What is endocervicitis? Endocervicitis (cervicitis) is a disease characterized by inflammation of the cervix. It is characterized by cloudy, mucous or purulent discharge, dull pain in the lower abdomen, pain during urination, pain during intercourse. Chronic cervicitis, which has not been treated, can lead to cervical erosion and the global spread of infection.
Cervicitis is an infectious disease, and it can be caused by the following groups of bacteria - chlamydia, gonococcus, trichomonads, and sometimes other microbes.
Symptoms of the disease
In the acute form of the disease, patients have abundant discharge, as well as dull pain in the lower abdomen. In addition, hyperemia and edema often occur, openings of the cervical canal, ulceration and hemorrhage, protrusion of the mucous membrane.
Depending on the nature of the pathogen, the signs that endocervicitis manifests itself, the symptoms of “gonorrheal” cervicitis, for example, usually manifest immediately and acutely, all the signs of the disease are clearly visible, it is the latter that distinguishes gonorrheal cervicitis from chlamydial, in which these symptoms must be carefully detected .
If the patient has cervicitis, treatment is not carried out and the disease continues to progress calmly, then after a while it will turn into a chronic process, which is characterized by pseudo-erosion on the uterus and turbid-mucous discharge.
Diagnosis of the disease
Cervicitis can often be asymptomatic, so patients rarely consult a doctor about this disease. Most diseases are detected during a routine examination by accident or during a patient’s visit to a doctor regarding other diseases. Diagnosis of the disease is aimed specifically at identifying the causes of inflammatory processes in the cervix.
Data required for diagnosis:
- Medical examination of the cervix
- The results of colposcopy, which detail the violations in the structure of the cervical epithelium.
- Laboratory diagnostic methods, minimum backseeding and smear microscopy, as well as PCR.
An indicator of the presence of infection in a smear can be considered a large number of white blood cells. A bacteriological examination can already establish both the genus and the type of bacteria, and in addition, it will help to choose the necessary antibiotic.
Cervicitis - treatment
Today, there are a large number of different ways of treating this pathology, but, nevertheless, it is necessary to understand that the treatment of cervicitis consists, first of all, of eliminating the pathological factors that led to the development of the disease, otherwise this disease can recur after prolonged treatment, again attacking unprotected body. These factors, first of all, include immune, metabolic and hormonal disorders in the body.
The choice of the drug depends on the pathogen, its resistance to the drug, the stage of the inflammation process, focusing on these parameters, the doctor chooses an antiviral, antibacterial or any other drug for treatment.
For example, with cervicitis caused by chlamydia, tetracycline antibiotics are used, for example, monomycin, or macrolides, for example, erythromycin. In addition, if the patient is in the hospital due to the fact that he has cervicitis, treatment of his disease can be carried out not only with antibiotics and antiviral agents, but also with drugs that have a local effect. These drugs, which can be produced both in the form of creams and in the form of suppositories, provide additional protection for the body from the possible spread of the disease. But such treatment can be carried out only after antibiotics have coped with their main task and weakened the disease.