The cervical canal is lined with columnar epithelium. In its atypical location is a serious pathology of the feminine. In modern gynecology, the diagnosis – cervical ectopia, which is also called the pseudo, the false erosion. The mucosa is not damaged, but the disease still need medical involvement.
What is ectopia of the cervix
When a specific illness has a non-standard location of cylindrical epithelium. The boundaries between the component and the vaginal epithelium is fuzzy, blurry. Since tissue structure is not changed, the pseudo cervix does not need intensive medical therapy. However, must always remain under strict medical supervision. Patients with this disease for life are in risk, so to avoid the formation of cancer cells should be regularly performed ultrasound of the pelvic organs.
Congenital ectopia of the cervix
If the body of a pregnant woman is observed a hormonal surge, it is possible that girls born in the period of puberty develops ectopia. The disease progresses in 50% of all clinical pictures, the rest of the women of reproductive age, the epithelium of the cervical canal to transitional age comes back to normal. If this has not happened, congenital ectopia of the cervix remains under the control of a physician, not treatable with medication.
Chronic ectopia of the cervix
A progressive disease female patient for a long time can not guess. On routine gynecological examination, the doctor discovers that there is a chronic ectopia of the cervix. Congenital disease diagnosed in puberty, left under vigilant medical supervision. The diagnosis itself is chronic, because throughout the life of the patient may not even bother. But in the reproductive period is not excluded complications, among which was diagnosed with infertility.
Ectopia of the cervix in pregnancy
When bearing fruit it’s a dangerous diagnosis, because the developing inflammatory process creates favorable conditions for infection directly into the uterine cavity. In this way there is an infection of the unborn baby, it is possible abortion, fetal death. Some women, doctors recommend abortion. Other complications if develops ectopia of the cervix in pregnancy is presented below:
- intrauterine growth retardation;
- premature birth;
- infection of the fetus during labour;
- the development of dysplasia;
- a precancerous condition;
- the risk of rupture of the cervical canal;
- relative hyperestrogenia;
- birth defects.
The main causes of specified diseases in women often are nonheritable are the consequence of infections and inflammatory processes of the reproductive system female. Characteristic pathogenic factors, which should be especially wary, is presented below:
- opening cysts;
- immunological factors;
- birth injuries;
- spermicides as a contraceptive;
- development of the ectopia hyperplasia of the ovarian stroma;
- relapse during the menstrual cycle;
- complications of fibroma, endometriosis;
- columnar epithelium of the cervix (functional feature).
Ectopia of the cervix in nulliparous
If a woman is not a mother, and her life develops in the first pregnancy, the risk of health complications when progressive disease is increasing. Among the potential health problems – the probability of breaks in the process of delivery. Ectopia of the cervix in nulliparous remain under medical supervision throughout the period of gestation, and, if necessary, doctors perform emergency and elective caesarean section. Among the potential causes of such health problems, doctors identify the following clinical picture:
- recurrent vaginitis, colpitis;
- infection of the sexual sphere the causative agents of STIs.
- increased activity of papillomavirus infection;
- endocervicitis caused by the increased activity of Escherichia coli, mycoplasmosis, gardnerellosis, chlamydia, Ureaplasma;
- ovarian dysfunction;
- injury when using barrier methods of contraception (traumatic factors);
- hormonal factors;
- the inflammatory factors.
Signs of cervical ectopia
The uncomplicated form of the disease has no specific symptoms, may be discovered incidentally – during routine pelvic exams. To treat the disease is not required, but patient falls into a risk group, needs to be systematically performing an ultrasound. Most gynecologists diagnose complicated form, which is accompanied by inflammation and precancerous conditions of the reproductive system. Treatment begins with diagnosis according to the ICD 10 code and it does not hurt to carefully examine the signs of ectopia of the cervix. The symptoms are the following:
- contact bleeding;
- selection whiter;
- disorders of the menstrual cycle;
- itching of the external genitalia.
Treatment of cervical ectopia
Intensive therapy is carried out only after a detailed diagnosis, which is based on performing colposcopy and sampling of Schiller. It is important to completely eliminate the development of cancer in the glandular tissue. When complicated form successful treatment of ectopia of the cervix includes the following therapeutic activities:
- surgery: cryogenic impact, chemical coagulation, surgical diathermy, laser photocoagulation, radiosurgery;
- anti-inflammatory therapy;
- the use of hormonal drugs;
- a restorative treatment.
What is the danger of ectopia of the cervix
If a complicated shape is characteristic of the disease is not promptly treated with conservative methods, this unpleasant female trouble takes on a malignant nature. In the epithelium of the cervical canal originate cancer cells with the subsequent formation of malignant tumors. Oncology is not the only complication, that’s more dangerous than ectopia of the cervix yet. A potential threat to women’s health presented in detail below:
- the formation of true erosion.
- progressive dysplasia;
- squamous cell carcinoma.
Video: ectopia of cylindrical epithelium of the cervix