another reason.

Symptoms:

The first symptom of cervicitis is vaginal discharge that occurs in the period following the end of menstrual bleeding.

Other symptoms may include PAIN in the groin, abnormal vaginal bleeding, itching, burning in the vagina, pain during intercourse (dyspareunia), bleeding after intercourse, burning during urination, and lower back pain.

In mild cases, there may be no symptoms, but as the event progresses, a foul-smelling and inflammatory discharge appears.

A prolonged and untreated cervicitis resulting from cervical wounds can worsen the mucus (cervix secretion) structure, disrupting the entry of sperm into the cervical canal, and thus lead to infertility.

Therefore, spontaneous pregnancies may occur in individuals with infertility problems with treatment in experienced hands. For this purpose, the first step of infertility treatment is to properly remove the infections in the cervix and vagina.

Because one of the causes of infertility is cervical problems called cervical factor.

Even if a woman with cervicitis becomes pregnant, there is a risk of miscarriage and premature birth. In addition, postnatal lung and eye infections are more common in babies born to such mothers.

Diagnosis:

Even just a gynecological examination is highly informative. The most common problems in the cervix; Cervicitis and Cervical “ectropion” are cases of external epithelium called.

Cervicitis, that is, inflammation of the cervix, develops as a result of the body's normally functioning defense mechanisms.

When there is injury, irritation or infection in any tissue, white blood cells, that is, white blood cells, migrate to that area and blood flow in this area increases.

When this event occurs in the cervix, the normally light pink cervix becomes red and swollen. This can be seen as a wound on examination.

Although the diagnosis of cervicitis is usually made by gynecological examination, some additional tests may be required to be sure of the diagnosis and to make a definitive diagnosis.

It is very important to recognize the lesions on the cervix. As a matter of fact, sometimes cervical cancers can be confused with cervical wounds, especially in the early stages.

Tests Used in the Diagnosis of Cervicitis:

Smear: It is used to screen for cervical infection and early cervical cancer.

Smear is an extremely simple yet important test that every woman should have once a year.

During the examination, it includes the procedures of taking a swab from the cervical secretion with a thin brush and spreading it on a glass and performing the pathological examination. It is a painless and simple procedure.

Biopsy: If the cervix looks extremely abnormal, a biopsy of the cervix (piece removal) can be performed from suspicious areas under local anesthesia.

If a single area cannot be identified, a biopsy is taken at the 3, 6, 9 and 12 o'clock positions and sent for pathological examination.

Colposcopy: It is the examination of the cervix and vagina under the light with the help of an optical instrument similar to a magnifying glass.

In order to reveal suspicious areas more easily, the cervix is ​​wiped with some chemical substances before colposcopy and then painted. The place where the biopsy will be taken is determined according to the differences in dye retention of the tissue.

With colposcopy, the structures of the capillaries in the cervix are also evaluated and it is determined whether there is abnormal vascularity.

These vascular changes are important in distinguishing between cervicitis and malignant diseases.

Cervicitis Causes:

Successful treatment of cervicitis is related to identifying the underlying cause.

If the cause is a simple irritant, not using this substance will solve the problem.

If the underlying cause is an infection, appropriate antibiotic treatment will also solve the cervicitis problem.

The three most important microorganisms causing cervicitis are chlamydia, gonorrhea and trichomonas. In addition, some allergic substances can cause this situation.

Cervicitis Treatment:

If the condition of cervicitis is prolonged or there is no regression despite the treatment of the underlying cause, some minor surgical interventions can be performed to destroy the abnormal cells in this area.

The most commonly used are cauterization (burning), cryotherapy (freezing) and laser treatments.

The purpose is the same in all three methods: to kill the inflammatory tissue. A tissue can be destroyed by burning or freezing.

cauterization :

Cauterization is destruction with the help of heat. in public

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