1, increased leucorrhea: sometimes it is the only symptom of chronic cervicitis. Usually viscous mucus or purulent mucus. Sometimes there may be bloodshot or a small amount of blood in the secretion, and there may also be contact bleeding. Due to the stimulation of leucorrhea, it can cause vulvar itching.
2. Pain: Pain often occurs in the lower abdomen or lumbosacral region, and sometimes in the upper abdomen, thighs and hip joints. Every time during menstruation, defecation or sexual life, the pain is aggravated, especially when the inflammation spreads backward along the uterosacral ligament or along the bottom of the broad ligament, forming chronic inflammation of connective tissue beside the uterus, and the pain is even worse when the cervical main ligament is thickened. Every contact with the cervix immediately causes pain in the iliac fossa and lumbosacral region, and some patients may even cause nausea and affect their sexual life.
3. Bladder and intestinal symptoms: Chronic cervicitis can spread through lymphatic channels or directly to the connective tissue around the bladder triangle, so once there is urine in the bladder, there will be defecation, frequent urination or dysuria, but the urine is clear and the routine urine examination is normal. In some cases, inflammation continues to spread or secondary urinary tract infection occurs through lymphatic pathway connecting cervix, bladder triangle and ureter. The incidence of chronic pyelonephritis in adult women is several times higher than that in men, which may be related to this situation. Intestinal symptoms are less than bladder symptoms, and some patients have pain when defecating.
4, other symptoms: such as irregular menstruation, dysmenorrhea, pelvic heavy feeling, infertility and so on.
Recently, the gynecological ward of Xuzhou Maternal and Child Health Hospital received a woman's villi (a pseudonym) who suffered from severe bleeding during the operation. The woman was only 17 years old. After the rescue, the bleeding stopped.
What is puzzling is that she is only 17 years old. How can she have gynecological surgery? It is understood that Li Hui was told that she had cervical erosion during an examination. She was worried and went to consult a doctor. "The doctor told me that cervical erosion will affect pregnancy and may even cause cancer. It is recommended that I operate as soon as possible." She was frightened and quickly chose surgery, hoping to cure cervical erosion. Unexpectedly, something happened.
Dr. Song Hongjuan, director of the gynecological ward of Xuzhou Maternal and Child Health Hospital, said that cervical erosion, as a familiar "disease", had troubled many women, and a large number of women were diagnosed with cervical erosion when they went for physical examination. "As early as 2008, in the seventh edition of Undergraduate Obstetrics and Gynecology, the name of' cervical erosion' was cancelled and replaced by the physiological phenomenon of' cervical columnar epithelium heterotopia'. Cervical erosion, in the final analysis, is actually a misunderstanding of the normal performance of the cervix in the past. "
Can erosion affect pregnancy? Will it cause cancer? Do you need treatment? With these questions, the reporter interviewed Dr. Song Hongjuan.
Myth: It is not a disease and will not affect pregnancy.
First of all, let's understand what cervical erosion is. Data show that before puberty, women's ovarian function is not perfect, estrogen is low, and columnar epithelium is on the inside. After menstruation, columnar epithelium is influenced by estrogen and develops more outward, so there are more columnar epithelium-like "erosion" at the cervix. After menopause, women's estrogen level drops, columnar epithelium begins to return to the inside, so "erosion" can't be seen.
"So, women of childbearing age often appear physiological phenomena, not pathological phenomena, just because the word' erosion' is easily misunderstood, so it has long been abandoned in textbooks." Dr Song Hongjuan stressed.
In addition, there used to be a so-called graded diagnosis of cervical erosion, called 1 to 3 degrees. Most people often misunderstand this grading diagnosis and think that it is divided according to the severity of inflammation. In fact, it refers to the range, where the area is less than 1/3 is 1 degree, and 1/3-2/3 is 2 degrees, exceeding 2.
Dr. Song Hongjuan once again stressed: "This is actually a normal physiological phenomenon that columnar epithelium is everted to varying degrees after being affected by estrogen. Don't misunderstand. "
Will it affect the human body? In this regard, Dr. Song Hongjuan said that because it is not a pathological phenomenon, it will not affect health, pregnancy, cancer and embryonic development.
Treatment: it's not a disease, and it doesn't need treatment.
Check out cervical erosion, need treatment?
"If you understand the contents mentioned above, it is not difficult to understand that the so-called' cervical erosion' is actually a normal physiological phenomenon and does not need any treatment. If you find many ways to treat cervical erosion online, it is wrong. " Dr Song Hongjuan said: Meanwhile, by the way, symptomatic cervicitis needs treatment. Usually acute inflammation can be treated with suppository, and chronic inflammation can be treated with physical therapy such as laser or freezing.
What is cervical erosion related to?
In this regard, Director Song Hongjuan said, first of all, it is related to premature sexual activity and too many sexual partners. Nowadays, premarital sex is common among young people. Premature sexual life, frequent change of sexual partners and frequent sexual life (more than 4 times a week) are the causes of cervical erosion that cannot be ignored.
Secondly, because premarital sex is mostly in a secret state, young people have no stable source of income and cannot create a stable and clean sexual environment, and the chances of getting sick will greatly increase.
In addition, many gynecological operations caused by premarital sex, such as induced abortion, diagnostic curettage, cervical dilatation, etc., may lead to cervical injury or inflammation, and eventually lead to cervical erosion.
It should also be noted that local cervical infection, genital mycoplasma, chlamydia and high-risk human papillomavirus infection can all cause acute cervicitis or cause chronic cervicitis to persist.
"Therefore, women with cervical erosion must pay attention to sexual hygiene and avoid repeated abortions, which can significantly reduce the incidence of cervical erosion." Director Song Hongjuan said.
Suggestion: It is very important to have regular cervical examination, just once a year.
In the outpatient clinic, there will still be many patients consulting. Can cervical erosion develop into cancer? In this regard, Director Song Hongjuan explained that although cervical cancer has nothing to do with cervical erosion, it is necessary to have regular cervical examination, which is related to human papillomavirus (HPV) infection.
The data show that the cervical squamous column junction continues to be infected, which is prone to precancerous lesions and cervical cancer. However, since curettage, the mortality rate of cervical cancer has dropped greatly, so the key to cervical cancer is to prevent and treat it in advance.
So, which exams can you choose? "Cervical exfoliated cells examination and human papillomavirus infection examination, both of which can be done, and the frequency need not be too frequent, once a year, because the metabolism of human papillomavirus is very slow, resulting in its slow growth rate, so it is not necessary to check once every six months. This test is not to prevent cervical erosion, but to prevent cervical cancer. "
Expert Profile: Director of Gynecological Ward of Xuzhou Maternal and Child Health Hospital in Song Hongjuan, chief physician, doctor of medicine, tutor of master students, six talents in Jiangsu Province, and key women and children talents in Jiangsu Province. He has been engaged in clinical work in obstetrics and gynecology for more than 20 years, and has studied in gynecological surgery in Jiangsu Provincial Hospital, Shanghai Maternity Hospital, Vancouver University and Mayo Medical Center. Published more than 20 medical papers in Chinese and English in domestic and foreign journals. It has three national patents for technological inventions for infertility and uterine prolapse treatment. (Outpatient time: Monday, all day, Saturday morning)