Symptoms of cervical erosion after childbirth. How to treat cervical erosion after childbirth with different methods. How to cure erosion after childbirth

A woman can find out both before pregnancy and immediately after childbirth. In any case, the treatment of this disease must be taken care of in a timely manner, because erosion can cause very serious problems.

In a healthy woman, the vaginal part of the cervix is ​​covered with a squamous stratified epithelium, and the cervical canal of the cervix is ​​covered with a columnar epithelium. Normally, the transition of one epithelium to another is located in the area of ​​the external opening of the cervical canal, and their border is not visible during a gynecological examination.

The term "erosion" is widely used in practical life and literature to refer to a pathological process on the vaginal part of the cervix, which is characterized by the replacement of stratified squamous epithelium with a cylindrical one. It grows from the cervical canal to the vaginal part of the cervix.

true erosion- this is a part of the cervix that is not covered with epithelium at all. This condition lasts no more than 1-2 weeks and goes into the next stage of the disease - pseudo-erosion, which is observed in 10-15% of women who go to the doctor.

pseudo-erosion is formed as a result of the further development of the pathological process on the basis of true erosion. In this case, the cylindrical cells of cervical erosion are covered with a flat stratified epithelium from nearby tissues and turn into so-called nabotic cells (infection of the excretory duct of the glands of the cervix).

Why does erosion often appear after childbirth?

A woman is recommended to visit a doctor 7-10 days after discharge from the hospital, in the presence of postpartum discharge, change the sanitary napkin every 2 hours and not live sexually for 6-8 weeks to exclude the inflammatory process, since the placental area in the uterine cavity remains unhealed and can serve as a "gateway" for infections. Violation of hygiene rules can lead to an inflammatory process not only in, but also on her neck.

The cause of cervical erosion can be, first of all, chronic and unidentified inflammatory diseases of the female reproductive system, in which women complain of abundant vaginal discharge of a different nature, pain in the lower abdomen. In the presence of inflammation, women are concerned about vaginal discharge. Their nature depends on the causative agent of inflammation: they are purulent, milky in color, cheesy in nature, foamy with the smell of "rotten fish" and mucous-bloody. The inflammatory process in the vagina changes the acidity of the upper third of the vagina from alkaline to acidic, thereby contributing to the growth of the cylindrical stratified epithelium from the cervical canal to the vaginal part of the cervix.

After complicated childbirth (birth with ruptures of the vagina or cervix, etc.), a decrease in local immunity (in the uterine cavity and vagina) joins the existing immunodeficiency. Such an immunodeficiency state contributes to the exacerbation of the chronic inflammatory process of the female genital organs. In this case, activation can occur not only of the pathological microflora of the vagina, but also of conditionally pathogenic microflora (these are microorganisms that, in a normal state of immunity, do not show their pathological effect on the woman's body, but cause an inflammatory reaction in an immunodeficient state), which increases the possibility of inflammatory processes.

Another reason may be a change in the level of female sex hormones, which is typical for the postpartum period. These changes also contribute to the growth of the cylindrical epithelium and the occurrence of erosion of the cervix.

The next cause of cervical pathology is ectropion (ectropion of the mucous membrane of the cervical canal). This disease occurs due to improper suturing of cervical tears or incorrect alignment of the edges of the cervix. The divergence of the sutures placed on the cervix is ​​also the cause of ectropion. Its treatment consists in the surgical restoration of the integrity of the cervix 6-8 weeks after birth.

Can erosion be avoided?
Prevention of cervical erosion should be carried out before pregnancy. It will consist in the identification and treatment of sexually transmitted infections (use of condoms during sexual activity, early contact with a doctor when abundant vaginal discharge appears), maintaining immunity (regular physical education and sports) and regular visits to the gynecologist (if colposcopy is performed, it is enough visit a doctor once a year, and if it is not carried out - 2 times a year).

Diagnosis of cervical erosion

When examined in the mirrors, the doctor will see on the cervix a bright red eroded surface of an irregular, slightly oval shape, which is located around the external pharynx or on the posterior lip (less often the anterior lip) of the cervix. Therefore, every woman should regularly undergo preventive examinations by a gynecologist. With erosion after a gynecological examination, bloody scanty discharge from the vagina may appear, which pass on its own.

If erosion is suspected, colposcopy is mandatory - simple and extended.

Simple colposcopy- This is a survey of the cervix with a colposcope (a special device). During this procedure, a woman lies on a regular gynecological chair, and the doctor inserts gynecological mirrors into the vagina, then a colposcope is a kind of microscope with a magnification of 20-40 times on a large mobile stand. The doctor brings the colposcope to the vulva and looks into it, which allows you to study the structure of the cervix. This procedure is completely painless.

Extended colposcopy- this is an examination of the cervix, first after treatment with a 3% solution of acetic acid, which causes vasospasm and enhances the pathological picture. Then the cervix is ​​treated with Lugol's solution. With erosion and other diseases, the cervix will not turn dark brown, but will remain light.

A woman with suspected erosion should be taken from the vagina for the degree of purity of the vagina (to identify the degree of inflammation and pathogens that caused inflammation) and a smear for oncocytology (to exclude cancer of the cervix). Bacteriological culture or analysis of discharge is also carried out for polymerase chain reaction (PCR) to detect sexually transmitted infections and non-specific infections (staphylococci, streptococci, etc.) with the determination of their sensitivity to antibiotics. It is possible to start treatment of cervical erosion 2 months after childbirth, since the woman's body has already been relatively restored by this time.

Treatment of cervical erosion

Treatment of cervical erosion is carried out after the treatment of the inflammatory process of the female genital organs and after consultation and treatment of the woman's spouse by an andrologist - to eliminate infections from him and to prevent re-infection of the woman. Otherwise, the treatment of erosion may be ineffective, with the formation of cicatricial changes on the cervix. Treatment of the inflammatory process is carried out depending on the pathogen and its sensitivity to antibiotics. In the absence of sensitivity, reserve antibiotics (more powerful antibiotics that are not used in normal practice) or ozone therapy (treatment with ozonized saline that is administered intravenously, or vaginal tampons with ozonized oil) are prescribed. They also carry out immunocorrective therapy (to restore immunity, a woman is prescribed VIFERON 2, VIFERON Z).

After the course of treatment, it is necessary to pass a control bacteriological culture for isolated pathogens after a combined provocation three times after menstruation on the 5-6th day (prescription of drugs to exacerbate the inflammatory process, lubrication of the urethra, cervix with a 3% solution of silver nitrate, application gonovaccines). The provocation is carried out so that in the event of the presence of even a small amount of the pathogen, it is activated, which would allow it to be cured and achieve a complete recovery.

After the examination described above, a biopsy of the cervix is ​​​​needed. This is the name of taking a piece of tissue at the border of pathological and healthy tissue for histological examination - the study of tissue cells at high magnification, to exclude malignant diseases. It is advisable to pass this analysis after menstruation or 7-10 days before its onset, for the prevention of the cervix 1 . You can take a biopsy during lactational amenorrhea (absence of menstruation during feeding). The result of a histological examination is usually ready on the 4-10th day. Only after this analysis, the doctor can begin to treat erosion or other diseases of the cervix.
Endometriosis is a disease in which the endometrium (the inner layer of the uterus) is located in atypical places for it (on the cervix, in the vagina, on the vulva, on the peritoneum and other organs). If during menstruation there is a fresh wound on the neck, then the endometrium can "settle" on it.

The choice of method for treating erosion depends on the result of the biopsy, the availability of appropriate skills from the doctor and the equipment of the clinic with equipment. Treatment of cervical erosion is best done on the 5-7th day after the next menstruation.

The most effective and safe method of treating erosion is considered laser radiation, as it allows you to adjust the power and depth of penetration, while directing the beam strictly to the border of healthy and diseased tissue, leaving healthy tissue intact. With this method, the evaporation of pathological cells occurs, and the scar does not remain.

Cryosurgery of the cervix- this is freezing with liquid nitrogen (at a temperature of - 196 ° C) using a special cryoapplicator. In this case, the cells of the cervix are frozen with the formation of a scab (the scab looks like a white patch of skin after frostbite) with a partial capture of healthy tissue.

Diathermocoagulation of the cervix- This is cauterization with high-frequency current. After diathermocoagulation, a postoperative scar is formed on the cervix. It dissolves on its own in 10-14 days.

Also used to treat erosion. treatment with chemicals(SOLKOVAGIN, VAGOTIL). This cauterization of the cervix is ​​the most gentle procedure, since the chemicals do not penetrate deep into the tissue. It is used to treat cervical erosion in nulliparous women, as well as for non-extensive erosions.

All methods of erosion treatment are painless, since the cervix does not have pain receptors. Unpleasant sensations associated with treatment are often experienced by emotionally labile patients. After consulting a doctor before the operation, at the request of the woman, they prepare with tranquilizers (PHENAZEPAM, SEBAZON, RELANIUM, etc.) and non-narcotic analgesics (ORTOFEN, KETANAL, etc.).

After the procedure, a woman, as a rule, is under the supervision of a doctor for 2 hours. This is necessary in order to provide timely assistance in case of complications - bleeding, lowering blood pressure, dizziness. At the site of treatment, a scab is formed, which is independently rejected by each woman after 14-25 days, while sanious or mild transparent discharge may appear from the genital tract. Premature rejection of it can cause bleeding from the cervix. Therefore, sexual activity after treatment is not recommended until the next menstruation has passed. If bleeding from the vagina appears after treatment, it is urgent to contact a gynecologist. To improve the regeneration (healing) of the cervix, the doctor may prescribe certain ointment-based vaginal suppositories: METHYLURACIL SUPPLIES, SOLKOSYRYL OINTMENT, SUPPLIES WITH ALOE EXTRACT.

All of the above methods of treating cervical erosion can be used during breastfeeding.

In conclusion, once again I would like to draw the attention of readers to the importance of the problem, since erosion is a precancerous condition, that is, malignant degeneration of cells can occur in the affected areas. Therefore, timely treatment of erosion and other diseases of the cervix is ​​of great importance.

Sergei Monaco
Obstetrician-gynecologist,
Krasnodar base
midwifery college

Discussion

remove the article from the site, it has not been relevant for a long time, especially since modern articles on this topic are also presented on your resource. erosion does not need to be treated, but only to observe and take a PAP analysis

Hello! About a week ago, I was given cauterization of ectropion, after which the discharge began to be transparent, yellowish, I would not say that it was plentiful, but they are.
Is it supposed to be like this or should I consult my doctor?
Thank you in advance for your response.

Girls, the most important thing is to look for a good doctor to cauterize erosion, do not save money, do not carry out this procedure with crazy grandmothers in the residential complex, then you will have to deal with problems for a very long time, and spend a lot of money on recovery. On February 3, I had diathermocoagulation, many say the method is terribly painful. But a professional doctor worked with me, she prepared me for cauterization within a month, on February 12 I came to her for cervical treatment with hydrogen peroxide. The procedure itself is ABSOLUTELY PAINLESS, although I am very sensitive to pain in my life. Thank God, there is almost no discharge, after an examination on February 12, the doctor said that everything was fine, ordered me to come after menstruation. So, girls, cauterize, do not be afraid, remember - erosion that is not cauterized in time can become the beginning of cancer at any moment, and cancer, as you know, if it is treated, it is very problematic. Do not create unnecessary difficulties for yourself, even if someone gets hurt, you need to endure a maximum of 10-15 minutes. This is nothing compared to a long and happy life!!!

Hello! Please answer, is it possible to cauterize erosion if a spiral is placed, i.e. without deleting and, if possible, how doctors should do it correctly.
Thank you.

Hello, I have erosion. I am 19 years old and I did not give birth even if the doctor says to give birth urgently, let him go there. I make sea buckthorn tampons, I put 30 pieces of candles and it’s no use, what else would you advise

Hello. Erosion was treated after the first birth, I don’t remember cauterized or with nitrogen, the second birth went well, no erosion resumed. Now I'm pregnant again. At the beginning of the pregnancy, there was no erosion, only a scar, and recently it was necessary to do a brain test for culture and sensitivity to antibiotics, and the doctor scared me with a huge erosion that cannot be treated now. I do not know what to do, another half of the term to walk. How quickly can she grow to a large size according to the doctor's concept? When they took a smear at the beginning of pregnancy, they scraped so hard that the husband said that it was not difficult to get cancer, but now this erosion has come out. Could it have been formed due to an incorrectly taken brain and infection as a result of its sampling?

Hello! 4.03 I had cauterization of cervical erosion. On March 6, strong watery discharge began. I went to the gynecologist, and he said that it should be so. 16.03 began to go with blood. 17.03 only bloody discharge.
Is that how it should be? Or is it a complication?
Thank you!

My friend said that she, too, was cauterized after her first daughter, and like MamantenOK, at the place of cauterization, the scar and the uterus did not open, they did a caesarean section.
They also told me now that there is a huge erosion. This is the second time. I want a second roat and I still don’t understand whether it is necessary to do cauterization now or is it better after childbirth

Rupture of the cervix during childbirth does not happen from erosion itself, but from previous cauterization, since cauterization contributes to cicatricial narrowing of the cervical canal. Therefore, this method is not suitable for those who have not given birth or are planning another birth. The exception is extensive papillomatosis with the threat of malignant transformation.

Vovremja rodov onanaoborot mozhet sama soboj ischeznutj... eta erozija.. kogda shejkamatki raskrivatsja budet..

Erosion during childbirth does not threaten anything !!! The first time they cauterized with Solkovagin before childbirth. Then she gave birth. Erosion has occurred. I got pregnant veor times, already gave birth. Not a single break. The baby will grow up and I will definitely go to cauterize.

04.09.2006 00:08:30

And after giving birth, they cauterized me with liquid nitrogen (I don’t remember any unpleasant sensations - neither during nor after). After a while, erosion appeared again - then I went to another doctor - they made cauterization with current, it seems. I don't remember any pain either. So, about 4 years have passed since then, I came to the doctor about pregnancy, it turned out that there is erosion again. and now you can’t treat it until you give birth, and during childbirth problems are possible - a rupture of the neck .. I don’t know what to do, is there really no treatment during pregnancy? I'm already 7 months old .. And I just found out - and not from a doctor - that this can cause problems during childbirth ..

From the age of 19 they treated me with herbal ointments, nothing helped. For nulliparous, you can only do cryodestruction (finally found out what it is called correctly) - cauterization with nitrogen. The procedure is more expensive than cauterization with current, and scars remain after the current. Nitrogen does not hurt, it's just unpleasant and the healing process is rather unpleasant for about 1 month. But now they say everything is ok. and give birth mona :)

How difficult everything is ... a Russian doctor once told me that I have a relatively large erosion. None of the German doctors hinted at this subject, provided that they do colposcopy every six months.

Comment on the article "Island of risk. Cervical erosion"

Cervical erosion. Today my sister came in tears. I visited a gynecologist and she was told that she had erosion. Sister calm down and be examined in another clinic, find a doctor "of his own", but do not delay. I was treated in a regular clinic for a long time (before childbirth, after childbirth) ...

Discussion

Well, in general, I have a similar situation: you have a big one, you won’t have children, oh, you don’t need to cauterize - oh, why don’t you cauterize .... In short, I burned it - with some kind of waves or something. It doesn't hurt, for a second. something inside pulled, but then let go.
It's bad that our "mega-experienced" regional gynecologist did this on the first day of the month, so then my cycle was restored for a year, apparently from fright ...
No children yet, unfortunately .... I hope this is not the reason.

I’ve had erosion since adolescence, I gave birth beautifully, and I’ll still be ... Now I’m just puzzled by cauterization ... But I also don’t understand the position of doctors about her cauterization, some say that it would be good to cauterize before childbirth, others say, that it is not necessary to cauterize yet, if you are still going to give birth ... I don’t understand, after her cauterization of children, it’s impossible to have something ...

Childbirth after cauterization of erosion. I'm waiting for the second one. Two years ago I did cauterization of erosion on the neck, electro, a decent scar turned out, and diathermocoagulation of the cervix is ​​cauterization with high-frequency current. After diathermocoagulation on the cervix, ...

I have congenital erosion, such that the cervix is ​​​​almost not visible, before the birth they were treated with Solkovagin, the erosion remained. She gave birth ... erosion remained, after childbirth they cauterized with nitrogen, and she "infection erosion" is still in place and has not gone anywhere, let's see how I give birth to the second.

Usually, erosion goes away after childbirth itself (I know many who have had it). I didn’t treat before the first pregnancy, and I didn’t even check with the second one in advance, I decided, since no one told you that erosion is fraught with many problems and can cause cervical cancer?

Discussion

You should go to a good doctor with cystitis and erosion. Usually, erosion goes away after childbirth itself (I know many who have had it). I didn’t treat before the first pregnancy, and I didn’t even check with the second one in advance, I decided that since I gave birth to the first normally, then it should go like clockwork - that’s how it was, but I gave birth to them in a row, as soon as I stopped feeding the first one, here the second one began to acquire :). But I had someone to turn to, inspiring confidence (there are a lot of people who know jewelry :)).

I was diagnosed with erosion during my first pregnancy. She disappeared after giving birth. Before the second pregnancy, she was also gone. Now, in the second pregnancy, it has reappeared, but the doctor said that it is possible to talk about treatment only after childbirth.

After giving birth, I was diagnosed with erosion). Cervical erosion. After giving birth, I was diagnosed with erosion. In the district residential complex - they want to cauterize, but I'm afraid, because now there is And they cauterized me, no problem. It didn't hurt and it went away right away. And before that, they tried to treat by ...

Discussion

Well, I don’t know now ... I have to go to the third doctor ... :)

Thank you all for your support and advice :)
Today I visited another gynecologist: (Well, this is just a saying "two lawyers, three opinions": (The first one said that the erosion is small, it will heal itself, but for the purpose of prevention, you can treat it. And this one says huge ... all over the neck. ..:( so believe people after that. :((Tried to convince her that I might be better off having children first? But she says no! .and today they did a biopsy .... br .. we are poor poor women. :)
Well, I don’t know now ... I have to go to the third doctor ... :)

Erosion of the cervix after childbirth, or endocervicosis, can have a twofold morphological basis. These are the following states:

• a true defect in the epithelium in a certain area of ​​​​the cervix;
• false endocervicosis, which involves the replacement of stratified squamous epithelium with a single-row cylindrical epithelium, through which the vessels are easily visible.

Usually this pathological condition is detectedwhen a woman comes for an examination to a gynecologist. For the final diagnosis, it is imperative that the cervix after childbirth be examined with a colposcope.

Why erosion occurs after childbirth

The causes of cervical erosion after childbirth can be divided into three main groups:

1. traumatic damage to the cervix during childbirth is the most likely cause for postpartum erosion;
2. hormonal imbalance usually plays a big role in the origin of erosions even before childbirth;
3. infectious inflammation, which is equally common as a causative factor both before and after childbirth (the greatest danger is papillomavirus infection, some strains of which are highly oncogenic).

Knowledge of these causative factors will allow to exert a targeted influence on them in order to most effectively treat cervical erosion, in which there will be no relapses. This is especially true of cervical ruptures, which lead to a change in the ratio of the epithelial layers of the cervical canal.
Therefore, very often, against the background of ruptures, false erosion of the cervix develops, especially if they are not sutured correctly. The correct technique for suturing gaps is that the injection of the needle should be done almost at the edge, and the puncture, retreating a few millimeters from the edge, on the other hand, the opposite technique is used.

Erosion of the uterus after childbirth is a different condition in contrast to endocervicosis. It lies in the fact that there is a defect in the epithelial lining of the inner layer of the uterus. Usually, after separation of the placenta, the placental site is such an eroded surface.

Manifestations of erosion

Symptoms of cervical erosion are usually absent. This pathological process is insidious in that it does not manifest itself clinically, and disturbances in the structure and differentiation of epithelial cells progress.

This creates a background for the development of dysplasia of the epithelium of the cervical canal, which should be attributed to background processes. Over time, if untreated, dysplasia with atypia may develop. This is already a precancerous process, which can also progress.

As a result, cervical erosion after a certain period of time can turn into cervical cancer.

Therefore, it is very important to diagnose this pathological process in a timely manner. It can be suspected during examination of the cervix in the mirrors. The diagnosis is confirmed by colposcopic examination, which involves examining the cervix under a microscope. It is usually supplemented with various diagnostic tests, which make it possible to indirectly judge the malignancy or benignity of the process.

However, the final diagnosis can only be made after a cytological (cell composition is studied) or histological (tissue composition, the ratio of cell layers relative to each other) study. The latter is the "gold" standard of diagnosis.

What to do if there is cervical erosion

Treatment of cervical erosion should begin 6 weeks after childbirth, that is, when all involutive processes have passed and the cervix becomes as before pregnancy.

All methods of treatment of cervical erosion are divided into two main types:

• locally destructive;
• etiotropic treatment, which takes into account the possible cause of the disease.

They should be used in combination, as this will avoid recurrence of the disease. Locally destructive methods include:

• cryodestruction (treatment with liquid nitrogen);
• electrocoagulation (cauterization by electric current);
• laser therapy;
• ultrasound treatment;
• chemical methods of destruction, which are not very effective.

After treatment, a woman should be under the dynamic supervision of a doctor for a certain time. Its task is the timely detection of violations in the reparative process.

Thus, cervical erosion after childbirth can be a manifestation of a different pathological process that can develop in the postpartum period. Its treatment should be carried out in a timely manner, since it can serve as a source of development of a precancerous condition, from which a malignant neoplasm subsequently develops.

Cervical erosion is a fairly common disease that occurs in about 20% of women of childbearing age. In this case, the normal stratified squamous epithelium of the cervix is ​​replaced by a cylindrical one, normally lining only the cavity of this organ.

1. Tears and damage to the mucous membrane of the cervix during childbirth is the most common cause leading to erosion.
2. Incorrectly placed seams on the tears.
3. Bacterial or fungal infection. The damaged epithelium is not able to perform its barrier function, so postpartum damage may be accompanied by an infectious process in the cervix.
4. Viral infection. Erosion can cause herpesvirus and papillomavirus, which is the main cause of cervical cancer.
5. Violation of the hormonal balance of the body.

Symptoms of the disease

If cervical erosion is not accompanied by an inflammatory process, then the symptoms of the disease are most often not expressed. With inflammation of the cervix, a woman may experience the following symptoms:

• spotting or leucorrhea streaked with blood;
• pain and burning sensation after intercourse;
• itching in the vagina.

However, in most cases, there are no signs of the disease, and postpartum erosion can only be detected as a result of a preventive examination by a gynecologist.

The absence of symptoms does not mean that erosion does not need to be treated. The danger of this disease is that over time it can degenerate into cervical cancer. In addition, erosion can lead to dysplasia of the epithelial layer, promote infectious processes in the cervix and uterine cavity.

Treatment of erosion in women giving birth

Traditional treatment of cervical erosion for women who have just given birth may not be available. Breastfeeding mothers are prohibited from taking many medications, as this can be dangerous for the baby.

Erosion of the cervix in those giving birth is effectively treated with traditional medicine. These drugs have a gentle effect on the female reproductive system and do not cause side effects. For therapy with folk remedies, external agents and decoctions for oral administration are used.

In order for folk remedies to be effective, it is important to take a responsible approach to treatment. Procedures must be carried out daily, several times a day. It is important to combine different drugs in order to achieve the maximum therapeutic effect. In addition, it is recommended to change medicines every 2-3 weeks, because over time the body gets used to the components of the recipe, and the healing effect decreases. On average, treatment with folk remedies lasts 1.5–2 months.

Breastfeeding mothers should be careful when choosing herbs to take by mouth, because everything that a mother eats and drinks passes into breast milk or affects its quantity and quality. It is important to carefully read the properties of all the components included in the recipe in order to understand whether it is permissible to use this decoction during breastfeeding. Safer is the treatment with external means.

Treatment with external means

External agents have a beneficial effect on the mucous membrane of the vagina and cervix, contribute to its restoration, regeneration of healthy tissues, and prevent the development of the infectious process. Therapy with external agents is safe when breastfeeding a child.

douching

It is useful to carry out daily douching with herbal decoctions. Such a procedure will cleanse the mucosa of pus and pathogenic bacteria in case inflammation occurs against the background of erosion. But even without the inflammatory process, douching procedures have a positive effect on the condition of the mucosa.

In order for the douching procedure to be effective, it must be carried out according to the rules. In no case should fluid be injected into the vagina under pressure, it should flow in a weak stream. The solution should be at a temperature comfortable for the woman. For douching, a pear with a silicone or rubber soft tip is used to avoid additional damage to the mucosa. Before starting the procedure, the pear must be scalded with boiling water and boiled inside to disinfect it.

Douching is done every evening before putting a tampon with a healing potion. The minimum course of treatment is 2 weeks, well, it is better to carry out treatment longer, even after the symptoms of the disease disappear. This will consolidate the effect of the treatment.

1. Calendula. 1 st. l. dried calendula is brewed in 200 ml of boiling water, insisted for half an hour and filtered. Can also be used for tampons.
2. St. John's wort. For 2 liters of water take 4 tbsp. l. dry herb St. John's wort. The grass is boiled for 2 hours, then cooled and filtered. The drug is applicable to tampons.
3. Badan root. 3 art. l. chopped root is boiled in a glass of boiling water until the volume is reduced by 2 times. The resulting extract is filtered and 300 ml of warm boiled water is added. The result should be 400 ml of broth.
4. Peony root (Maryin root). 5 st. l. crushed root pour 500 ml of vodka, insist in a dark warm place for a month, then filter. 2–3 tbsp. l. tinctures are diluted in half a liter of warm boiled water.
5. Elm bark. 20 g of crushed bark is poured into 200 ml of boiling water and kept in a water bath for half an hour, then cooled and filtered. The decoction is diluted with warm boiled water twice and used for douching.
6. Herbal collection No. 1. A collection of sage, rosemary, yarrow and oak bark is prepared in a ratio of 1:1:1:2. For 3 liters of water, take 100 g of this collection and brew over low heat for 10 minutes.
7. Herbal collection No. 2. Take 10 g each of the color of lavender and bird cherry and wormwood grass, 20 g of sage, cudweed, birch leaves, marigold and oak bark, and 30 g of chamomile color. For 1 liter of boiling water, 15 g of the collection is taken, steamed in a thermos for 3 hours, then filtered. The drug is used twice a week.

Tampons

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Article outline

During the bearing of a child, each female representative significantly weakens the immune system, changes the level of hormones and a number of other adverse disorders occur in the body. As a result of this, the risk of negative diseases or various abnormalities that can provoke complicated childbirth increases significantly. As a rule, with such complications (ruptures, lesions of the mucous membrane of the uterine cervix, etc.), during the birth of a baby, doctors use many auxiliary tools that will safely remove the baby from the womb and minimize harm to her health. But, based on medical statistics, the result of such manipulations is the occurrence of cervical erosion after childbirth, which can cause a lot of discomfort if you do not treat it in time.

Let's see if cervical erosion is dangerous for women's health and how to eliminate it effectively and quickly.

Features of the pathology

Cervical erosion is the so-called mucosal defect in this area, which can occur as a result of many factors (traumatic or pathological). As a rule, a lesion that appeared before the age of 20 is a common failure in the body that occurs at the time of adolescence, and such an injury to the uterine cervix, most often, goes away on its own. If erosion has formed in older female representatives, this means that one cannot do without qualified treatment tactics. The most common cause of such damage is childbirth. A wound area on the mucous surface can be formed as a result of a traumatic effect, which, at the time of the birth of a child, is guaranteed.

The reasons

Postpartum erosion may appear for the following reasons:

• the rapid process of childbirth with a slow opening of the cervix;
• excessively large size of the fetus;
• the presence of traces of scarring on the mucous membrane (surgical interventions that were performed in the past);
• penetration into the gaps that have arisen of various types of infections and their further progression and reproduction;
• the presence of diseases of the genitourinary system;
• deterioration of the epithelium inside the uterine cervix, which occurs as a result of hormonal imbalance.

The above list of reasons is considered the most common, it is possible that erosion can also be formed due to other factors. The true provocateur of this disease is identified by a qualified medical worker.

Diagnostics

With a small diameter of ectopia, drug treatment is possible, which is considered practically harmless to the reproductive function of a woman, and if the pathology has reached a large size, then cauterization of cervical erosion will be required to treat it. The consequence of such a procedure is damage to the soft tissue and its scarring, which, in turn, prevent the subsequent conception of the child, its bearing and birth.

How is cervical erosion treated after childbirth

Treatment methods for cervical erosion can be very diverse and should be prescribed exclusively by a qualified gynecologist based on the diagnostic results obtained. At the initial stage of the disease and when the ectopia has not yet reached a large size, doctors prescribe therapy with the help of pharmacological preparations, vaginal suppositories and tampons, and also, in some cases, resort to treatment with folk remedies. In situations where the lesion of the mucous membrane is in a more neglected state, cauterization of the wound is indispensable. To select the most effective and appropriate method, the doctor must understand whether the victim is going to have children in the future, since some methods of treatment adversely affect the woman's reproductive function.

Exposure to radio waves

One of the safest methods of cauterization, which involves non-contact exposure to radio wave radiation on the affected cells that have formed in the cavity of the uterine cervix.

Laser vaporization

The most highly effective method of therapy, which is also not dangerous for the further female health and reproductive system of the female representative. The essence of the procedure is to act on the ectopia that has arisen with the help of a device emitted by laser beams, without affecting the nearest, undamaged soft tissues.

Chemical coagulation

It is used, as a rule, at the initial stage of the development of the disease, when the pathology is shallow and has a small diameter. At the time of this therapeutic procedure, special chemicals act on the affected tissue cells, painlessly accelerating the process of their regeneration.

Diathermocoagulation

The oldest and most dangerous method of treatment, which is indicated only in women who have given birth and who are not going to become a mother in the future. Such treatment is directed to the elimination of erosion with the help of high voltage electric current. At the time of such a procedure, the affected tissues of the uterine cervix are affected, but damage to healthy parts of the epithelium is not excluded. The most common consequence of this electrical coagulation is scarring of the mucous membrane in the cervix, which causes a narrowing of the passage, preventing the fetus from passing through this area normally.

Cryodestruction

Cryodestruction is a painless treatment procedure to eliminate ectopia, which is based on the use of a special apparatus that emits liquid nitrogen. Such manipulation should be carried out exclusively by an experienced specialist, who will help ensure that the flow of cold is directed only to the affected area of ​​the epithelium, otherwise scarring and damage to healthy tissue cells is possible.

ethnoscience

• one spoon of dried calendula flowers must be poured with two glasses of boiled water, insisted for 30 minutes, strained and used as douching;
• 4 tbsp. l. dried St. John's wort flowers must be poured with two liters of boiling water and boiled for another ten minutes, insisted for another half an hour, strained and also used as douching for two weeks.

Tampons

Not infrequently, to combat the resulting erosion, tampons soaked in decoctions and medicinal liquids are used, which relieve inflammation and accelerate the healing process of the wound area on the mucous membrane. The most common recipes:

• aloe juice with honey. 20 milliliters of honey and 3 teaspoons of aloe leaf juice are mixed into a homogeneous liquid, 3-4 drops of castor oil are added and a swab is soaked with this drug for 3-5 minutes. Every day, for two weeks, a woman inserts a tampon into the vagina for the whole night;
• rosehip oil. For 14 days, every night, the girl needs to soak the personal hygiene product in rosehip oil and insert it into the vaginal cavity;
• sea ​​buckthorn oil. The course of therapy should last at least ten days and end only when the doctor informs you at the gynecological examination that the erosion and all its accompanying symptoms have completely disappeared. To prepare such a remedy, it is necessary to grind a certain amount of sea buckthorn fruits, pour them with any kind of vegetable oil (1: 5) and keep cooking in a water bath for four hours. After preparation, cool the resulting liquid, moisten a tampon in it and drive every night into the vaginal cavity.

Argon plasma coagulation

An equally effective method of cauterization, at the moment of which the effect occurs with the help of the emitted gas - argon. It does an excellent job of restoring the affected areas of the epithelium in the cervical cavity, stops small hemorrhages and, with a quality approach, you can reduce the risk of soft tissue scarring.

Prevention

To prevent the development of postpartum ectopia, the following preventive rules should be followed:

• exclude promiscuity;
• twice a year to be examined by a gynecologist;
• adhere to established hygiene rules;
• use various types of contraceptives to avoid unwanted conception and abortion;
• timely treat identified diseases of the genitourinary system

Complications of ectopia

With unqualified or untimely treatment of erosion, the following adverse effects may develop:

• complete or partial deformation of the uterine neck;
• distortion of the menstrual cycle;
• development ;
• the occurrence of cancer;
• reproductive dysfunction.

postpartum ectropion

After complicated childbirth and various mechanical damage during them, in addition to cervical erosion, a disease such as. This pathology has similar symptoms with ectopia and is characterized by the occurrence of eversion of the mucous membrane of the uterine cervix into the vaginal cavity. The progression of such a defect requires the immediate intervention of experienced specialists, as it also threatens the development of dangerous complications, up to the deterioration of the woman's reproductive function, and may prevent the subsequent possibility of becoming pregnant. Such a disease is treated with the help of conservative and surgical intervention, the method of therapy and subsequent prognosis completely depends on the stage of progression and the diameter of the soft tissue lesion.

Erosion after childbirth and a new pregnancy

If an ectopia was found in a female representative and she is going to have children in the future, then a qualified medical worker should choose a method of treatment that will not affect the reproductive function of the expectant mother in any way. As a rule, in such cases, non-contact and sparing methods of cauterization (radio wave and laser) or lesion therapy with the help of pharmacological agents and traditional medicine are prescribed. It is also very important that at least one and a half years pass after the treatment of erosion in the uterine neck and the conception of a child.

The fate of a modern woman is not easy: continuous worries and problems, and besides, an increasing number of all kinds of sores are trying to undermine an already excessively loaded body, and when gynecological diseases are added to this list, it is very difficult. According to the data, every second woman after childbirth is diagnosed with cervical erosion sooner or later. It would seem that in our time of advanced technology and advanced medicine, any problem can be solved "in a jiffy", but in reality it is not so simple.

Today, there are so many therapeutic measures aimed at eliminating cervical erosion that sometimes the choice of the most effective one takes a lot of time. In addition, many women often wonder if cervical erosion can go away on its own after childbirth? But let's not get ahead of ourselves and talk about everything in order.

Varieties and causes of erosion after childbirth

This disease, indeed, is often found in women after childbirth, especially complicated ones. It often happens that during childbirth the cervix opens with great difficulty, which greatly increases the risk of rupture of internal tissues. In the event that the doctor failed to notice them in time or the sutures were applied inaccurately, then the occurrence of erosion is practically guaranteed. What is erosion and why else can it appear?

We remind you that the cervix is ​​a continuation of the uterus itself, a kind of "channel" connecting the uterine cavity with the vagina. Normally, the gynecologist sees its vaginal part (exocervix) during a routine examination, while the inner part (endocervix or cervical canal) is not available for examination. If the endocervix becomes "visible", then we can seriously talk about the diagnosis of "cervical erosion".

This condition can be caused too fast or rapid delivery, large size of the fetus, surgical intervention at the time of delivery, frequent abortions in the past, early or, conversely, too late birth. Along with these reasons, erosion can also be caused by infectious diseases transmitted through unprotected sexual contact.

During pregnancy, the female body is often weakened, which makes it easier to infect with any bacilli that make the cervix loose and thus contribute to erosion.

Erosion treatment

It is possible to detect cervical erosion after childbirth after a few weeks. That is why newly-made mothers should not neglect visiting a gynecologist. Very often, such erosion is asymptomatic, and a woman learns about it only during a second pregnancy or after the onset of symptoms. These can be various vaginal discharge, pain in the lower abdomen of a pulling nature (including during intercourse), burning or itching - all this is an indisputable reason to see a doctor.

To prevent the development of erosion after childbirth due to tissue rupture, the obstetrician-gynecologist should suture the neck. If such a manipulation was not performed, then it is possible that erosion after childbirth will pass on its own. However, in this case, there is a high probability that its structure will be somewhat deformed. In this case, the woman will be prescribed a course of treatment.

Treatment should not be carried out immediately, but after 2 or 3 months after childbirth. Therapy may include various methods of erosion control, but cauterization is most often indicated.

The main types of cauterization:

• cryodestruction - freezing the affected area with liquid nitrogen;
• laser coagulation - cauterization with a laser beam;
• diathermocoagulation - cauterization by exposure to electric current.

Do not worry that such treatment may be incompatible with breastfeeding. The fight against cervical erosion can be carried out by various methods, and if you contact your doctor in a timely manner, he will be able to choose the most suitable method for you, taking into account individual characteristics.