Is cervical erosion of varying degrees dangerous for a child: is it treated during pregnancy and how is childbirth determined? Cervical erosion during pregnancy
Cervical erosion detected during pregnancy is not a serious pathology and does not pose a significant threat to the fetus. However, this condition requires treatment and constant medical monitoring. In many cases, cervical erosion during pregnancy is detected at the first scheduled visit to the gynecologist.
It is likely that before the onset of this condition, nothing bothered the woman and there was no suspicion of erosion. What causes this pathology and how should it be treated?
What is erosion?
Erosion of the cervix during pregnancy is expressed in the formation of small ulcers on the surface of the mucous layer, visually this looks like deformation of the integument and swelling.
Often erosion does not characterize itself symptomatically. It does not cause discomfort to the pregnant woman, and therefore is detected only during an examination.
If the disease appeared before conception, then there is a high risk that it will worsen as pregnancy progresses due to hormonal imbalances. After conceiving a child, a woman can no longer protect herself from hormonal storms and control her own condition, so her body is weakened.
Signs of epithelial disorders in the uterus are as follows:
- After the end of sexual intercourse, ichor begins to come out of the vagina, and this phenomenon can in no way be caused by menstruation;
- Sexual intercourse at any stage of pregnancy only causes discomfort;
- There is intense discharge, interspersed with pus or mucus.
Why is cervical erosion dangerous during pregnancy?
Discharge accompanying erosion often causes early miscarriage, and help various infectious pathogens penetrate the uterine cavity. The disease cannot be ignored, since the lack of proper treatment will negatively affect the intrauterine health of the fetus.
Diagnostic methods for detecting erosion in pregnant women
Erosion is best determined using gynecological speculum during visual examination. But the assumptions of the observing doctor are only part of the diagnostic conclusions, which can only be accurately confirmed by test results.
The primary analysis is for the presence of pathogenic flora. It is usually prescribed even before the moment of conception, during pregnancy planning. If the results do not show any abnormalities, but the doctor clearly sees erosive changes, then the planned pregnancy will have to be postponed until the end of treatment. Pregnancy after treatment for cervical erosion can occur quite quickly, but before this the woman needs to undergo an additional examination, as a result of which the doctor will cancel the previous diagnosis.
However, if the analysis reveals epithelial dysplasia, then it is necessary to take a smear to detect the human papillomavirus and undergo a colposcopy procedure. Treatment of cervical erosion during pregnancy begins with colposcopy. This test is a little painful because the gynecologist needs to examine the pregnant woman’s genitals using a special magnifying device.
The affected area is studied in a greatly enlarged form, which makes it possible to exclude an oncological component. In a photo taken with magnification, erosion looks like an extensive inflamed spot of burgundy or red color.
Cervical erosion during pregnancy bleeds if the pathological process of destruction of the epithelium is complicated by inflammation of infectious origin. Rare spotting is also typical for cancer, but in this case the pregnant woman will be forced to undergo a biopsy. A biopsy can only be performed with the woman’s written consent, since pinching off part of the epithelium can cause internal bleeding.
How does cervical erosion affect pregnancy?
Doctors say that erosion on the mucous membrane does not pose a particular danger to pregnancy. The fetus does not lag behind in development and does not suffer as it develops - if tests do not reveal infectious pathogens. Erosion becomes very dangerous if a woman has the following pathogens:
If erosion is a consequence of any of these diseases, then the child may be born with developmental pathologies or die as a result of self-abortion.
Treatment of cervical erosion in pregnant women
When tests and colposcopy do not reveal any significant abnormalities, treatment is transferred to the postpartum period. But in the mother’s exchange card, the fact of the presence of erosion is certainly recorded. This is necessary for obstetricians who will deliver the baby, because women with erosion often require postpartum closure of ruptures.
If the erosive lesions are extensive and the specialist considers the start of treatment urgent, then drug therapy is prescribed. The effect of the drugs is aimed at slowing down the process of wall destruction.
Treatment is carried out in a hospital setting; the pregnant woman is prescribed special compresses, which are applied to areas prone to erosion while the woman is in the gynecological chair. Cauterization of cervical erosion is possible only before pregnancy, and during pregnancy this method of treatment is not practiced.
If tests show the presence of infection, then after cauterization the erosion often opens again, but in this case it is already complicated by bleeding. Any bleeding during pregnancy threatens miscarriage. Along with local treatment, the root cause of erosion is also eliminated. If you influence the factors that provoked the pathology, then the destruction of the cervical walls will disappear on its own, without the use of specific medications.
Cervical erosion and pregnancy planning
There is an opinion that nulliparous women should avoid treating erosions with cauterization. Because after such a procedure, scar tissue is formed, which during subsequent births prevents the full dilation of the cervix and provokes severe pain during labor.
To ensure pregnancy proceeds without complications, women are prescribed vaporization, which is the same cauterization process, but not with an electric current, but with a laser beam. This method is called laser coagulation, and is used both for women who have not given birth and for pregnant women.
Does cervical erosion affect pregnancy? Yes, a certain danger arises when a woman refuses treatment, especially if the erosion is aggravated by the presence of a genitourinary infection. It happens that a woman first goes to the gynecological center already in the second or third trimester, and upon examination she is diagnosed with erosion. Treating with medication at this stage is already dangerous, but the pathology cannot be left unattended. Such women in labor are recommended to undergo cytological screening and colposcopy every two months.
Pregnancy can occur even with existing erosion; its success will depend on the depth of damage to the walls of the cervix and the stage of the disease. If the erosion is large in size, or the contours of the lesion change pathologically from study to study, then it makes sense to radically prevent further destruction even during the process of bearing a child. Sometimes it happens that erosion resolves on its own after a woman carries and gives birth to a child. Once the hormonal levels are in shape, treating epithelial disorders is much faster and easier.
Based on reviews from women who gave birth with a diagnosis of cervical erosion, we can conclude that the pathology did not particularly affect the process of pregnancy or the health of the baby. But at the same time, after the birth of a child, it is necessary to urgently undergo treatment.
If erosion is started, the destruction process will worsen, and the cervical mucosa will not be able to maintain an optimal level of elasticity and firmness. All this can cause the formation of cancer cells. There is no need to delay solving the problem; modern doctors have many ways to effectively treat erosion both before and during pregnancy.
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What do you imagine...
Unfortunately, cervical erosion during pregnancy is often detected. This happens because the hidden course of erosion does not allow a woman to suspect something is wrong and consult a doctor even before pregnancy. A thorough examination of a pregnant woman by a gynecologist leads to the fact that various pathologies of the cervix and other parts of the genital area can be detected.
What to do in such a situation? How does erosion affect pregnancy? Should she be treated now or wait until the baby is born? Lots of questions, isn't it? We will try to answer some of them today.
ICD-10 code
N86 Erosion and ectropion of the cervix
Causes of cervical erosion during pregnancy
It is extremely important to take into account the causes of cervical erosion during pregnancy so that the treatment process for the disease is as effective as possible, eliminating the main provoking factor that caused the pathology. Doctors dwell on the following series of possible causes of the disease:
- sudden changes in the balance of hormones in a woman’s body;
- diseases caused by sexually transmitted infections (papillomatosis, gonorrhea, ureaplasma, chlamydia, urogenital trichomonas, genital herpes);
- long-term use of hormone-containing medications even before conception (including contraceptives);
- too early onset of sexual activity;
- repeated induced abortions;
- inflammatory diseases in the genital area;
- low hormonal levels in the body;
- oncology of the reproductive system;
- a sharp decrease in immune defense;
- too frequent and rough sexual contacts;
- physical or chemical trauma to the mucous membranes (improper douching, incorrect installation of the coil, rough sexual contact using a condom or dildo);
- frequent and deep stress and anxiety.
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Symptoms of cervical erosion during pregnancy
The main reason for the late detection of erosion is its hidden course: the disease often occurs without any symptoms and is discovered by chance during a routine or preventative visit to the doctor. Often, symptoms of cervical erosion appear only during pregnancy, when the disease is aggravated by increasing levels of hormones in the body. It is during this period that some suspicious symptoms most often arise, causing a woman to be wary and consult a doctor:
- bloody discharge from the vagina after sexual intercourse;
- pain and discomfort during sexual intercourse;
- the appearance of purulent or mucous discharge;
- sensation of itching and burning in the vagina;
- painful sensations in the lower abdomen.
The listed signs are not specific to erosion, but they allow you to suspect the presence of a disease and consult a doctor. The diagnosis of erosion can be confirmed only after examining the patient.
Diagnosis of cervical erosion during pregnancy
Methods for diagnosing cervical erosion during pregnancy are determined by the doctor.
One of the first and most significant procedures is speculum examination of the cervix. With this examination, a clear epithelial defect can be detected, which has the appearance of an outlined red spot of varying area.
In order to determine the density of the affected tissue, a Krobak test is performed - probing the erosive tissue.
The next step is laboratory research. As a rule, the doctor takes a smear directly from the erosion and from the cervical canal, after which cytology of the smear is performed, including bacterioscopic and bacteriological analysis.
Colposcopic examination helps to establish the final diagnosis. The doctor should see a clearly defined lesion in the cervical epithelium with a visible area of stroma. True erosion is characterized by a low level of the bottom - it should be in a layer of columnar or flat stratified epithelium. To clarify the diagnosis, a test is performed using a 3% vinegar solution: it is applied to the area of erosion, and the bottom should turn pale.
If there is a suspicion of a malignant process, the doctor takes a piece of erosive tissue for a biopsy (to detect atypical cells in the tissue).
It should be understood that only an integrated approach to diagnosis will subsequently help determine the necessary and effective treatment regimen.
Treatment of cervical erosion during pregnancy
Treatment of cervical erosion during pregnancy requires a special approach. Such common methods of erosion therapy as cryodestruction, laser therapy and diathermocoagulation can be carried out after childbirth. And during pregnancy, only gentle and supportive therapy is used.
Treatment should be as careful as possible, aimed primarily at inhibiting the erosive process and preventing the development of an inflammatory reaction.
The use of drug treatment is complicated by the fact that not all medications can be used during pregnancy. Therefore, many specialists, in the absence of complications, prefer to simply observe erosion and control its development right up to childbirth.
If a woman experiences discomfort, a burning sensation, or is bothered by discharge (especially bloody), then the doctor may prescribe the following medications:
- - methyluracil (vaginal suppositories) - twice a day (morning and night) for 10-14 days;
- - candles with sea buckthorn (sea buckthorn oil) - from one to two times a day for 8-15 days;
- - when inflammation occurs - antiviral agents and antibiotics on an individual basis and depending on the results of bacterial culture.
Some women prefer to turn to traditional medicine, but the vast majority of traditional medicine specialists do not welcome such treatment, especially during pregnancy. Traditional methods of therapy usually include the use of herbal ointments, tampons, and douching. Pumpkin pulp, celandine grass, aloe juice, decoctions of oak bark, calendula, chamomile, as well as propolis, natural honey and mumiyo are used as a base. We do not recommend using alternative treatments during pregnancy without first consulting a specialist!
Prevention of cervical erosion during pregnancy
Prevention of cervical erosion during pregnancy is very important, because it is much easier to prevent the disease than to treat it. In order to reduce the risk of disease, you should follow simple and accessible rules:
- undergo preventive examinations by a gynecologist at least 1-2 times a year for timely detection and treatment of the problem;
- observe the rules of personal hygiene - take a shower every day and put on clean underwear, change hygiene products on time during menstruation;
- it is desirable to have one permanent sexual partner;
- if you have casual sex, do not forget to use condoms;
- if pregnancy is not in your plans, use contraception, since any artificial termination of pregnancy represents a significant injury to the genital organs and the entire body as a whole;
- Any inflammatory diseases of the genital area should be treated promptly.
And one more thing: if you have any suspicious symptoms (discomfort, discharge, burning sensation, nagging pain), you must see a doctor. This applies to all women without exception, including pregnant women.
Prognosis of cervical erosion during pregnancy
Why do many doctors not advise getting pregnant with untreated cervical erosion? What can be the prognosis for cervical erosion during pregnancy?
The fact is that erosion increases the risk of complications during pregnancy, such as spontaneous termination of pregnancy (miscarriage), premature labor, early rupture of the placenta and premature rupture of amniotic fluid.
Rupture of tissue damaged by erosion during labor is much more likely to occur than with a healthy cervix.
Erosion can turn into a source of infectious and purulent complications in the postpartum period.
Of course, one should not always expect a negative prognosis. Regular monitoring and preventive conservative treatment of the disease allow many women to fully carry their pregnancy to term and give birth to a healthy child. Therefore, cervical erosion during pregnancy is allowed, although it requires constant medical supervision.
Pregnancy after cervical erosion
Is pregnancy possible after cervical erosion? Of course, it is possible: the theory about possible infertility after cauterization of erosion has not been confirmed. So before planning a pregnancy, it is very important to complete the full course of therapy. Of course, erosion itself may not affect conception in any way, but in the presence of an erosive surface, an ideal environment is formed for the growth and reproduction of pathogenic microorganisms, which, in turn, can provoke various inflammatory diseases.
Usually, if there are no complications and the healing process proceeds normally, you can plan a pregnancy within a month after treatment. If the treatment of erosion proceeded with complications, or the erosive surface was of significant size, conception will have to be postponed for up to six months, depending on the doctor’s decision.
If erosion is not treated, then the consequences for pregnancy can be negative:
- inflammatory diseases of the genital organs;
- spontaneous termination of pregnancy;
- malignancy of the erosive process;
- premature birth;
- premature rupture of the membranes.
Doctors agree that cervical erosion before pregnancy should be cured, if not surgically, then by a conservative method. If the disease is discovered already during pregnancy, then it is recommended to postpone treatment until the postpartum period, without stopping, however, to monitor the erosion. Since there is a danger of erosion turning into a malignant disease, you should regularly consult a gynecologist during pregnancy.
Mandatory treatment, even during pregnancy, is subject to large erosion, or erosion that has already become inflamed.
For people who are not well versed in medicine, the diagnosis of “cervical erosion” during pregnancy may sound alarming. A site for mothers will help you understand what this concept includes and what the consequences may be.
What is erosion?
A non-healing defect in the cervical epithelium, which is called cervical erosion, looks like redness on the walls of the cervix. Often, during the first examination in the gynecological chair, a pregnant woman learns the unpleasant news about erosion. Erosion is one of the most common diseases of the female genital organs.
Erosion in pregnant women: causes and symptoms
Only special tests can determine why erosion occurred. If no infections are detected, then it could develop due to hormonal imbalance, stress or injury.
In a pregnant woman, erosion can occur naturally when the uterus increases in size following the fetus. Doctors call this condition cervical inversion, and it is caused by physiological reasons. For example, you can also read about other pathological conditions of the uterus during pregnancy on the website.
Erosion, for the most part, does not make itself felt. It causes almost no discomfort or pain, which is why it is very difficult to diagnose in the early stages, and more often than not, by accident.
If erosion appeared before your pregnancy, now that you are expecting a child, this condition may worsen due to hormonal changes in the body. Then you may observe the following symptoms:
- Pain during sex;
- Bloody discharge after sex that is not associated with menstruation;
- Uncharacteristic discharge in the form of mucus or pus.
Discharge during erosion in pregnant women may be a harbinger miscarriage or diseases of the genital tract, accompanied by infection. In this case, you should definitely visit your doctor so that he can establish an accurate diagnosis.
If there is an infection, it can adversely affect the woman’s health and disrupt the development of the child, so the site recommends undergoing all examinations and tests on time.
Diagnosis of erosion in pregnant women
This disease is diagnosed by visual examination using gynecological speculum.
However, an examination by a doctor is only half the battle; an accurate diagnosis is confirmed only after passing the tests.
The main analysis is a flora analysis - it is done at every examination by a female doctor, regardless of whether you are pregnant or not. If the analysis does not reveal any abnormalities, then the gynecologist will most likely advise you not to treat visible erosion before birth.
Why is cervical erosion dangerous during pregnancy?
If you have been diagnosed with erosion, put aside your fears and worries. It will not affect your baby's intrauterine development in any way. We can also say with confidence that the state of pregnancy will not affect the erosion in any way, it most likely will not increase and its condition will not worsen.
This defect will not affect childbirth in any way. Therefore, we can conclude that cervical erosion during pregnancy is nothing more than a concomitant diagnosis. Therefore, it is not treated in any way for pregnant women, but is postponed until the woman gives birth and has fully recovered.
Erosion can be dangerous if it is also found infections – gonorrhea, herpes, trichomoniasis, HPV, chlamydia etc., they can cause complications in the form of pathology of fetal development or miscarriage.
Treatment
As already mentioned, if tests and colposcopy show negative results, then cervical erosion in pregnant women cannot be treated, but carried over to the postpartum period. However, a note about the presence of a cervical defect must be made in the patient’s medical record. This is done so that doctors who will deliver the baby take this fact into account.
If the doctor still insists on treating erosion, then it is carried out with the help of medications that are designed to slow down the process of damage to epithelial cells. Therapy is carried out locally - lotions are applied to the affected areas.
In parallel with the treatment, they also carry out treatment of the real cause of the disease. After eliminating the true cause, erosion may disappear on its own. Erosion is not cauterized in all pregnant women, since a miscarriage may occur after this procedure.
Erosion cannot be left to chance and not treated. You may want to delay treatment until postpartum because Sometimes after childbirth it goes away on its own. But this defect can also progress, namely, the affected area on the cervix may increase, which occurs due to injuries received during childbirth.
In this article we tried to shed light on the question “how does cervical erosion affect pregnancy.” It should be noted that after childbirth, you must not forget about your women’s health and take care of the treatment of erosion, as well as Visit your gynecologist regularly to make sure that the disease does not progress.
Cervical erosion during pregnancy is caused by the proliferation of columnar epithelium. Irregularities develop on the mucous surface of the organ, which in most cases are not dangerous. The pathology practically does not manifest itself in anything, but it can be detected by bloody discharge that appears in the early stages of pregnancy. Most often, ectopia (erosion) is detected in the expectant mother when she undergoes a routine gynecological examination.
Reasons for the development of the disease
The pathology develops both before the moment when the woman was able to, and during pregnancy.
The problem may arise due to the following factors affecting the woman:
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Erosion has a dangerous effect on pregnancy when the pathology is advanced. The consequences of such a disease can lead to the following results:
- infection by pathogenic bacteria of the mucous surface of the cervix and the developing fetus;
- tissue rejection on the reproductive organ, causing premature birth, and in some cases this leads to the death of the child, because a miscarriage occurs.
In most cases, erosion is treated, since during pregnancy any intervention poses a danger to the life of the expectant mother and fetus. Only in 17% of the total number of patients with erosion are treated during the gestation period to avoid complications during childbirth.
Signs of erosion development
Secretion during erosion on the cervix of the expectant mother differs from similar secretions in the absence of pregnancy by increasing intensity. The main symptoms of the disease during pregnancy are considered to be various colored discharge.
Most often it is ichor or brown mucus. It appears after sexual contact or during tests when examining a woman in a gynecological office. The epithelium on the cervix bleeds when eroded, so instead of brown spots, some women have a bleeding uterus. Eruptions of this kind occur at different stages of pregnancy, but they are not abundant.
At this moment, the cellular structures of the epithelium on the cervix are deformed and vulnerable. Various bacteria and viruses can enter the reproductive organ. With advanced erosion, the bleeding surface of the epithelium under the influence of microbes produces yellow discharge due to the presence of pus in it.
With severe erosion, they can turn green. These are symptoms of the development of various venereal lesions. Most often in such cases, upon examination, a woman is diagnosed with gonorrhea, and sometimes syphilis. Fungal infections of the cervix also give similar symptoms.
Since the expectant mother has reduced immunity during conception and development of the fetus, microorganisms easily penetrate the mucous surface of the columnar epithelium of the cervix and begin to multiply there. If the expectant mother notices suspicious discharge, then she should urgently seek medical help and undergo an examination, since delay can lead to infection of the fetus, and then provoke a miscarriage.
If there is pus in the discharge, doctors in some cases discover placental abruption in a woman. This can lead to premature labor or miscarriage.
In case of any discharge, the expectant mother must undergo an examination, tests, smears, etc. If the diagnosis does not reveal an infectious disease, then the erosion will begin to be treated after childbirth, since this phenomenon does not harm the mother and child.
Therapeutic measures
If, when diagnosing the disease in a pregnant woman, no infection with sexually transmitted or fungal infections or placental abruption is detected, and the discharged mass looks like bloody mucus, then doctors do not use drug treatment in the form of drugs or tablets with general effects. Most often, local remedies are prescribed. The woman is given the opportunity to give birth to the baby, making sure that there are no complications. Only after this does the treatment of the erosion itself begin.
If the patient has copious colored discharge, the specialist prescribes drugs that promote blood clotting.
Previously, doctors used cauterization for cervical erosion, even during pregnancy. But now such methods are not practiced due to the presence of a large number of complications.
Sometimes medical intervention is required, for example, if the erosion is in an advanced state. Then the expectant mother has to be treated using laser equipment or radio waves. Sometimes correction of the epithelium with liquid nitrogen or elimination of excess epithelium with electric current is used.
All these treatment methods are carried out under general or local anesthesia, so the patient feels virtually no pain. But she must follow all the doctors’ recommendations during the rehabilitation period, otherwise complications may arise or the disease may relapse.
Modern treatment methods have virtually no effect on the health of mothers and their babies.
Prevention
Local remedies are most often used to prevent discharge. These include medicinal tampons, which are soaked in decoctions of calendula, chamomile or string. Strong herbal infusions (but not alcohol solutions) are used for impregnation. The tampon is placed as deep into the vagina as possible.
You can also use tampons with honey for prevention, which is wrapped in 5-6 layers of gauze and then placed in the vagina. Gynecologists advise women to use suppositories with sea buckthorn.
Prevention can be carried out using douching, pouring chamomile decoctions or strings into the vagina with a medicinal bulb under low pressure for 6-7 days.
Cervical erosion is often detected in women during examination for delayed menstruation and confirmation of pregnancy. Naturally, the most pressing questions become whether she will be able to give birth safely, whether the baby will be healthy, whether treatment is necessary and in what ways. Doctors usually advise getting examined while planning a pregnancy in order to avoid problems later. But even in the case when erosion is detected already during pregnancy, most often the situation is not dangerous. The need and methods of treatment are determined by the doctor.
Content:
Causes
Cervical erosion is an abnormal change in the structure of the mucous membrane (epithelium) of the cervix in its vaginal part. Distinguish true erosion And pseudo-erosion (ectopia). With true erosion, cracks appear on the vaginal part, into which the cells of the columnar epithelium lining the cervical canal enter and grow. With ectopia, no surface damage occurs. Redness and thickening of the tissue appears in the area of contact between the internal columnar epithelium of the canal and the outer squamous epithelium of the cervix.
Changes appear both before pregnancy and during it. Pathology occurs as a result of diseases of the reproductive and endocrine systems. There are other reasons for erosion:
- hormonal shift;
- natural weakening of the immune system;
- sexually transmitted infectious diseases (chlamydia, herpes, trichomoniasis and others);
- an increase in the size of the uterus and changes in the structure of the epithelium;
- increase in body weight.
If the cervix was injured during a previous birth or abortion, this also contributes to the occurrence of erosion.
Is erosion dangerous during pregnancy?
After the pathology is detected, the woman is required to be examined for the presence of infectious diseases and cancer. If no diseases are detected, then cervical erosion during pregnancy does not pose a danger, and its treatment is carried out after childbirth.
If, when erosion is detected, tests show the presence of infectious diseases, then the danger is as follows:
- Some infections present in the mother's body (human papillomavirus, gonorrhea, herpes, trichomoniasis, chlamydia) lead to impaired fetal development, the appearance of physical abnormalities and mental retardation in the unborn child.
- In the early stages, the infection causes endometrial damage and miscarriage.
- In the later stages, complications may occur during childbirth (too early discharge of amniotic fluid, premature birth).
- Infection of the birth canal leads to infection of the fetus and the birth of a child with diseases such as conjunctivitis, otitis media, and pneumonia.
If the erosion is advanced, there is severe dysplasia (the epithelium of the cervical canal is turned outward), the size of the affected area is large, and there is a possibility of malignant degeneration, then the erosion is treated without waiting for childbirth. During pregnancy, a small erosion of the cervix may increase in size. If so far she has not shown anything, then during this period the woman may experience profuse mucous yellow discharge, pain during sexual intercourse, and sanguineous discharge, which is sometimes mistaken for menstruation.
Diagnosis of the disease
If erosion is detected in a pregnant woman during a visual gynecological examination, clarifying tests are done. A vaginal smear is examined to determine the presence of bacteria and viruses. A colposcopy is performed, an examination of the vagina and cervix through optical magnification of individual areas. This method allows you to distinguish erosion from cervical cancer.
If there is severe dysplasia, which often degenerates into a malignant tumor, or suspicion of oncology, then a biopsy is taken by plucking out a piece of the affected tissue. It is examined under a microscope to determine the structure of the cells.
Addition: A biopsy during pregnancy is only used in very serious cases, as plucking the tissue can cause dangerous bleeding.
Video: Is it necessary to treat erosion during pregnancy?
Treatment method
The need for treatment of cervical erosion during pregnancy is determined individually based on the results of the examination. Treatment is carried out to prevent exacerbation of the disease.
In the presence of infections dangerous to the fetus, if a malignant degeneration of erosion is detected, the pregnancy is artificially terminated in the 1st trimester. With later detection, the possible risk for the mother and child is assessed, and a decision is made to continue the pregnancy or terminate it.
To treat pathologies caused by inflammatory and infectious diseases, antibiotics and antiviral drugs are prescribed. If a smear shows the absence of infectious diseases of the internal and external genital organs, then erosion does not pose a threat to the course of pregnancy, has no effect on the child, and does not affect the course of labor. Treatment is postponed and carried out 2 months after birth.
The gynecologist leading the pregnancy periodically examines the affected area and also takes a smear for infections. If a pregnant woman has even mild dysplasia, then a repeat colposcopy is done every 3 months to monitor changes.
Cauterization of erosion during pregnancy is not done by any means. This can cause bleeding in the woman and death of the fetus. Sometimes, if you are concerned about itching, bleeding, or discomfort, the doctor prescribes suppositories with methyluracil (a wound healing agent) or sea buckthorn.
Note: Douching should not be done during pregnancy. This provokes a miscarriage. In addition, the site of erosion is easily injured, which leads to bleeding. During douching, you can introduce an infection into the vagina and disrupt the composition of the microflora.
Traditional medicine recommends using decoctions of chamomile, calendula, celandine, St. John's wort and yarrow for drinking to treat cervical erosion during pregnancy, as well as honey, propolis, mumiyo, aloe, pumpkin pulp, oak bark, and sea buckthorn oil for making tampons.
When using traditional methods, you must remember that components can cause allergies and other side effects. You should consult your doctor before using such products.
Video: Treatment of cervical erosion with sea buckthorn oil