Endocervicitis: symptoms and treatment

Symptoms of endocervicitis

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

Note: is just such uncharacteristic symptoms, besides weakly expressed, prevent the timely diagnosis of endocervicitis.

In the acute period of endocervicitis, the doctor gynecologist, when examining the patient on the armchair, will note the bright red color of the cervix and a small puffiness; directly in the throat, the expert will see small erosions in large quantities, which will have a pronounced crimson tinge and are covered with a purulent coatingAlways, everything depends on how much the inflammatory process is started).

Once the acute phase of endocervicitis develops into a chronic phase, all symptoms disappear or become so weak that the woman feels completely healthy.The gynecologist will be able to make an accurate diagnosis, which, upon examination of the patient, will note a thickened and dense neck of the uterus, hypertrophy of the muscular membrane of the cervix.Even with the complete absence of symptoms of the acute period of development of the inflammatory process under consideration, the doctor will find a red coronary on examination, which will be located around the external cervix of the uterus.

Causes of endocervicitis development

The international classification of diseases distinguishes three large groups of inflammatory pathologies that can develop on the cervical mucosa:

• gonococcal cervicitis;
• cervical inflammation;
• chlamydial cervicitis.

The most common inflammatory disease of the cervix arises against the background of the scraping procedures in the uterus - abortions, cervical ruptures, uterine sounding, diagnostic scrapings and more.But in addition, endocervicitis can occur against the background of other pathologies of the female genital area - colpitis( inflammation of the vaginal wall), endometritis( inflammation of the mucosa of the inner surface of the walls of the uterus), ectopia of the cervix( pseudo-erosion).

Note: listed diseases may precede the inflammatory disease under consideration, occur concomitantly with it, or occur after the acute phase of endocyrvicitis.

There are a number of provocative factors in relation to the examined pathology:

• small cervical ruptures( they may not be noticeable without the use of special devices);
• improper use of contraceptives, self-targeting of similar drugs;
• omission of the vagina and uterus, including the prolapse of these organs;
• erosion of the cervix.

How to treat endocervicitis

The course of therapy for diagnosing the inflammatory disease in question is selected by a gynecologist in a strictly individual order, which means conducting tests to identify the true pathogen.After that, the woman will be prescribed antibacterial drugs( antibiotics).

In addition, patients with diagnosed endocervicitis must be prescribed topical products - suppositories, tablets and suppositories, which are injected directly into the vagina.Such drugs have antibacterial effect and a wide spectrum of action, from this group of drugs can be identified Ginalgin, Terzhinan, Makmiror, Betadin.

After the course of treatment therapy is completed, a woman should take antifungal medications, and the vagina should generally be filled with lactobacilli.

Note: , many women, after undergoing antibiotic treatment, simply ignore the need to prevent the development of candidiasis( thrush) and as a result "get" an untreated endocervicitis and fungal disease in the background.

The last stage of full-fledged treatment of the inflammatory disease under consideration is immunotherapy.Normalization and stabilization of the immune system is necessary to prevent recurrence of endocervicitis.Of the most effective immunomodulators can be identified Levamisol, Timolin, Interferon.

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

Tsygankova Yana Aleksandrovna, medical reviewer, therapeutist of the highest qualification category