Cervical hypertrophy

Introduction to cervical hypertrophy Cervical hypertrophy is a type of chronic cervicitis. The pathogen infects the inflammatory changes caused by the cervical mucosa. The pathogens causing the disease include mycoplasma, chlamydia, bacteria, and viruses. Simple hypertrophy does not affect pregnancy. Severe cervicitis can cause endometritis, tubal oophoritis, tubal adhesions, and obstruction, leading to infertility. Cervical hypertrophy generally does not require treatment, if there is erosion, it can treat cervical erosion. basic knowledge Probability ratio: Susceptible people: women who are around 40 years old Mode of infection: non-infectious Complications: Infertility Cervical Cancer

Causes of cervical hypertrophy

Cervical gland mucus retention (15%):

Cervical gland mucus retention is one of the causes of cervical hypertrophy in women. When women's cervical gland mucus retention develops severely, cysts of different sizes are formed, which makes the female's cervix hypertrophy, causing cervical hypertrophy.

Long-term stimulation of chronic inflammation (20%):

Long-term stimulation of chronic inflammation can also cause cervical hypertrophy in women. Long-term inflammation includes chronic pelvic inflammatory disease, which can lead to cervical congestion, edema, and hyperplasia of the cervical glands and stroma, leading to cervical hypertrophy in women. Infertility.

Pathogen invasion (30%):

The pathogens causing cervical hypertrophy include mycoplasma, chlamydia, bacteria, etc. Once the patient is infected with such viruses as mycoplasma and chlamydia, the cervix will be seriously disturbed, causing cervical hypertrophy and infertility.

Intrauterine congestion (15%):

Because the uterine congestion can cause uterine connective tissue hyperplasia, it will lead to cervical hypertrophy.

Ovarian dysfunction (17%):

Because of the long-term stimulation of estrogen, the cervical basal layer of the cervix becomes hypertrophied, and the most common clinical uterine bleeding is functional.

Inflammation (20%):

Chronic attachment inflammation, pelvic connective tissue inflammation can cause fibrosis in the myometrium of the myometrium, and finally cause cervical hypertrophy.

Cervical hypertrophy prevention

1, you must change underwear, and the underwear should be wide, do not wear nylon and other non-cotton underwear.

2, the patient's underwear, used bath tub, towels, etc. use hot water to boil disinfection.

3, flushing the Yin (yin) road once a week is appropriate, so as not to cause the flora imbalance, and cause bacterial infection.

4. Stop sex life. If there are people with beriberi in both men and women, they should be treated actively.

5, for malnutrition, physical weakness or chronic diseases (such as diabetes), we must pay close attention to whether there are other parts of mold infection, actively control the primary disease, improve physical resistance.

6, the disease may be complicated with vaginal (yin) trichomoniasis, so should check whether there is yin (yin) trichomoniasis infection, if any, should be treated together.

Cervical hypertrophy Complications infertility cervical cancer

Simple cervical hypertrophy does not affect pregnancy, but severe cervicitis can cause endometritis, tubal oophoritis, fallopian tube adhesions, obstruction, leading to infertility.

1, increased vaginal discharge: typical symptoms of cervical hypertrophy patients are increased vaginal discharge. Acute cervicitis leucorrhea is purulent, with lower abdomen and lumbosacral pain, or frequent urination, urgency, dysuria and other bladder irritation. Chronic cervicitis leucorrhea is milky white mucus, or pale yellow purulent.

2, cervical congestion and edema: acute inflammation can be seen in cervical congestion and edema or erosion, there is purulent discharge from the cervical canal, when the cervical cervix can be painful. Chronic cervicitis can be seen in the cervix with varying degrees of erosion, hypertrophy, polyps, glandular cysts, valgus and other manifestations, or see the cervix mouth with purulent secretions, palpation of the cervix is hard. If it is cervical erosion or polyps, there may be contact bleeding.

3, sexual life bleeding: severe cervical erosion or cervical polyps, bloody vaginal discharge after life. Lighter can have no systemic symptoms. When inflammation spreads along the uterine iliac ligament to the pelvic cavity, there may be pain in the lumbosacral region, lower abdominal bulge and dysmenorrhea, etc., which are aggravated in defecation and sexual life.

4, infertility: sticky thick purulent vaginal discharge is not conducive to sperm through, can also cause infertility.

5. Affect normal life. For severe patients, the cervical hypertrophy has symptoms such as bloody vaginal discharge and sexual intercourse bleeding. These symptoms not only affect the mental health of women, but also harm women's normal life to a certain extent. Therefore, it is recommended that women have cervical hypertrophy. Be sure to go to the hospital for treatment in time.

6, induced cervical cancer. Because some women are accustomed to delaying their illness after getting sick, cervical hypertrophy will not be treated for a long time, which will lead to aggravation of the disease and induce cervical cancer.

Cervical hypertrophy symptoms Common symptoms Cervical pain, cervical erosion, cervical soft cervix edema

The main clinical symptom of cervical hypertrophy is increased vaginal discharge. In addition, because connective tissue hyperplasia and inflammation spread along the cervix or through the uterine ligament to the pelvic cavity, patients often complain of lumbosacral pain or perineal bulge, which is two prominent symptoms of cervical hypertrophy.

1. Cervical hypertrophy in the early stage of the disease, the general symptoms are not obvious, only manifested as menorrhagia, should pay attention to the identification of dysfunctional uterine bleeding, uterine submucosal fibroids, adenomyosis. Regular B-ultrasound examination is required to avoid misdiagnosis.

2. Cervical hypertrophy, often occurs in women around the age of 40, and often has a history of prolificacy. Therefore, for prolific women with vaginal bleeding, we must first consider the diagnosis of the disease; but for older (over 45 years old) or repeated bleeding, long-term treatment, should be diagnosed curettage, pathological examination to exclude the uterus The membrane is malignant.

3. The cervical hypertrophy manifested in this disease is uniform, the surface has no uneven nodules, the probe examination detects no deformation of the uterine cavity, and does not feel the presence of a lump.

4, increased vaginal discharge: suffering from acute inflammation, vaginal discharge is often purulent, and accompanied by lower abdominal pain, frequent urination, urgency, dysuria and other symptoms. When the inflammation turns chronic, the vaginal discharge is often milky white mucus or yellow purulent.

5, when the condition is heavier, the hypertrophic cervix surface may also appear squamous epithelial shedding and columnar epithelial hyperplasia due to injury or inflammation, forming a slight erosion. However, after treatment, the surface of the cervix will be re-covered by the squamous epithelium and its smooth appearance will be restored.

6, sexual life bleeding: severe cervical erosion or cervical polyps, can be bloody vaginal discharge or bleeding after sexual life. Lighter can have no systemic symptoms. When inflammation spreads along the uterine iliac ligament to the pelvic cavity, there may be pain in the lumbosacral region, lower abdominal bulge and dysmenorrhea, etc., which are aggravated in defecation and sexual life.

Cervical hypertrophy

The diagnosis methods for cervical hypertrophy are mainly TCT screening, cervical scraping and colposcopy biopsy.

Cervical smear examination

Cervical hypertrophy has traditionally used cervical smear to screen for cervical disease, but the cervical smear is limited by a number of objective conditions, and the proportion of false positives of a single blade is higher. Therefore, if the cervical smear alone to screen for cervical disease must be negative for more than 3 consecutive tests, the diagnosis can be confirmed. However, if an experienced doctor has a colposcopy, the reliability of a single time is over 95%.

Colposcopy

The colposcope is a magnifying glass with a powerful light source. Because the colposcope can enlarge the lesion 10 to 40 times, you can observe the slight lesions that are not visible to the naked eye of the cervical epidermis, and then help to distinguish it with 3%~5% acetic acid solution. Cervical cell changes are benign or malignant; biopsy under colposcopy can increase the positive detection rate and assist in early detection of precancerous and cancerous changes.

If cytological analysis is used, combined with colposcopy and microscopic biopsy, the diagnostic accuracy of precancerous lesions and early invasive cancers will be greatly improved. Therefore, the combination of cervical scraping and colposcopy can improve the probability of diagnosis, and is an important measure for early treatment of cervical diseases and other reproductive diseases.

TCT examination

Screening type of cancer screening test, through TCT can distinguish a large number of surface exfoliated cells to see if there are adverse cells or even malignant cells, is a very important cervical cancer screening test for married women.

TCT is a cervical cytology method using a liquid-based cytometer produced in the United States. Traditional cervical smears or scrapers, only a very small number of cells are coated on the slide, and more than 80% of the cells will be discarded, not only missing more cells, but also leaving many components that obstruct the observation under the microscope ( Such as mucus, impurities, blood cells, etc., so the positive detection rate is quite low; and liquid-based cytometry using complete cell preservation technology and high-precision filtration membrane cell collection technology, the clinical components of the specimens can be almost 100 % can be collected, so that the test cell layer is thinly and uniformly coated on the slide, which greatly improves the positive detection rate of the specimen. TCT detection technology can detect more precancerous lesions, and better achieve the purpose of "early detection, early diagnosis, early treatment".

HPV-DNA detection

HPV infection is an essential factor in the pathogenesis of cervical cancer. Colposcopy can see the surface lesions, but it is often a more advanced lesion. Therefore, HPV-DNA detection can be detected and treated in time in the early stage of canceration.

Cervical hypertrophy self-diagnosis

Irregular vaginal bleeding: Patients with cervical polyps may present with hemorrhagic vaginal discharge or post-intercourse bleeding during daily life. Patients with mild disease may have no systemic symptoms. When inflammation spreads to the pelvic cavity along the patellofemoral ligament, the lower abdomen has a feeling of bulging and dysmenorrhea.

Increased vaginal discharge: In patients with acute cervicitis, the vaginal discharge will gradually increase with the development of the disease, and it is purulent. In severe cases, bladder irritation such as frequent urination, urgency, and dysuria may occur.

Infertility: viscous vaginal vaginal discharge is not conducive to passing through in daily life, which can cause infertility in daily life. This disease often manifests as excessive menstrual flow in daily life, and the cycle is shortened to about 20 days.

Diagnosis and differentiation of cervical hypertrophy

1. Uterine hypertrophy in the early stage of the disease, the general symptoms are not obvious, only manifested as menorrhagia, should pay attention to the identification of dysfunctional uterine bleeding, uterine submucosal fibroids, adenomyosis. Regular B-ultrasound examination is required to avoid misdiagnosis.

2. Uterine hypertrophy, often occurs in women around the age of 40, and often has a history of prolificacy. Therefore, for prolific women with vaginal bleeding, we must first consider the diagnosis of the disease; but for older (over 45 years old) or repeated bleeding, long-term treatment, should be diagnosed curettage, with the use of Miao medicine cervical fumigation Fang treatment, do a pathological examination to rule out malignant changes of the endometrium.

3. The uterine hypertrophy manifested in this disease is uniform, the surface has no uneven nodules, the probe examination detects no deformation of the uterine cavity, and does not feel the presence of a lump.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.