Symptoms of endocervicitis and basic approaches to treating the disease

Endocervicitis is an inflammatory disease that affects the mucous membrane of the cervical canal. The main pathogens are various infections and pathogenic microflora.

Inflammation can also begin due to various mechanical damage, injuries to the endocervix and exocervix (the lower part of the cervix protruding into the vagina).

Many women mistakenly confuse the concepts of exocervix and endocervix, believing that these are diseases. In fact, these are the main mucous membranes of the cervix, each of which performs its own functions.

Endocervicitis is one of the most common diseases in the field of gynecology and is observed in patients of childbearing age (from 18 to 45 years).

The incidence rate depends on the increasing trend in the frequency of gynecological diseases, as well as on the prevalence of hormonal disorders.

Causes of endocervicitis

One of the causes of inflammation is damage to the exocervix and endocervix by various antigens. Other causes of the inflammatory process are:

• diseases of the pelvic organs:
  • acute salpingoophoritis;
  • salpingitis;
  • endometritis;
  • pelvioperitonitis;
  • purulent tubo-ovarian formations, etc.;
• injury to the cervical canal and ectocervix during invasive procedures, abortions, complicated childbirth, improper placement of the intrauterine device;
• allergic reactions to chemical spermicides, vaginal douching, contraceptives made of low-quality material, contraceptive caps;
• limited lesions of the exocervix and endocervix, the cause of which is the low level of sex hormones during menopause;
• incorrect localization of the genital organs due to prolapse of the vaginal and uterine walls;
• general weakness of the immune system due to the presence of other infectious diseases;
• unprotected promiscuity (promiscuity).

Symptoms of endocervicitis

The disease does not have any special symptoms. The main symptom of endocervicitis is a change in the amount and type of cervical discharge. At the beginning of the incubation period, the discharge becomes copious, cloudy, white, yellow, thick or thin (see photo above).

A woman experiences discomfort in the lower abdomen and tolerable pain in the lumbar region. Sexual intercourse is accompanied by nagging pain. Sometimes redness of the genitals, unbearable itching and tingling are possible.

The most striking manifestations of the disease include multiple periglandular infiltrates and microabscesses . Such signs indicate the presence of another inflammatory process.

If treatment is started late and incorrectly selected, inflammation progresses to the chronic stage. Despite this, the main symptoms disappear and many patients think that they are healthy, but this is not the case.

Chronic endocervicitis involves irradiation of inflammation to healthy muscle fibers and supporting tissue. Initially, the cervix and ectocervix swell, and then become compacted and hypertrophied. Due to the impact of regular discharge from the endocervix on parts of the vagina, pseudo-erosion can form.

Classification

The disease is classified based on the general course, specific manifestations, stage of prevalence of the pathology and the type of main irritant that triggered the onset of the inflammatory process. In gynecology, there are the following types of this disease:

• acute – manifests itself sharply, has vivid symptoms and obvious changes noticeable during the initial examination by a gynecologist;
• chronic – symptoms are not expressed. Weak discharge and slight swelling of the cervix appear;
• macular – inflamed areas are located chaotically;
• mixed - inflammation affects the entire cervical canal;
• nonspecific - caused by pathogenic microflora.

Atrophic endocervicitis, which occurs in women during menopause, is considered an independent disease. With this disease, thinning of the lining of the cervical canal is observed.

Diagnostics

To diagnose and treat endocervicitis, a complete examination is required. Standard methods for diagnosing inflammatory diseases of the cervical canal are:

• A visual and instrumental examination by a gynecologist helps to identify swelling in the area of ​​the external lumen of the cervical canal, minor hemorrhages, and uncharacteristic discharge. An erosive surface is observed in advanced cases;
• extensive colposcopy makes it possible to see the dilation of blood vessels extending from the cervical canal, as well as verify the results of a gynecological examination;
• microscopic analysis of a cervical smear;
• cytological examination helps to assess the structure, degree of damage to tissue cells and the effectiveness of treatment over time;
• biopsy. Taking a biopsy sample means excluding the cells of healthy tissue from acquiring malignant properties;
• bacteriological culture from the cervical canal is done to identify the main pathogen and determine the sensitivity of the antigen to bactericidal drugs;
• polymerase chain reaction identifies the main causative agents of various infectious diseases;
• enzyme immunoassay - a laboratory method that determines the quality and quantity of various viruses, microorganisms, etc.;
• Ultrasound examination of the pelvic organs helps to see changes in the cervix, its size, density and possible Nabothian cysts. Also, thanks to ultrasound, an oncological process is excluded.

In some cases, cervical endocervicitis requires comparative diagnosis with other diseases - ectopia, tumors, syphilis, tuberculosis, etc. If necessary, consultation with a dermatovenerologist, phthisiogynecologist and oncogynecologist .

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Treatment of endocervicitis

The goals of treatment for endocervicitis are to eliminate symptoms and stop the inflammatory process. Treatment methods are:

• Immunotherapy helps increase the body's overall resistance to pathogens and normalizes the immune response;
• the therapeutic use of special physical means helps improve recovery processes and strengthen the anti-inflammatory effect of certain medications;
• ultra-high-frequency therapy (UHF therapy) and ultraviolet radiation of the panty area are indicated for the acute form of endocervicitis;
• For chronic inflammatory process, the following methods are used:
  • decimeter waves;
  • magnetic therapy;
  • administration of medications through mucous membranes using a small electric current charge;
  • laser treatment of the vagina;
  • mud tampons.

If a woman is found to have Nabothian cysts that contain infectious agents, diathermopuncture is recommended.

Drug treatment

Treatment of the disease can be carried out using certain groups of medications. The medications are:

• antimicrobial and antibacterial drugs - Diflucan, Safocid, Cefuroxime, Erythromycin, Mikosist, Candide clotrimazole, Candizol;
• eubiotics – Bifidumbacterin Forte, Lactobacterin, Colibacterin, Sporobacterin, Enterol, Baktisubtil;
• antibiotics – Abiflox, Azitsin, Ampholip, Bleotsin, Gynekit, Zanotsin, Kelix, Levoflox;
• antifungal agents - Amorolfine, Butoconazole, Isoconazole, Ketoconazole, Levorin, Naftifine;
• antiparasitic drugs - Niclosamide, Pyrantel, Dekaris, Carbendazim, Mebendazole.

Surgical intervention

Plastic and other surgical interventions are required only in the presence of other gynecological inflammatory diseases.

Additional treatments at home

Additional methods of treating endocervicitis include the woman's adherence to proper nutrition and a general healthy lifestyle.

Methods of traditional medicine in the form of various decoctions and infusions are also not excluded. But still, you should not neglect medical help, since such prolonged self-medication can lead to the development of serious complications.

Nutrition

Proper nutrition plays one of the most important roles in treatment. During the entire treatment period, it is necessary to completely abandon strict diets that do not allow the female body to be adequately supplied with useful substances.

Healthy foods are:

• turkey, chicken, rabbit;
• processed cheese;
• porridge (buckwheat, barley, oatmeal);
• beans;
• pumpkin seeds;
• pistachios;
• sour cream, natural cream, cottage cheese, butter;
• fresh vegetables and fruits;
• chicken eggs;
• seafood, tuna, flounder, capelin.

All of the listed products are rich in many vitamins that are necessary for the female body during the treatment and prevention of endocervicitis. You should avoid drinking alcoholic beverages, flour, caffeine, spicy, smoked and fatty foods, canned food, etc.

Folk remedies

Treatment of endocervicitis using traditional medicine is not excluded. Traditional methods are:

• Propolis and calendula. Mix pharmaceutical calendula (20%) with three tablespoons of propolis and 55 grams of lanolin. You can moisten a tampon in the resulting mixture and use it overnight. The course is 7 days;
• Sea buckthorn oil. It is considered the most effective in the treatment of cervical endocervicitis. Most often used for tampons. The course of treatment is 10 days;
• Peony tincture. Pour 4 tablespoons of crushed root into 500 ml of vodka and leave for a month in a tightly closed container. Then take 1 tablespoon before meals three times a day. Duration of treatment 45 days;
• Mumiyo. Take 0.2 grams orally every day;
• St. John's wort. Pour 5 tablespoons with two liters of boiling water, simmer over low heat for 15 minutes. Cool and douche once a day.

All acceptable methods of traditional medicine must be agreed with the attending physician.

Prevention

• Preventive measures for endocervicitis imply that the woman follows certain rules and recommendations.
• The patient should be periodically examined by a gynecologist and, if necessary, undergo colposcopy, bacteriological examinations and other procedures prescribed by the doctor.
• It is necessary to strictly observe personal hygiene, use high-quality contraceptives, streamline your sex life and not get carried away with self-medication.
• Also, do not take medications without a prescription, since taking some medications may interfere with subsequent diagnosis and making a correct diagnosis.

Forecast

The prognosis for endocervicitis is favorable, but only if the woman seeks medical help in time. If an accurate diagnosis is not established and timely treatment does not occur, complications may develop that have a longer and more severe course.

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Source: https://tvojajbolit.ru/ginekologiya/endotservitsit-chto-eto-takoe-prichinyi-simptomyi-diagnostika-i-lechenie/

Chronic endocervicitis: treatment, symptoms, cervix

Endocervicitis is a disease of the female genital organs, which often goes unnoticed and takes a sluggish form. According to statistics, the pathology occurs more often in patients of reproductive age and is discovered unexpectedly during a routine visit to the gynecologist.

The severity of signs of the disease depends on the form, course and causes of the pathological process.
Endocervicitis is an inflammation of the cervical canal

During her life, every woman experiences an inflammatory disease of the genital organs at least once. The peak occurs at the age of 20–40 years, when the patient leads an active intimate life. With endocervicitis, the inner lining of the cervical canal is damaged by infectious pathogens - specific or nonspecific.

The anatomical structure of a woman’s body protects the uterus and appendages from the penetration of pathogenic microorganisms. The beneficial microflora of the vagina suppresses the growth of harmful bacteria.

The secretory activity of the cervix provides viscous mucus, which does not allow pathogens to pass into the cavity of the cervical canal.

If these processes are disrupted, favorable conditions are created for the proliferation of colonies of pathogenic and opportunistic microorganisms.

The inflammatory process begins with harmful bacteria multiplying in the vagina and then spreading to the cervix. Colpitis leads to the penetration of bacteria into the cervical crypts. Subsequently, the columnar epithelium on the cervix is ​​detached and the basement membrane is exposed.

The glands of the cervical canal continue to actively produce mucus to protect themselves from specific pathogens. The immune system is activated: the number of macrophages, fibroblasts, and leukocytes increases. If the bacteria manage to penetrate further, the woman begins to experience endometritis - infection of the functional layer of the uterus.

In the absence of therapy, the appendages are affected and complications arise.

Today, there are many known reasons that can lead to infection of the inner surface of the cervical canal. The result of all provoking processes is damage to the mucous membrane that lines the canal between the internal os and the vaginal part of the cervix. The causative agent can be opportunistic and pathogenic bacteria and viruses.

The following reasons lead to infection of the cervical canal:

• injuries received during diagnostic or therapeutic interventions - curettage, hysteroscopy, hysterosalpingography;
• recurrent diseases of the genital area - vaginitis, salpingitis, adnexitis;
• irritation of the epithelium, allergies - unexpected manifestations can be provoked by vaginal spermicides, intimate hygiene products, or installed intrauterine contraceptives;
• chronic diseases of the urinary tract – urethritis, cystitis, pyelonephritis;
• changes in the mucous membrane caused by hormonal changes? – during natural or artificial menopause, during puberty, after childbirth and during pregnancy;
• pelvic organ prolapse;
• neglect of barrier contraceptives against the background of promiscuity.

The cause of the disease is a decrease in the resistance of the intimate microflora. A decrease in the number of beneficial bacteria leads to the growth of pathogenic microorganisms.

Chronic endocervicitis worsens during pregnancy

According to the nature of the course, acute and chronic types of the pathological process are distinguished. The disease begins with a pronounced clinical picture. In the absence of therapy, it undergoes chronicity, as a result of which the symptoms gradually fade away, but the pathology continues to develop.

In accordance with the distribution, infection of the mucous membranes is divided:

• to focal – characterized by local lesions;
• diffuse - accompanied by involvement of the entire cavity of the cervical canal in the process.

Infection of the cervix and its internal part occurs with specific or nonspecific microorganisms. In the first case, we are talking about hidden infections acquired sexually, and in the second, about opportunistic microflora of the vagina.

There are usually no characteristic signs of the disease. A woman may notice an increase in the volume of vaginal mucus that is not associated with the day of her menstrual cycle. Moderate abdominal pain sometimes appears after intimacy.

If the disease is provoked by specific microorganisms, then the patient may be worried about hyperthermia and a general deterioration in well-being. However, such symptoms are characterized by a short duration and rapid decrease in severity.

It is necessary to consult a doctor if the volume of vaginal mucus suddenly increases. The consistency of the discharge can vary from thick to watery. An unpleasant odor is present only with certain types of pathogens. The color of the discharge is predominantly light, but may have a yellowish or greenish tint.

Heavy discharge is a symptom of endocervicitis

A moderate pathological process that was not diagnosed in time can lead to complications:

• inflammation of the endometrium;
• ovarian dysfunction;
• formation of adhesions in the uterus and pelvis;
• the appearance of atypical cells on the mucous membrane of the cervix.

Women after this disease more often encounter difficulties in planning pregnancy and carrying them to term. They have a higher risk of miscarriage, premature birth and perineal rupture.

Therapy for damage to the cervical canal by harmful microorganisms is complex and requires differential diagnosis. Similar symptoms are accompanied by other gynecological diseases, so it is important to make sure that the patient has endocervicitis.

1. Examination on a gynecological chair. Using mirrors, the doctor dilates the cervical canal and examines the vaginal part of the pharynx. It can be noted visually that the tissues are swollen and there are small hemorrhages on the surface. With the long-term development of the disease, the patient develops erosion.
2. Colposcopy. The procedure involves examining the vaginal part of the pharynx and performing a reaction. Areas that raise doubts undergo a more detailed diagnosis - biopsy.
3. Vaginal smear. Laboratory research will help determine that the microflora is greatly altered. A large number of leukocytes are detected in the smear, and infectious agents can also be detected.
4. PAP test or cytology smear. The inside of the cervical canal is constantly updated, which makes it possible to analyze the biological processes in it. Cytological examination makes it possible to identify atypical cells and diagnose dangerous tissue changes at the initial stages of development.
5. Polymerase chain reaction. This type of research is considered the most informative of all, allowing one to determine the causative agent of the infection. During the analysis, the DNA of pathogenic microorganisms is determined with 100% accuracy.
6. Bacteriological culture. To prescribe effective treatment, it is important to perform this analysis. It allows you to determine which antimicrobial agents the pathogens are sensitive to.

Sometimes women need more detailed diagnostics: ultrasound, MRI, curettage of the uterus and cervical canal.

Treatment of endocervicitis should be comprehensive

All patients with an infected cervical canal require immediate treatment, as the disease can spread to healthy tissue and cause complications with severe symptoms. An individual approach is chosen after the diagnosis. Based on the examination results, the doctor prescribes symptomatic, etiotropic and auxiliary drugs.

1. Antimicrobial, antiprotozoal, antiviral drugs are used in accordance with the type of pathogen. If specific microorganisms are detected, the woman is prescribed a course lasting 1–3 weeks.
2. Painkillers and anti-inflammatory drugs of the NSAID group are necessary to get rid of the pain symptom, if any. They will also be effective when body temperature rises, which often happens if the causative agent is Treponema pallidum, gonococci, and chlamydia.
3. Restoration of the vaginal microflora is performed at the final stage of correction. The patient is prescribed vaginal administration of beneficial bacteria, as well as oral administration of eubiotics.
4. In case of decreased immunity, frequent colds and urinary tract infections, the use of immunomodulators is recommended. The drugs are prescribed in the form of tablets and vaginal suppositories.

After completion of treatment of the infectious process, women are recommended to undergo physiotherapy. They improve blood circulation in the pelvis, accelerate the process of tissue regeneration, prevent the formation of adhesions and have a resolving effect.

Timely treatment of the disease allows you to give a favorable prognosis. After short-term therapy, the woman regains normal function of the cervical canal and other parts of the intimate sphere.

To prevent infection of the internal genital organs, doctors recommend maintaining personal hygiene, using barrier contraception, and getting tested at least once a year, even when there are no complaints of poor health or strange discharge.

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Source: https://www.baby.ru/wiki/priciny-i-lecenie-endocervicita-u-zensin/

Endocervicitis - what it is, symptoms in women, diagnostic tests and medications

Endocervicitis is an inflammatory disease that affects the mucous membrane of the cervical canal. The main pathogens are various infections and pathogenic microflora.

Inflammation can also begin due to various mechanical damage, injuries to the endocervix and exocervix (the lower part of the cervix protruding into the vagina).

Many women mistakenly confuse the concepts of exocervix and endocervix, believing that these are diseases. In fact, these are the main mucous membranes of the cervix, each of which performs its own functions.

Endocervicitis is one of the most common diseases in the field of gynecology and is observed in patients of childbearing age (from 18 to 45 years).

The incidence rate depends on the increasing trend in the frequency of gynecological diseases, as well as on the prevalence of hormonal disorders.

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 routine visit to the 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 forms, with the second stage developing 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 a thorough examination, a comprehensive study of the fluid in the cervical canal for 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.

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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 defenses are weakened, 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.

Complications

Many women do not pay due attention to their own health and do not visit a gynecologist for preventive purposes; for this reason, endocervicitis is often diagnosed very late, when the pathology has a detrimental effect on other genital organs.

In particular, in acute illness, infectious agents can quickly penetrate the uterine cavity and migrate to other adjacent organs.

In a chronic course, an infectious focus is formed, the further development of which is not accompanied by the manifestation of absolutely no symptoms. Therefore, it is very difficult to identify the disease, which leads to irreparable consequences for the reproductive system.

Let’s list why endocervicitis is dangerous and what diseases it provokes in a woman’s body:

• pathological proliferation of tissues of the uterus and its cervix;
• ectopia of the cervix;
• inflammation of the appendages;
• cysts;
• endometritis;
• deformation of the endocervix;
• difficulties with the patency of the uterine canal due to the development of adhesions;
• decreased elasticity of the uterus and its ability to stretch due to hyperplastic processes in its connective tissues and due to compaction of the uterine walls;
• disruption of tissue nutrition;
• formation of neoplasms.

If a woman has a chronic form of the pathology, then the following complications may occur during pregnancy, which are dangerous for both the mother and the fetus:

• the tone of the uterus increases;
• oxygen starvation of the embryo;
• the membranes may loosen, which will lead to premature outflow of amniotic fluid;
• embryo development is disrupted;
• premature birth and spontaneous abortion.

Also, chronic endocervicitis is one of the main causes of complicated childbirth.

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.

Chronic cervicitis and cervical biopsy

It is believed that cellular changes may occur at the site of erosion that has formed against the background of cervicitis. This means that under favorable conditions, and such conditions are reduced immunity or serious metabolic diseases, cells are capable of malignizing, i.e. degenerate into a cancerous tumor.

To exclude this possibility, the patient is asked to undergo a histological examination, in which a particle of internal tissue is examined. Long-term exposure to infection, especially with regard to the human papillomavirus, can change the structure and properties of tissues.

It is known that oncogenic types of HPV - 16 and 18 - sooner or later lead to the occurrence of cancer. It's all about time and the quality of the immune system; the slightest failure triggers the process of reproduction of the virus, which poisons local cells with waste products.

When taking a biopsy with a laser, no bleeding occurs because the vessels are immediately cauterized. After taking the usual method, you should follow some rules:

• do not lift heavy objects for 3 weeks after the biopsy;
• do not visit the sauna or take a hot bath;
• avoid sexual intercourse to avoid the risk of wound infection;
• Do not take aspirin to avoid causing bleeding.

Carefully! A biopsy for cervicitis is performed only after completing a course of treatment for a genital tract infection. Taking tests in the presence of an inflammatory infectious process in the cervix is ​​unacceptable.

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 to 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:

1. Specific endocervicitis. Symptoms of a characteristic disease arise from the pathogenic activity of pathogens that are predominantly sexually transmitted.
2. 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, one gynecological examination of the patient is not enough; in addition, a number of laboratory tests and clinical examinations are required.

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 and the degree of neglect of the 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.

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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 levels, and 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:

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

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:

1. Lactobacilli to restore damaged vaginal microflora (Acidophilin, Bifidobacterin.
2. Immunostimulants to increase the body's defenses (Likopid, Genferon, Interferon, Cycloferon, Timolin).
3. Natural preparations for the productive restoration of vaginal microflora (Linex, Acylact, Vaginorm).
4. Antiviral agents for the extermination of pathogenic viruses (Valavir, Vairova, Valtrex).
5. 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.

In addition, this conservative method can 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.

Prevention

• Preventive measures for endocervicitis imply that the woman follows certain rules and recommendations.
• The patient should be periodically examined by a gynecologist and, if necessary, undergo colposcopy, bacteriological examinations and other procedures prescribed by the doctor.
• It is necessary to strictly observe personal hygiene, use high-quality contraceptives, streamline your sex life and not get carried away with self-medication.
• Also, do not take medications without a prescription, since taking some medications may interfere with subsequent diagnosis and making a correct diagnosis.

Traditional medicine methods

Alternative medicine recipes give a positive reaction in the treatment of endocervicitis and are an auxiliary method of 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:

1. 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.
2. Make homemade tampons, moisten them with sea buckthorn oil, and insert them into the vagina before bed. Course – 7-10 days.
3. 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 number of additional examinations and especially a cytogram are necessary to exclude female oncological diseases.

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.

How is this disease treated?

Treatment of chronic endocervicitis is carried out using a conservative method, which requires a comprehensive selection of the most effective means. For this purpose medications are prescribed:

1. antifungal;
2. antibacterial;
3. antiviral;
4. immunomodulators;
5. vitamins;
6. eubiotics.

Reviews about the treatment of chronic endocervicitis indicate that for the greatest effect, it is recommended to supplement therapy with a diet based on vegetables and fruits, as well as the mandatory consumption of bifidobacteria.

The course of therapy can be supplemented with local effects (baths and douches with calendula, anti-inflammatory solutions and others), and a number of physiotherapeutic procedures are prescribed (for example, laser therapy, magnetic therapy).

Attention! This disease does not tolerate self-medication. Instead of searching in vain for the answer to the question: is chronic endocervicitis treated with fluimisone or any other medications, you need to undergo an examination and only this will show which remedies are applicable in your case!

Source: https://medlazaret.ru/ginekologiya/endocervicit-lechenie.html

Endocervicitis

Cervicitis is an inflammation of the vaginal part of the cervix. The disease is characterized by cloudy discharge, nagging or dull pain in the lower abdomen, discomfort during sexual intercourse and urination. If cervicitis progresses, it can lead to cervical hypertrophy, erosion, spread of infection to the upper segments of the genital apparatus, and infertility.

The cervix, due to its narrow cervical canal, protective secretion and mucus plug, is a reliable barrier to infectious agents. Certain factors disrupt its protective functions, as a result of which foreign microflora penetrates inside and inflammatory processes occur:

• endocervicitis (disease of the inner lining of the cervical canal);
• exocervicitis (damage to the exocervix - the vaginal segment of the cervix).

According to the classification, pathology can occur in two forms:

• Spicy. Acute endocervicitis has pronounced symptoms. The amount of vaginal discharge increases sharply, and its smell, consistency and color change. If the disease is caused by Trichomonas, the discharge has a greenish tint and may be foamy. If the neck is infected with fungi, a specific smell appears, and a kind of dense film forms inside it. With a viral infection, the discharge looks like stringy mucus.
• Chronic. Chronic endocervicitis manifests itself with mild symptoms. Discharge from the genital tract is scanty and usually does not cause discomfort. Often combined with chronic endometritis.

Follicular cervicitis is often diagnosed in postmenopausal women. With it, lymphoid infiltration of the walls of the cervix is ​​observed with or without the formation of follicular centers located under the endocervical columnar epithelium.

Causes

Cervicitis is caused by various microorganisms:

• staphylococci;
• streptococci;
• coli;
• gonococci;
• mushrooms;
• Trichomonas;
• viruses;
• chlamydia.

The occurrence of the disease is facilitated by:

• inflammatory and infectious diseases of the genital organs;
• chemical damage to the cervix when using intimate hygiene products and intravaginal contraceptive drugs;
• damage to the cervix during abortion, childbirth, various medical and diagnostic procedures;
• decreased immunity as a result of exacerbation of existing chronic diseases.

Endocervicitis can also be caused by prolapse of the vagina and vaginal part of the cervix.

Symptoms of endocervicitis

Bacterial endocervicitis tends to have a recurrent and long-term course. Very often the symptomatic picture is completely erased. Only during a preventive examination in a gynecological chair does the doctor detect swelling and redness of the mucous membrane in the area of ​​the cervical canal.

Among the most common signs of endocervicitis:

If the urethra is involved in the inflammatory process, patients also complain of pain during urination. Endocervicitis can be complicated by the spread of infection to the uterus, ovaries, fallopian tubes, and peritoneum.

If you experience similar symptoms, consult your doctor . It is easier to prevent a disease than to deal with the consequences.

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Diagnostics

Diagnosis of endocervicitis is aimed at finding out the cause of the disease that provoked inflammation of the cervix. To make a correct diagnosis, the gynecologist carries out:

• examination of the cervix using speculum;
• colposcopy.

For laboratory testing, a sample of vaginal contents is taken, since it contains discharge from the cervical canal. To identify the causative agent of the disease, the following procedures are performed:

• bacterial culture with antibiotic identification (so that the prescribed treatment is as effective as possible);
• flora smear;
• cytogram of endocervicitis (study of the cellular composition of the mucous membrane of the cervix);
• PCR diagnostics (allows you to diagnose chlamydia, gonorrhea, candidiasis, human papillomavirus, trichomoniasis, etc.),
• blood test for RW and HIV.

Treatment of endocervicitis

Treatment of endocervicitis involves the use of:

• immunomodulatory drugs;
• antibacterial agents;
• antifungal drugs;
• drugs to normalize vaginal microflora.

Each patient is offered an individual treatment regimen, the features of which depend on the cause of the disease and the severity of symptoms.

For bacterial endocervicitis, antibiotics are always used in the form of vaginal ointments, suppositories or tablets. These can be: “Gipalgin”, “Betadine”, “Terzhinan”.

In situations where the inflammatory process is caused by fungi, Mikosist, Diflucan, and Fluconazole are used. Special suppositories for cervicitis - “Vaginorm”, “Acilact” - allow you to normalize the vaginal microflora.

If symptoms are severe, additional immunotherapy may be given.

Physiotherapy

Physiotherapy can be used during the treatment of endocervicitis. The best results can be achieved by:

• Ultrasound (prevents the formation of scars and adhesions).
• Mud therapy (relieves pain, has a local bactericidal effect).
• Cryodestruction (the lesions are destroyed using cold).
• Magnetic therapy (helps administer medications directly to areas of inflammation).

Treatment of cervicitis with folk remedies

According to reviews, treatment of cervicitis can also be carried out using traditional recipes. It does not always allow you to completely abandon the main therapy recommended by the doctor, but it helps speed up the recovery process. Patients can use sea buckthorn oil, peony tincture, and propolis to eliminate the inflammatory process.

Endocervicitis is dangerous only in cases where it causes complications. Thus, advanced inflammation can lead to:

• transfer of infection to organs and tissues located above - the peritoneum, endometrium, uterine appendages,
• development of bartholinitis,
• cervical cancer (women whose endocervicitis occurs in parallel with the human papillomavirus are at risk),
• Fitz-Hugh-Curtis syndrome (if the disease is combined with chlamydia, an adhesive process occurs, leading to infertility).

Endocervicitis during pregnancy can provoke:

• increased uterine tone,
• fetal hypoxia,
• premature birth,
• early miscarriage,
• looseness of membranes,
• premature rupture of amniotic fluid.

Prevention

Prevention of endocervicitis includes:

• visiting a gynecologist twice a year,
• careful adherence to hygiene during menstrual bleeding (refusal of sexual intercourse, douching),
• exclusion of abortions, pregnancy planning,
• medical supervision during pregnancy and the postpartum period.

This article is posted for educational purposes only and does not constitute scientific material or professional medical advice.

Source: https://illness.DocDoc.ru/andocervicit

Endocervicitis - symptoms, course, treatment

Thursday, April 28, 2016 — 05:44

Endocervicitis is an inflammation of the mucous membrane of the cervical canal, caused by gonococci, staphylococci, E. coli, streptococci, chlamydia, trichomonas, various fungi and viruses.
Women of reproductive age are most susceptible to pathology. Exocervicitis is a similar disease, but affecting the vaginal part of the cervix.

Typically, inflammation of the cervix develops as a result of any gynecological manipulations: insertion of an IUD (intrauterine device), artificial termination of pregnancy, curettage, probing, etc. Various other pathologies can also contribute to circivitis: colpitis, ectopia, endometritis, etc.

Often endocervicitis develops as a result of prolapse of the cervix and vagina, ruptures, erosion, the use of incorrectly selected OCs, and even normal menstruation.

Subsequently, bacteria and infections enter the unprotected cavity, provoking the development of endocervicitis. Blood during menstruation can also affect the vaginal environment, therefore, these periods are favorable for the development of inflammation.

The patient’s immunity is one of the determining factors regarding the occurrence of pathology. Women with strong immune systems rarely develop endocervicitis. The pathogenicity of the pathogen also plays an important role - the higher it is, the more likely the development of pathology.

Endocervicitis is prone to rapid transition from acute to chronic form. It is difficult to diagnose, since symptoms practically do not develop. Main complaints with endocervicitis:

• the presence of discharge, which can be abundant or scanty;
• aching pain in the lower abdomen;
• sometimes alternating itching of the external genitalia begins.

During an exacerbation of endocervicitis, the cervix swells, acquires a bright cherry hue, and many small erosions appear in the pharynx area, sometimes covered with purulent plaque on top. To see what the cervix looks like with endocervicitis, photos on the websites will help with this.

The chronic form is characterized by subsidence of the painful syndrome, the abundance of discharge is significantly reduced or it disappears altogether. All this makes you mistakenly think about recovery. However, in fact, with this form, hypertrophy of the muscular membrane of the neck and gland develops (cervical metritis).

Complications of endocervicitis are extremely dangerous, since inflammation can spread to the body of the uterus, appendages and even the peritoneum.

Diagnosis of endocervicitis

First, a survey and history taking of the patient is carried out, and then an examination. Main signs of pathology:

• purulent mucous discharge, swollen and reddened surface in the area of ​​the external pharynx;
• bacterial examination of a smear from the cervical canal indicates the presence of gonococci, streptococci, etc. Pathogens can be sexually transmitted;
• during colposcopy, even the most minor visual changes are detected;
• cytological examination reveals rejected cells;
• presence of echo signs of endocervicitis.

Also, when diagnosing endocervicitis, bacteriological culture is performed to determine the sensitivity of the pathogen to antibiotics to draw up a further treatment plan.

Treatment of endocervicitis

Treatment is based on the identified microorganism causing inflammation. In addition, therapy is prescribed taking into account concomitant pathologies and the stage of endocervicitis.

First, etiotropic therapy is used using antiviral, antibacterial, hormonal drugs, as well as cytostatics.

Endocervicitis of fungal origin is treated with antifungal antibiotics (Nystatin, Mikosist, Diflucan), etc. In the case of chlamydia, Doxycycline, Sumamed and other tetracycline drugs are usually prescribed.

In women over 40 years of age, inflammation most often develops due to insufficient estrogen production. In this case, hormone replacement therapy is indicated.

It is also mandatory to prescribe medications to improve immunity: various vitamins, Isonoprinosine, etc.

If any sexually transmitted infection is detected, therapy is prescribed to both partners. In this case, local treatment is used after eliminating the symptoms, for example, douching with manganese, soda, boric acid.

Surgical treatment of endocervicitis

In the case of chronic cervicitis, surgical treatment is usually used. The intervention is carried out after eliminating the infectious process.

Surgical treatment can be provided in the form of cryotherapy and laser therapy.

Electrosurgery with the Surgitron device has also proven itself well. To eliminate endocervicitis, doctors' reviews of this method increasingly confirm its effectiveness.

• After the procedure, anti-inflammatory therapy and physiotherapeutic procedures are prescribed.
• For a speedy recovery, it is important not to be sexually active until the end of treatment and to carefully observe hygiene.
• To avoid relapses, special attention is paid to concomitant pathologies and their prevention.

In any case, only the doctor should develop a treatment plan and select medications for endocervicitis. Internet forums where women share their own experiences should not become a reason for self-medication. This can be hazardous to health and life-threatening.

women's health, cervix, endocervicitis

Source: http://www.probirka.org/biblio/polezno/9257-endotservitsit-simptomi-techenie-lechenie.html