Endocervicitis: treatment and diagnosis

Endocervicitis is a common gynecological disease. Quite often, its symptoms are invisible, and it is revealed only when the planned gynecological examination, which is desirable to take place annually. Endocervicitis, the treatment of which must be carried out necessarily, can cause a number of unpleasant consequences.

Inflammation of the mucous cervical canal that connects the vagina and the uterus can accompany pseudo-erosion and erosion of the cervix, endometritis, colpitis, ectropion and other diseases. The causative agents of endocervicitis are viruses, fungi, specific and nonspecific microorganisms.

Infection usually penetrates into the cervical canal after manipulation and neck injuries with diagnostic curettage, IUD insertions, abortions, childbirth. Inflammatory reaction depends on the organism and pathogenicity of the pathogen. Endocervicitis has a tendency to erased manifestations of symptoms and prolonged course.

With this disease, mucopurulent discharge can be noted, as well as dull pain in the abdomen. Sometimes there is itching of the genitals, pain and spotting after and during sex. Very often, endocervicitis, the treatment and diagnosis of which a gynecologist should perform, is invisible to the patient.

Upon examination, the doctor sees puffiness and flushing of the mucous neck. In the chronic process, they are less pronounced than with its acute nature. Purulent discharge, sometimes erosion, slight protrusion of the mucosa due to swelling are also noticeable.

In a chronic process, pseudo-erosions and cloudy discharge are more common. The cervix is often compacted and thickened. Colposcopy shows diffuse hyperemia, puffiness around the canal, vascular loops, pseudo-erosion.

To identify endocervicitis, the diagnosis is as follows:

• Inspection with mirrors;
• Colposcopy;
• Bacteriological culture (gonococci, mycoplasma, ureaplasma, microflora);
• Smear microscopy;
• Cytological examination;
• PCR (herpes, HPV, chlamydia, Trichomonas, gonococci).

Smear microscopy allows you to determine the number of leukocytes, epithelium, mucus, flora, and also to reveal gonococci, trichomadas, candida and some other microorganisms. This is a simple, inexpensive analysis that is quickly executed.

Sowing allows you to detect not only the microorganism, but also to find out its quantity and pick up the drug to which it is sensitive. This analysis takes about a week and costs more.

A modern way to diagnose an STD is PCR. This is a very sensitive method, it detects even a few DNA of the microorganism in the preparation. All smears for the study are taken from the cervical canal.

Cytological research can identify atypical cells. It is widely used for the early detection of cervical cancer. However, this study can detect inflammation - this is the 2 type of cytogram.

Based on the results of the tests, the causative agent is established and endocervicitis is treated. It is necessary to prescribe systemic therapy with drugs to which it is sensitive. Local treatment is actively used, which allows to reduce its terms.

At the doctor's discretion, immune medications are prescribed, as well as medicines that support the liver. When using antibiotics, antifungal therapy should be performed and the vaginal flora restored.

Endocervicitis, whose treatment also depends on the presence of complications and the duration of the process, requires mandatory monitoring after therapy. The patient tests several times after the end.

So, endocervicitis, the treatment of which must be carried out necessarily, does not manifest itself in any way. Therefore, it is so important to undergo scheduled examinations with a gynecologist. If this disease is not treated, then the process can spread to the uterus and its appendages. In addition, chronic endocervicitis can cause a change in the cervical mucus, which will become unapproachable for spermatozoa. Also this disease can lead to cancer.