Do pain occur with cervical erosion? Pain in the lower abdomen after cauterization of cervical erosion. Can uterine erosion hurt?

23.10.2023 -

Cervical erosion is considered an asymptomatic disease, as it occurs with an implicit clinical picture, which is ignored by many patients. However, its signs may still appear. The article describes the clinical picture of cervical erosion, symptoms and signs that help recognize the disease in the early and late stages.

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Symptoms

Symptoms of cervical erosion are nonspecific and may not actually manifest themselves in the early stages. They cause only occasional discomfort, which can be attributed by the patient to other reasons. Usually, this is uncharacteristic discharge and some discomfort during sexual intercourse. Due to such mild symptoms, in the early stages this disease is diagnosed, most often, by chance.

At later stages, slightly more characteristic symptoms may appear. The discharge can become very uncharacteristic (especially when an inflammatory process is associated). Pain may occur during intimacy. Sometimes spotting bleeding appears after intimacy and for no reason. More information about symptoms can be found in the article “Discharge during cervical erosion.”

Symptoms vary slightly depending on what type of erosion is diagnosed.

True

How to detect cervical erosion at an early stage? At this stage, the most characteristic signs are:

The volume of leucorrhoea increases, blood impurities may appear in it in a small volume, which may be indicated by a change in its color;
Bloody discharge occurs after intimacy and disappears within a few hours after it or faster.

Pain during cervical erosion usually does not appear. However, in extremely rare cases, at the middle stage of development of the pathology, discomfort and mild pain may occur during sexual intercourse. Sometimes they can be present after it. At this same stage, spotting appears without connection with the menstrual cycle or sex.

In more advanced stages, pain intensifies. They can occur not only during sexual intercourse, but also when using a tampon. At this same stage, a significant inflammatory process may develop. It leads to the appearance of purulent vaginal discharge.

Congenital

What are the symptoms of cervical erosion if it is congenital? Most girls are born with this pathology. It progresses until adolescence. It may degrade and pass on its own.

This type of pathology is most often diagnosed by chance. It is completely asymptomatic, and the girl may not be aware of the presence of pathology, since girls are not specifically examined by a gynecologist. Such damage often occurs in girls who are not sexually active, as well as in nulliparous women.

Congenital erosion does not bother the patient at all. Sometimes it is not even recommended to treat it. In extremely rare cases, it can progress further, acquiring a severe form. In this case, the symptoms will be the same as with true erosion.

Pseudo-erosion

This is a condition resembling true erosion. It may even be misdiagnosed. However, this is a different phenomenon, differing primarily in the nature of changes in epithelial cells. It develops due to hormonal imbalance. The most common cause is excess estrogen in the blood.

This is a rather unpleasant condition. It is dangerous because it can develop into fibroids (if the hormonal levels are not equalized). And that, in turn, sometimes transforms into cancer.

The symptoms of this disease are also quite few. In the initial and middle stages it does not appear at all. In later stages, the same symptoms may appear as in true cases, but usually there is no bleeding.

In this condition, inflammatory processes often occur. Because of this, pain occurs during sexual intercourse. The nature of vaginal discharge may also change.

Advanced erosion: symptoms

We can talk about advanced erosion when the disease has reached an advanced stage of development. Moreover, it usually spreads both deep into the epidermis and across the surface of the cervix. At this stage of the disease, the affected area already covers the entire vaginal part of the cervix, and also, sometimes, the hidden part. The process actively develops in depth, capturing not only the first third of the epidermis from the outside, as in the first stage, but spreading to two thirds or its entire thickness.

Treatment at these stages is complicated. Sometimes cauterization no longer helps. In rare cases, surgical removal of part of the cervix is required.

Signs of cervical erosion at this stage are quite severe:

Regular bleeding not associated with sexual intercourse or the menstrual cycle;
Sufficiently prolonged bleeding after sexual intercourse, as well as bleeding during it;
Severe pain during sexual intercourse;
The presence of constant uncharacteristic discharge of one type or another, with an uncharacteristic odor;
Frequent occurrence of infections, fungi, etc.

At this stage, the woman already begins to notice deviations. They become impossible to ignore. For this reason, she consults a doctor. Since erosion is asymptomatic before this, most often the diagnosis occurs at this stage.

Symptoms of inflammation during erosion

Infectious and inflammatory processes (as well as fungal ones) are frequent companions of erosion. This is due to the fact that the presence of such a pathology weakens local immunity. As a result, when a bacteria or fungus gets on the mucous membrane, the body cannot protect itself from it. The pathological agent begins its action and the disease develops.

Can erosion hurt in a calm state? No, in the absence of inflammation and external influence, erosion does not hurt. The appearance of pain indicates that inflammation of the cervical erosion has begun.

The pain can be very severe, especially during sexual intercourse. Also sometimes they are present in a calm state. A pulling sensation appears in the lower abdomen and mild pain in this area, which may intensify over time. And also lower back pain.

Vaginal discharge may contain large amounts of blood. Sometimes they acquire a mucopurulent character. There is a distinct odor of pus. A traditional picture of the inflammatory process is formed. Depending on its type, itching and swelling of the vagina and external genitalia may also occur.

If the inflammatory process is started, then signs of general well-being appear. This may include chills, increased sweating and fever. Weakness, drowsiness, and a constant feeling of fatigue also appear.

Treatment

Erosion therapy is carried out using three main approaches: medication, cauterization and surgical removal of part of the cervix. Cauterization can also be varied: laser, thermal, cryodestructive, radio wave and others. Operations are performed only in cases of severe damage.

All breast diseases can be divided into 2 large groups.

The first group is inflammatory diseases (mastitis), they are possible during lactation (when a woman is breastfeeding).

The second group of diseases is called the terms: “fibrocystic mastopathy”, “mastopathy” or “dishormonal hyperplasia”.

In this article I will tell you about the causes and signs of the second group of diseases - mastopathy.

And I will tell you in detail what to do if mastopathy is detected.

What is mastopathy?

Mastopathy is benign breast disease (breast cancer).

According to the latest data, approximately 75-80% of women aged 20-45 years have breast diseases, which are collectively called “mastopathy”. (N.I. Rozhkova 1993).

The relevance of this topic is due to the high prevalence of this condition and the fact that in women with mastopathy the risk of developing breast cancer increases by 3-5 times.

How does mastopathy manifest?

The most common symptom of breast disease is pain, most pronounced a few days before menstruation. As a rule, pain decreases after the start of menstruation.

A woman may find areas of compaction on the breast that are painful when touched.

Under the hand, they feel like strands, balls, bunches of grapes or many small nodules - cysts.

There may be discharge from the breast nipple - serous, similar to colostrum or even greenish.

Mastopathy is divided into diffuse and nodular forms.

Unfortunately, many women and even doctors believe that fibrocystic breast disease is a “normal” condition for women. However, we must remember the increased risk of breast cancer, not to mention the pain and discomfort that accompanies this disease.

Therefore, women themselves should be attentive to the appearance of the first symptoms of mastopathy and consult a doctor in time to clarify the condition. It is also important to independently follow a number of recommendations that will improve your health.

Causes of mastopathy

Abnormal reproductive behavior

Primary cause of mastopathy- imbalance between estrogens and progesterone (female sex hormones).

What can you do to help yourself?

Diet

Make sure you have enough iodine in your diet.

Also useful are foods containing: fiber, omega-3, omega-6 fats, vitamin E (whole grains, fruits, vegetables, seeds and nuts),

Beta-painting (found in vegetables that are bright red, orange, yellow or dark green).

Try not to eat a lot of simple carbohydrates, as this leads to hyperestrogenism.

Nutritional supplements

Evening primrose oil – contains gamma-linolenic acid. Take 2 capsules of 500 mg 3 times a day.

Vitamin B complex

Vitamin B6,

Vitamin E,

Vitamin C,

Bioflavonoids,

Beta carotene,

Breastfeeding reduces the risk of disease

Breastfeed as much and as long as possible!

Breastfeeding certainly reduces the risk of breast cancer. During breastfeeding, exposure to high levels of estrogen, as occurs during the menstrual cycle, ceases.

Watch a free lecture about breastfeeding "Breast-feeding in questions and answers."

And be sure to consult a doctor to monitor your condition.

2016-09-12 09:15:43

Jean asks:

Hello, my period is 5 days late, two days before my period I had sexual intercourse and the condom remained in me, after I no longer have my period and my chest hurts, my lower abdomen is tight, the test and hCG are reflective, I have cervical erosion, I put Depantol suppositories for 10 days , what could be the reason? Can candles have an effect?

Answers:

Hello Jean! Among the side effects of this drug there is no delay in menstruation. Read about the possible reasons for a delay in menstruation and the actions that need to be taken in such a situation in the popular science article on our medical portal. Take care of your health!

2016-06-04 09:21:08

Snezhana asks:

Hello, I have had cervical erosion after childbirth for almost 5 years, now for the third day the discharge is bloody and my lower abdomen hurts, what could it be? I have an appointment with the doctor for Monday

Answers Bosyak Yulia Vasilievna:

Hello, Snezhana! On what days of the menstrual cycle do you experience bleeding and pain? Does it have something to do with sexual intercourse, for example? Theoretically, erosion can provoke discharge and pain in the lower abdomen, so I advise you to have a visual appointment with a gynecologist.

2015-12-17 11:23:44

Olga asks:

Good afternoon. four months ago I had chest pain, I went to the gynecologist and he said mastopathy + cervical erosion. a month later I had a laser and an ultrasound of my breasts... They said everything was fine, no changes. But now they both hurt and have gotten worse... I took a pregnancy test, it was negative... the doctor prescribed me to take cyclodinone for three months, two have already passed... and the pain is still there... it’s not great, but it’s not very comfortable to sleep and when I touch them there is also discomfort... what could it be? Thank you)

Answers Medical consultant of the website portal:

Hello Olga! It is necessary to continue the examination and, first of all, donate blood to assess the levels of hormones of the pituitary gland, thyroid gland, adrenal glands and ovaries. This is best done under the guidance of an experienced endocrinologist-gynecologist. Most likely, the examination will reveal changes that require correction. Particular attention should be paid to the condition and function of the thyroid gland. Take care of your health!

2015-03-22 03:28:48

Evgenia asks:

The breasts became painful (when pressed) from the middle of the cycle (cycle approximately 28 days). I saw a surgeon (since we don’t have a mammologist, they advised me to see a surgeon), the doctor said that the breasts were thickened, and this was due to hormones, and prescribed an ultrasound (I haven’t had one yet). A day later, while examining my breasts in front of the mirror, I noticed that when I pressed the nipple, a little transparent white liquid came out. I was very scared - suddenly I was pregnant, and this is not necessary now. Now my breasts almost don’t hurt (now I’m on day 23 of my cycle), only when I press under my breasts, as if something were pricking me. I took a pregnancy test, negative, and it’s too early, I think. Recently I cauterized cervical erosion. Could this be related to cauterization? With pregnancy?
I don’t take any pills, my cycle is irregular. I'm 18.
Thank you in advance.

Answers Demisheva Inna Vladimirovna:

Good afternoon, no, it is not related to moxibustion, these are just dishormonal changes, you need to take a blood test for hormones and select herbal medicine based on them

2015-03-07 07:27:21

Anya asks:

Hello. I am writing from Canada because I need medical advice. I’m 22, I’m sexually active with only one partner, but not regularly, because I’m studying abroad. About 4 years ago I was diagnosed with cervical erosion and underwent chemocoagulation + suppositories. She left. In December 2014, I had a cold twice, came home, and during a regular examination, the doctor found it again. The flora was clear, only slightly elevated CMV in the blood after a cold. They gave me suppositories for flora, which I don’t remember, and immunomodulators. Now it’s March, everything was fine, but from 2-3 weeks I noticed a lot of gel-like discharge, strange sensations in the lower abdomen, like PMS but in the middle of the cycle, and then there was a yellow-greenish discharge and even a piece of coagulated blood. I went to a gynecologist, he looked at it and even said in his eyes that yeast was possible (everything was white and there was red erosion). But in Canada they don’t treat it because they don’t even diagnose it as a problem. I took tests, but there are no results yet. I started making suppositories, whatever I had with me, Kyzyl-Mai with propolis and douching with chlogrexidine two days before bed. A couple of pieces of epithelium came out as if after cauterization. What to do now, how to treat, how to help yourself at home in Canada (you can’t buy suppositories here, but the doctor didn’t prescribe anything, he told me to walk around for a month, then check), what medications can I order? There are only chamomile and calendula in herbs, these suppositories and chlorhexidine. I'm very worried about this. Help me please. Thank you in advance.

Answers Zharov Valery Valerievich:

Anya, good evening! Based on the complaints you described, it really does look like yeast vaginitis, but without laboratory confirmation, such a diagnosis cannot be made. By cervical erosion, we mean many conditions from normal (ectopia) to pathology (true erosion, dysplasia, etc.), but not all of them need to be treated. Colposcopy and cytological examination help to distinguish between these conditions. Wait for the test results and contact your gynecologist.

2014-11-12 13:58:07

Natasha asks:

Good afternoon! I’m 22 years old. Two months ago I had a breast cancer for 7 weeks. At the 5th week they took a smear from the vagina and the leukocytes were 70. I still have cervical erosion. Cytology ASC-US. No urogenital infections. All HPV negative. Torch are all M-negative, G-positive for rubella, herpes 1,2, cytomegalovirus, parvovirus. I'm undergoing examination. Culture for microflora (urogenitis):
1 Streptococcus agalactiae 10^4 KUO/ml
2 Lactobacterium 10^5 KUO/ml. Antistreptolysin O-neg. Rheumatic tests-norm. C-reactive-norm. I did not give birth. I took tests after the antibiotic a month later. The doctor said the cause of the disease was either an accident or because... There was a bad smear (70 leukocytes) infection. After curettage of the ST, she took ofloccin for 7 days. Now I have suffered from ARVI + catarrhal tonsillitis. ENT prescribed amoxiclav for 10 days. I already suspect streptococcus as the cause of the missed abortion.
1.Can chronic tonsillitis be the cause of missed abortion? (At the time of pregnancy, my throat did not hurt)
2. Could streptococcus cause ST? (found in a vaginal smear)
3.How to remove streptococcus?

Answers Wild Nadezhda Ivanovna:

Natasha, good afternoon! You are a carrier of TORCH infection - this is the main cause of missed abortion. The presence of chronic tonsillitis is a source of infection, which can also cause missed abortion. You need to have your kidneys examined and treated by an ENT doctor. TORCH infection - consult an infectious disease specialist, because infections such as herpes, cytomegalovirus, parvovirus occur in waves: remission - exacerbation. Such an infection must be treated before pregnancy, and during pregnancy it must be monitored and treated if necessary. In addition, the presence of streptococcus in the vagina indicates reduced local immunity. Therefore, it is necessary to restore the microflora in the intestines and vagina. Treatment should be carried out in parallel with the man; examine the husband. Treat cervical erosion, it is not difficult and does not take long. Prepare for pregnancy with your husband.

2014-09-05 10:20:45

Marina asks:

Hello!
I am a mother of two children, the eldest is 4 years old, the youngest is 1.6. After the birth of my second child, there was a problem, as I was discharged from the maternity hospital, there was discharge of a very unpleasant odor. The temperature rose, but everything is fine, I recovered.
Now for a couple of days I have started to see pinkish, almost red discharge, but without clots. The stomach does not hurt, but sometimes, but the vagina does not itch very much. And there is an unpleasant smell. There is cervical erosion (but I’m not going to treat it in any way)
Tell me, please, what can it be? Is it dangerous? Do you need to urgently go to the doctor?
Thanks in advance for your answer!

15.11.2014

Regardless of age and lifestyle, any woman can experience cervical erosion. If you notice several of its symptoms, consult a doctor to avoid serious consequences.

Cervical erosion occurs due to chronic infections, disorders, increased estrogen levels, injuries and other reasons.

This disease is characterized by inflammation of the cervical cells, which occurs when the cylindrical cells of the cervical canal extend to the surface of the vaginal part of the cervix. That is, they find themselves in the wrong place.

Erosion causes irritation, redness and inflammation. Sometimes the symptoms cannot even be distinguished from early signs of cancer.

Heavy discharge, infertility, back pain and bleeding are some other symptoms that occur along with inflammation. We will tell you about why it is developing cervical erosion and how to recognize it.

Cervical erosion: what are the causes?

Any woman or even a girl can face this unpleasant disease. But most often it affects women of childbearing age. The causes of erosion are very different. Among them are (chronic or acute), carcinoma or any injury that occurred after childbirth.

Inflammation can also occur in very young women if they take birth control pills. However, prolonged use of intrauterine devices or tampons can also lead to erosion. Moreover, even their rare use can provoke the development of the disease.

Finally, women from disadvantaged social environments who have experienced several pregnancies, get married early or do not maintain hygiene are more at risk of encountering cervical erosion.

We recommend that you closely monitor your health and pay attention to any inflammation, as cervical erosion can lead to. The longer you suffer from it, the more complications it can cause later.

Symptoms of erosion

Very often, erosion is discovered by a gynecologist during a routine examination. Many women have no noticeable symptoms, although some can still be recognized.

These include difficulty urinating, pain, bleeding after intercourse, vaginal discharge or leukorrhea.

In this case, cytological studies may not show any serious abnormalities, in addition to signs of inflammation. With erosion of the cervix, infections can develop, most often on the epithelium. Erosion creates ideal conditions for harmful microorganisms to multiply on the epithelium. This causes the cervix to become red and grainy.

Other symptoms include:

Pain in the vaginal area
Pain in the urethra
Redness
Abdominal pain
Bleeding after intercourse
Changes in the menstrual cycle
Burning
Backache

Treatment

In some cases, no special treatment is recommended. Especially if the woman herself does not notice the symptoms of the disease. However, if you suffer from pain and symptoms such as heavy discharge, bleeding after intercourse or problems urinating, it is recommended to seek specialized treatment to avoid infections and other complications.

Treatment options include properly selected medications, cryocoagulation, or laser cauterization. Even if a woman is not yet sexually active, she needs to monitor her health. So, if a cytology smear shows any deviations from the norm, you need to consult a doctor and take care of your health in order to avoid cervical cancer and other serious diseases.

Bibliography

Real Academia Española., R. A. E. y A. de A. de la L., & Española, R. A. E. y A. de A. de la L. (2014). Diccionario de la lengua española(23.a). Madrid: Espasa. Retrieved from http://dle.rae.es/ectropión
Sánchez-Hernández, J. A., Meléndez-García, I., & Muñoz-Zurita, G. (2017). Identificación de microorganismos asociados a erosión de cérvix en la Facultad de Medicina de la Benemérita Universidad Autónoma de Puebla, México. Atención Familiar, 24 (3), 121–125. https://doi.org/10.1016/j.af.2017.07.005
Solórzano, O. A. T., Camacho, J. M. S., Velásquez, J. L. L., Ruiz, D. G. S., Martínez, M. del C. G., López, J. A. T., & Osorio, M. Á. B. (2014). Ectropión cervical: factor de riesgo para lesiones precursoras y cáncer cervico uterino. Archivos Médicos de Actualización En Tracto Genital Inferior, 6 (eleven). Retrieved from http://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=52555

2016-09-12 09:15:43

Jean asks:

Answers:

2016-06-04 09:21:08

Snezhana asks:

Answers Bosyak Yulia Vasilievna:

2015-12-17 11:23:44

Olga asks:

Answers Medical consultant of the website portal:

2015-03-22 03:28:48

Evgenia asks:

Answers Demisheva Inna Vladimirovna:

Good afternoon, no, it is not related to moxibustion, these are just dishormonal changes, you need to take a blood test for hormones and select herbal medicine based on them

2015-03-07 07:27:21

Anya asks:

Answers Zharov Valery Valerievich:

2014-11-12 13:58:07

Natasha asks:

Answers Wild Nadezhda Ivanovna:

2014-09-05 10:20:45

Marina asks:

Do pain occur with cervical erosion? Pain in the lower abdomen after cauterization of cervical erosion. Can uterine erosion hurt?

Symptoms

True

Congenital

Pseudo-erosion

Advanced erosion: symptoms

Symptoms of inflammation during erosion

Treatment

What is mastopathy?

How does mastopathy manifest?

Causes of mastopathy

Abnormal reproductive behavior

What can you do to help yourself?

Diet

Nutritional supplements

Vitamin B complex

Breastfeeding reduces the risk of disease

Cervical erosion: what are the causes?

Symptoms of erosion

Treatment

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