Cervicitis in women - signs and features of treatment. Chronic cervicitis - what is it and how to treat the disease Leukocytic cervicitis

Cervicitis is an inflammation in the vaginal part of the cervical uterus. It occurs due to polymorphic reasons (from the penetration of pathogenic microflora to mechanical damage). More often observed in women of childbearing age. The initial phase of the disease is asymptomatic. Then, as the progression progresses, the characteristic clinical picture gradually appears. The disease lends itself well to elimination, but subject to timely medical attention.

Cervicitis of the cervix is ​​a sluggish lesion, the appearance of which is preceded by various factors. The inflammatory process covers the squamous mucous epithelium of the cervical canal. The progression of pathology is accompanied by pain and discharge. When the muscular layer of the neck of the genital female organ is involved in the process, the patient's condition is aggravated and requires immediate hospitalization. But in 95% of cases, women go to the doctor even with a superficial form of the disease.

In a short time, the inflammatory process can move to the inner part of the female genital organ, causing endometritis. Treatment depends on the form of the disease and the stage at the time of contacting a specialist. In addition to the main therapy, the patient is prescribed drugs to restore the natural microflora of the vagina (Ginoflor, Kipferon).

Symptoms

As the disease progresses, the following symptoms appear:

• Vaginal discharge. The secretion has an admixture of pus, is characterized by an unpleasant odor, profusion.
• Acute pain during intimacy.
• Lethargy, decreased performance, lack of appetite.
• Contact bleeding (occur immediately after intimacy).
• Burning sensation when urinating, the appearance of an unpleasant odor from urine.
• Pain at rest. Localization of an unpleasant sensation - lower back, sacral region, urogenital tract, lower abdomen.
• Increased body temperature.
• Painful periods (accompanied by spasms and general weakness).

The symptoms that the patient herself can notice are listed, the remaining signs of damage to the organ of the reproductive system are detected only during the examination. The doctor determines the presence of edema and redness of the external opening of the cervical canal, protrusion of its mucous membrane.

In aggravated clinical cases and in the chronic stage of inflammation, the specialist establishes the presence of erosions and bruises on the tissues of the affected organ. Depending on the form of the lesion, the doctor visualizes bubbles, polyps, cysts on the cervical canal - single or multiple.

Causes

The following reasons predispose to the formation of cervicitis:

1. Insufficient performance or complete non-observance of intimate hygiene
2. Low immunity
3. Frequent and incorrect use of tampons during menstruation
4. Infectious and inflammatory lesions of the reproductive system
5. Sexually transmitted infections
6. Frequent change of sexual partners
7. A history of severe labor activity (with injuries to the reproductive organs)
8. Rude sexuality, excess
9. Dysbacteriosis (not only of the vagina, but also of the intestine)
10. Use of hygiene products of questionable quality
11. Frequent and improper douching
12. Herpes or human papillomavirus

Additional reasons are latex intolerance, partial prolapse of the intrauterine device and subsequent irritation of the cervical canal.

Types and forms

The disease is classified depending on the limitation period (acute and chronic), and the type of pathogen that provoked the pathological process.

More details are given in the table.

On the basis of the considered types of disease, a diagnosis is made in a certain patient. For example, acute atrophic cervicitis or viral inflammation of the cervical canal of the cervix.

Spicy

Assumes immediate hospitalization in the department of gynecology. Thanks to the diagnosis, the presence of ovarian apoplexy, ectopic pregnancy is excluded.

Typical symptoms:

• Lower abdominal pain seen at rest
• Increase in body temperature to high limits
• Weakness, dizziness, pale skin
• Irritation inside the urethra during urination
• Mucopurulent discharge from the genital tract
• Anterior abdominal wall tension

If you ignore the violation in the acute phase of its development, the inflammatory process will take a protracted course. This form is less susceptible to elimination, it is more difficult to tolerate in terms of overall well-being, and it puts more at risk of complications.

Chronic

Chronic cervicitis is an inflammation, the exacerbation of which occurs more often than once every six months. The danger of a protracted illness is a high risk of the formation of a tumor process or dysplasia. Both conditions are unfavorable to health and life. The reason for the formation of such is the thickening of the uterine walls under the influence of prolonged inflammation.

Purulent

The main symptom is an abundant discharge of mucopurulent secretion from the vagina. It is characterized by an increase in body temperature to high numbers. The inflammation spreads quickly enough to the inner uterine part, creating a favorable condition for the development of infertility.

Viral

It is considered the most severe form of cervicitis. During the examination, the doctor reveals characteristic rashes on the cervical canal - blisters grouped into one focus, or papillomas. When leading an unprotected sex life, the patient's partner develops viral balanitis, balanoposthitis, urethritis or cystitis. A combination of the listed pathologies or the development of only one of them is possible.

Bacterial

It is the most common form of cervicitis. Typical signs of the condition:

1. Pain during urination, intimacy
2. Vaginal discharge (with mucopurulent secretion, less often with blood streaks)
3. Increased body temperature
4. Itching in the vagina

The reasons for development are non-compliance with hygiene measures (both by the woman herself and by her partner). The main signs are detected during examination on the gynecological chair.

Atrophic

Cervical tissue becomes thinner, but swelling and redness are minor symptoms. Painful sensation predominates, as well as urination disorder. The very first manifestation of atrophic cervicitis is discomfort during intimacy, a feeling of increased dryness inside the vagina.

In addition to the main treatment, this form of pathology is removed through hormone therapy. To normalize the tone of the mucous membrane of the cervical canal, progesterone and estrogens are prescribed.

Cystic

The pathological process is asymptomatic for a long time. The glands located in the cervical part of the cervical canal become inflamed. As a result, there is an increase in the columnar epithelium, and multiple cysts are formed. The inflammation is aggravated, and as a result, the general well-being of the patient. The main symptoms of the inflammatory process are determined mainly during the study, since cysts do not show specific signs.

Who is at risk

Women who often change partners; suffered trauma during childbirth; do not follow hygiene. The risk group also includes those who often perform abortions, lead an unprotected sex life (do not use contraceptives).

Possible complications

The considered type of disease creates a favorable condition for the development of infertility, erosion, polyps, inflammation of the pelvic structures. The most dangerous complication is malignant neoplasm of the female genital organ. The degeneration of physiological uterine cells into atypical ones occurs due to the inflammatory process, especially caused by viruses.

Other possible consequences are associated not only with the characteristics of the development of the disease, but also with the possible consequences of therapy. In particular, surgical treatment can cause blood to drain regularly from the operated area.

Damage to the cervical canal negatively affects the current pregnancy. The presence of an inflammatory focus in the body poses a risk of moving to the upper sections, where the developing fetus is located. Exposure to pathogenic microflora leads to the appearance in the child of intrauterine changes associated with the structure of the heart, brain, lungs.

The disease is incompatible with pregnancy, since the pathology cannot be eliminated during gestation. Violation in the cervical canal is eliminated mainly with antibiotics, which is unacceptable for a developing fetus. Also, due to the inconsistency of the cervix, cervicitis poses a threat of miscarriage or premature labor.

Which doctor to contact

Along with other diseases of the female reproductive system, the gynecologist eliminates cervicitis. You can contact a specialist of this profile without first visiting a therapist. If cervicitis has caused urinary disorders, you will need to consult a urologist.

Diagnostics

To establish the pathology of the species in question, the patient will have to go through:

1. Gynecological examination using mirrors
2. Colposcopy
3. Ultrasound using a transvaginal probe
4. Laboratory tests: determination of the pH level of the vagina, PCR diagnostics, blood, urine analysis (clinical, biochemical)

Additional types of examination depend on the root cause of the development of the disease, its age, type.

Treatment

If cervicitis occurs due to pathogens entering the vagina, the treatment is predominantly conservative. Especially when the clinical case is not burdened by the formation of cysts. But the type of disease under consideration also provides for a surgical type of treatment. Indication - the presence of neoplasms or other adverse events (dysplasia, erosion, polyps).

Coping with an adverse event involves an integrated approach, which includes:

1. Systemic antibiotic therapy
2. Use of topical remedies
3. Refusal of intimate life
4. Performing hygiene procedures
5. Dieting

Antibiotics are prescribed for injection and only if a bacteriological test is received. This method of laboratory diagnostics allows you to identify a specific causative agent of inflammation. Prescribe a daily double administration of antibiotics with an interval of 12 hours (course - from 5 days), more often - intramuscularly.

Medicines prescribed for local use are vaginal suppositories of antibacterial or antiviral properties. Contraindications for their introduction - individual intolerance, menstruation, pregnancy. The mode of administration is prescribed by the attending physician, but often - 2 p. per day at the same interval.

Sexual rest is necessary for the healing of damaged areas of the inflamed organ. Hygienic procedures ensure the timely elimination of pathological secretions (purulent, mucous membranes), thereby contributing to recovery. The use of hygienic tampons is contraindicated. Alternative treatment is reduced only to the use of sitz baths with a warm solution of chamomile. Douching for the period of treatment of the disease in question is prohibited.

• Avoiding spicy, sour, salty foods and foods
• Exclusion of coffee, alcohol, carbonated drinks, fermented milk products and fruit drinks
• Fractional nutrition that will not contribute to constipation (with inflammation of the reproductive system, this adverse phenomenon increases pain)

Surgical treatment involves the elimination of cysts, erosions or polyps through the use of liquid nitrogen, chemical solutions, and a laser beam. Electrocoagulation (cauterization of the lesion site or the neoplasm itself) has hardly been used in recent years. The reason is the high risk of side effects.

Prophylaxis

The appearance of cervicitis in the cervix in 90% of cases can be avoided if the following recommendations are followed:

1. Timely carry out hygiene procedures, avoid using tampons during menstruation
2. Refuse to lead a promiscuous sex life.
3. If latex is intolerant, use alternative methods of contraception. If you are inexperienced in the matter, you can contact a gynecologist and choose the best option for protection together with a doctor.
4. Avoid frequent douching.
5. Timely eliminate violations in the reproductive system, preventing the expansion of their spectrum and the transition to the cervical canal.
6. Refuse from uncontrolled intake of drugs that can cause intestinal dysbiosis and, as a result, a violation of the vaginal microflora.
7. If there is a suspicion of a partial prolapse of the intrauterine device, immediately consult a gynecologist.

Other preventive measures are refusal to perform abortions, strengthening immunity (through normalizing nutrition, introducing vitamins). A regular visit to a gynecologist will allow you to timely detect an unfavorable process inside the genital tract. Especially if the cervix was injured during childbirth or the woman is in an early condition after an abortion.

Conclusion

Cervicitis of the cervix is ​​a disease of inflammatory origin. It is possible not to guess about its presence in the body for a long time. Half of the symptoms are detected only during a gynecological examination. The inflammatory process itself adversely affects the general well-being, increases the likelihood of infertility or the risk of rejection of the ovum. With some types of cervicitis, not only the patient is treated, but also her sexual partner. Comprehensive treatment of pathology increases the chance of a favorable prognosis.

Video: Treatment of cervicitis in women

Cervicitis is an inflammatory process, the localization of which is concentrated in the region of the vaginal segment of the cervix. Cervicitis, the symptoms of which are characterized by a cloudy type of discharge, pain in the lower abdomen (pulling or dull), painful intercourse and urination, in its prolonged chronic form can lead to erosion. In addition, such a course of it can provoke a thickening (i.e., hypertrophy) or thinning of the cervix, as well as cause the spread of infection to the upper genitals.

general description

The cervix itself acts as a barrier that prevents infection from entering the uterus, as well as into the upper genital tract (in the form of a protective secretion, mucous plug and cervical canal). The impact of certain factors provokes a violation in its protective functions, which leads to the ingress of foreign microflora into this area, thereby contributing to the development of the inflammatory process. It is precisely this process that is cervicitis, which also includes exocervicitis (inflammation of the exocervix, or the vaginal segment in the uterus) and endocervicitis (inflammation of the endocervix, or inflammation in the area of ​​the inner membrane belonging to the cervical canal of the cervix).

The specified opportunistic microflora, provoking cervicitis, appears in the uterus through contact through the lymph and blood, as well as through the rectum. As for specific viruses, they enter the uterus through sexual contact.

It should be noted that cervicitis can develop under the influence of certain factors, which include birth trauma to the cervix, diagnostic curettage and termination of pregnancy, as well as the use of contraceptives (in particular, we are talking about the installation and removal of an intrauterine device). As factors provoking cervicitis, various types of cicatricial deformities are distinguished, as well as formations in the cervix of a benign type. A decrease in immunity is also not excluded when considering the actual factors leading to the development of cervicitis.

Features of the development of cervicitis indicate that this disease rarely occurs in isolation - basically its "companions" are certain diseases related to the reproductive system: vulvitis, pseudo-erosion or eversion of the cervix, bartholinitis.

As for the age category, the disease we are considering most often occurs among women of reproductive age (about 70% of cases of morbidity), less often cervicitis occurs with. It is noteworthy that cervicitis is one of the most common reasons for which carrying a pregnancy becomes impossible, in addition, it is cervicitis that in most cases provokes premature birth. As a consequence of this disease, polyps are formed, as well as inflammation in the upper genital tract. Cervicitis proceeds in acute or chronic form, in addition to its other varieties, which we will also consider below.

Acute cervicitis

Acute cervicitis is, accordingly, an acute inflammation that occurs in the cervix. In this case, inflammation mainly affects only the endocervical glands, while in rare cases, squamous epithelium may also be affected. Some of the researchers are of the opinion that the nature of inflammation (that is, its persistence, area of ​​localization, pathways of spread) is directly determined based on the specific type of pathogen. Gonococci, for example, infect exclusively epithelial cells belonging to the endocervical glands, while their spread occurs along the surface of the mucous membrane. If we are talking about inflammation provoked by staphylococci or streptococci, then their localization is concentrated directly in the endocervical glands, affecting the cervical stroma. The lymph flow ensures that pathogens enter other organs in the small pelvis, which, accordingly, leads to their infection.

Dwelling specifically on the symptoms, it should be noted that the first of them at the initial stage of the disease manifests itself in the form of secretions, and the nature of these secretions may be different. Meanwhile, the content of an admixture of pus in them is most often noted, while at the same time their profuse nature, which is especially important in the case of the urgency of such a disease as gonorrhea.

In addition, the acute course of the disease is often accompanied by a slight increase in temperature, the appearance of dull pain in the lower abdomen. Often there are sensations of hot flashes, concentrated in the pelvic region of the organs. In addition, patients often experience lower back pain, urinary disorders (polyuria or dysuria, an increase in urine output or a decrease in urine output, respectively) and pain in the vulva and pelvic organs during intercourse.

When diagnosing acute cervicitis, in addition to gynecological examination, microscopic examination of smears is used, as well as sowing of secretions from the cervical canal directly onto the nutrient medium.

If we are talking about the diagnosis of gonorrheal cervicitis in an acute form, then, as a rule, it is performed extremely rarely because patients refer to a doctor only in those cases in which the inflammatory process passes already to the uterine appendages. Given this, in the presence of pain in the accessory region in the acute form of the course of gonorrheal cervicitis, it is necessary to apply a slightly different treatment than in ordinary acute cervicitis, because in this case the inflammatory process has a rather specific character.

Chronic cervicitis

Chronic cervicitis is formed when the genitals are affected by various bacteria, as well as when they are affected by fungi and viruses. The onset of the infectious process in this case can occur with prolapse of the cervix or vagina, as well as with improper use of hormonal and contraceptive drugs. In addition, promiscuous sex life, poor hygiene and inflammatory diseases in the pelvic organs are associated factors in the development of chronic cervicitis.

The clinical manifestations of this form of cervicitis are determined by the specific type of pathogen, as well as the general reactivity in each specific case of the patient's body. Among the main symptoms, there are scanty mucous discharge of a cloudy consistency, in some cases an admixture of pus is possible. There is also redness of the uterine mucosa, its swelling. The acute form of manifestation of the chronic form of pathology is manifested, respectively, in a greater severity of symptoms. Again, there are dull pains arising in the lower abdomen, itching, pain and burning sensation when urinating, bleeding that occurs after intercourse.

The disease is more than serious for a woman, because the delay in treatment leads to a thickening of the walls of the cervix with subsequent hypertrophy, which contributes to the formation of another type of pathology. Due to this, the risk of possible oncological diseases, infertility and dysplasia in the considered genital area also increases.

To make a diagnosis, the uterus is examined using a colposcope and a mirror. Blood and urine are examined for the presence of sexually transmitted infections. An ultrasound scan is also performed, followed by a study of the condition of the pelvic organs.

Purulent cervicitis

Purulent mucous cervicitis provides for the presence of an inflammatory process in the area of ​​the cylindrical layer of epithelial cells, as well as the relevance of subepithelial damage to the cervical region. In addition, damage can also occur in all simultaneously areas of the columnar epithelium, which is ectopically concentrated on the outside of the cervix (that is, an unnatural displacement of the epithelium is noted).

What is noteworthy, if a woman has purulent cervicitis, it is almost certainly possible to assert that her partner is caused by a similar type of pathogens, but with great difficulties being diagnosed. Purulent cervicitis is one of the most common sexually transmitted diseases, as well as serving as the most common cause of inflammatory processes localized in the pelvic organs. In the presence of symptoms of purulent cervicitis among expectant mothers, the risk of disrupting the normal course of the entire pregnancy, as well as subsequent births, increases significantly.

As a rule, the reason for the formation of pathology lies in gonococci or in the rod of trachoma. Unofficial statistics indicate that one in three cases is marked by the onset of the disease due to exposure to ureaplasma. The symptomatology in this case is similar to the diseases caused by the herpes virus and Trichomonas. In general, purulent cervicitis is formed against the background of the course of gonorrhea.

Viral cervicitis

Viral cervicitis with its characteristic inflammatory process occurs during sexual transmission of infection. The localization of the inflammatory infectious process determines such forms of the disease as exocervicitis and endocervicitis, with damage to the external tissues of the cervix and damage to its inner part, respectively.

The generally accepted classification determines the division of the inflammatory process into a specific form of its course and a nonspecific one. The specific form is a concomitant manifestation of viral cervicitis, respectively, we are talking about a viral etiology with the actual transmission of the virus during sexual intercourse (HPV).

As a rule, women of the age of the childbearing group are affected. Among the main symptoms are painful sensations arising in the lower abdomen, general discomfort and severe itching that occurs on the outside of the genitals. In addition, discharge is noted with impurities in the form of pus or mucus. In the acute stage of viral cervicitis, the discharge is characterized by abundance, in the chronic - scarcity.

Bacterial cervicitis

Bacterial cervicitis is also quite common in cases when patients refer to a gynecologist. The disease is infectious, while its localization is concentrated in the cervical canal or in the vagina in the area bordering the cervix. Its course is accompanied by a violation of the vaginal microflora, a strong inflammatory reaction is absent.

Cervicitis proceeds exogenously, while its development occurs against the background of viruses affected by mucous membranes such as herpes, papillomavirus, or, however, there is no connection with the genital infections themselves in this case. In addition to the listed causes of bacterial cervicitis, urogenital tuberculosis is also isolated. Bacterial vaginosis is the most common cause of chronic nonspecific cervicitis.

The most common symptoms of this form of the disease are dysuria (i.e., urination disorder), dull pulling pains that occur in the lower abdomen, and painful sensations accompanying intercourse. In addition, the patients develop vaginal discharge of various consistency, with their simultaneous abundance or, conversely, scarcity. The presence of an impurity in the form of mucus or pus is also noted.

Atrophic cervicitis

Atrophic cervicitis has a number of features, but its development proceeds in accordance with the general principles relevant to cervicitis. The reasons provoking the occurrence of this form of cervicitis can be various types of diseases that form in the genitourinary system (erosion of the cervix, inflammation of the appendages). In addition, the development of an atrophic form of cervicitis is also possible with unprotected sexual intercourse, in particular when pathogens of one type or another of diseases that are sexually transmitted enter the body. Mycoplasmosis and viral diseases act as infectious agents. In addition, nonspecific infections (staphylococci, streptococci) are also isolated.

The development of atrophic cervicitis also occurs in the area of ​​the damaged area. The cause of injury in this case can be curettage, abortion, rupture of the uterus during labor. Atrophic cervicitis is accompanied by a characteristic thinning that occurs in the tissues of the cervix. In severe forms of atrophy, there are violations in urination. As a rule, this form of the disease is the result of a chronic course of cervicitis.

Cystic cervicitis

In this case, a combination of infections (chlamydia, gonococcus, streptococcus, fungi, staphylococcus, gardnerella, Trichomonas, etc.) is isolated as the cause of the disease, which leads to the proliferation of columnar epithelium along the surface of the uterus. This, in turn, leads to a gradual and continuous overgrowth of cysts. Often, cysts are combined with manifestations in the form of erosion.

Diagnosing cervicitis

Quite often, as we have already noted, cervicitis proceeds without any symptoms, which, accordingly, leads to an untimely visit to a specialist. As a rule, the detection of a disease occurs randomly during a routine medical examination or when contacting a doctor with suspicion of another disease.

Diagnosis of cervicitis is based on data such as:

• examination of the cervix by using mirrors for this;
• upon receipt of the results of colposcopy, allowing for the detailing of pathological changes in the epithelium in the case of the urgency of cervicitis;
• based on the results of laboratory tests (smear microscopy, microflora culture, PCR).

Cervicitis treatment

In modern conditions, gynecology has many different methodological possibilities for treating cervicitis. Meanwhile, the first thing that needs to be done in this treatment is to eliminate the factors predisposing to the development of the disease in question.

In the treatment of cervicitis, antiviral, antibacterial and other agents are used, which is determined based on the specifically identified pathogen and its characteristic sensitivity with respect to the selected drug. The stage in which the inflammatory process is located is also taken into account. Local preparations of the combined type, as well as creams and suppositories, are widely used in the treatment of cervicitis.

Specific infections require concurrent partner treatment.

The chronic stage of the disease is characterized by less success of conservative treatment, which, accordingly, determines the need for the use of surgical methods (cryotherapy, diathermocoagulation, laser therapy) with preliminary getting rid of infections.

In case of suspicion of cervicitis, as well as the presence of symptoms corresponding to this disease in one form or another of their manifestation, you should consult a gynecologist. Additionally, an examination by a urologist may also be required.

Long-term ongoing inflammatory process in the mucous membrane of the vaginal and supravaginal parts of the cervix, which in some cases extends to its connective tissue and muscle layer. During remission, symptoms are limited to an increase in the amount of vaginal discharge. With an exacerbation, the volume of discharge increases, they become mucopurulent, the patient notes pain in the lower abdomen. When making a diagnosis, the data of extended colposcopy, bacteriological, serological and cytological analyzes, gynecological ultrasound are taken into account. For treatment, antibiotics, hormonal drugs, eubiotics, and immune agents are used.

General information

Diagnostics

Since the clinical manifestations of chronic cervicitis are nonspecific and usually mild, the data of physical, instrumental and laboratory studies play a leading role in the diagnosis. The most informative for the diagnosis are:

• Inspection on the chair. A slight swelling of the mucous membrane is determined, the cervix looks thickened and somewhat enlarged. In the area of ​​the exocervix, eroded areas and papillomatous growths are revealed.
• Extended colposcopy... Inspection under a microscope allows you to clarify the condition of the mucous membrane, in time to identify precancerous changes and malignant degeneration of the epithelium.
• Laboratory etiological studies... A smear on flora and sowing with an antibioticogram are aimed at detecting the pathogen and assessing its sensitivity to etiotropic drugs. With the help of PCR, RIF, ELISA, you can reliably determine the type of specific infectious agent.
• Cytomorphological diagnostics. When examining the scraping of the cervix, the nature of the changes and the state of the cells of the exo- and endocervix are assessed. Biopsy histology is carried out according to indications for the timely detection of signs of malignancy.
• 1. Etiotropic drug treatment... With the infectious genesis of cervicitis, antibacterial and antiviral drugs are used. When selecting an antimicrobial agent, the sensitivity of the pathogen is taken into account. Hormonal drugs (estrogens) are used in the treatment of atrophic cervicitis in women during menopause.
  2. Restoration of vaginal microflora... After a course of antibiotic therapy, eubiotics are recommended topically (in the form of suppositories, tampons, vaginal irrigation) and inside.
  3. Adjunctive therapy... To accelerate the processes of regeneration of the mucous membrane, strengthen immunity and prevent possible relapses, immuno- and phytotherapy, physiotherapy procedures are shown.

  In the presence of retention cysts, radio wave diathermopuncture is prescribed. In cases where conservative treatment is ineffective, or chronic cervicitis is combined with dysplasia, elongation, scar deformity and other diseases of the cervix, surgical techniques are used - cryo- or laser therapy, tracheloplasty, etc.

  Forecast and prevention

  The prognosis of the disease is favorable. For the timely detection of possible cervical dysplasia, the patient after a course of treatment needs to undergo colposcopy twice a year, take cytological smears and bacterial culture. Prevention of chronic cervicitis includes regular check-ups by a gynecologist, adequate treatment of inflammatory diseases of the female genital area, justified prescription of invasive procedures. It is recommended to follow the rules of intimate hygiene, streamline sex life, use condoms (especially during sexual intercourse with unfamiliar partners), exclude sex during menstruation. For the prevention of relapses, courses of general strengthening and immunotherapy, adherence to sleep and rest, protection from hypothermia of the legs and pelvic region are effective.

Content

A dangerous disease characterized by inflammation of the uterine cervix worries many women. The disease can cause severe damage to the body. The disease is especially dangerous for pregnant women. It is important to know its signs and consult a doctor in time.

What is cervicitis

The disease is an inflammation of the cervical canal located in the cervix. Experts distinguish between exocervicitis and endocervicitis. The first option is considered by doctors as an inflammatory disease of the cervix in the vaginal area. In the second case, the focus of the disease occurs on the inner membranes of the cervical canal. The onset of the disease can be caused by microorganisms:

The formation of chronic cervicitis in a woman's body is associated with the ingress of pathogenic microorganisms into the cervical region. If the treatment of the chronic course is not started on time, the disease can lead to the development of erosion of the uterine cervix, thickening of its walls. Microbes can form inside due to several reasons:

• lowering of the cervix or vagina;
• frequent sexual intercourse with different partners;
• incorrect regimen of taking hormonal contraceptives;
• violations of the rules of personal hygiene;
• the occurrence of inflammation in the organs of the reproductive system.

The disease in a chronic form is manifested by a whitish discharge with a mucous structure, swelling of the cervix. If a period of exacerbation occurs, other symptoms may occur:

• itching in the genital area;
• painful sensations at the time of urination;
• burning sensation in the vagina;
• pulling pains in the lower abdomen;
• specific vaginal discharge.

Acute cervicitis

The onset of acute cervicitis may be due to the appearance of inflammation due to the presence of microbes in the body. Symptoms of this form of the disease are:

• mucous discharge with a possible admixture of pus of a diffuse nature;
• an increase in body temperature;
• dull pain in the lower abdomen;
• pain in the lumbar spine;
• discomfort when urinating and frequent urge;
• hot flashes concentrated in the pelvic area.

The characteristics of an acute inflammatory process can vary depending on the causative agent that caused it. If the disease is of a gonorrheal nature, the lesion affects the epithelium of the endocervical glands and spreads to the mucous membranes. If staphylococci or streptococci are the culprits of the disease, inflammation appears inside the gland, affecting the cervix. Gradually, the bacteria spreads through the lymph flow and to other organs.

Atrophic cervicitis

A disease in which inflammation of the cervix occurs under the influence of advanced infections or the human papillomavirus is called atrophic cervicitis. Therapy for this form of the disease depends on the reasons for which it is caused. The doctor prescribes hormonal preparations containing estrogen, which are designed to nourish the tissues. Homemade folk remedies can be used as supportive therapy.

Purulent cervicitis

The reasons for the formation of purulent cervicitis can be the presence in the body of gonococci, trachoma sticks, ureaplasma. Signs of the onset of an ailment are mucous discharge, which has an admixture of pus and a specific smell. Swelling forms inside the uterus, if you touch it with a tampon during ectopia, blood is released. During the period of treatment of this disease, doctors give a recommendation to abstain from sexual intercourse.

Cervicitis during pregnancy

Inflammation of the uterus while carrying a fetus can lead to serious problems for the mother and baby. In the early stages of pregnancy, cervicitis provokes fetal freezing, miscarriage. Then you will have to take a long time to get pregnant again. If the infection develops along the ascending route, bacteria enter the uterus, causing placental insufficiency and malformation of the embryo. Cervicitis in the late stages provokes delayed development, infectious diseases, and organ pathologies in a child in the womb.

Cervicitis - causes

There are several factors due to which cervicitis can form - the reasons are classified as follows:

• Diseases that are transmitted through sexual intercourse: chlamydia, vaginosis, gonorrhea, candidiasis.
• Hormonal imbalance.
• Improper use of personal hygiene products, contraceptives.
• The emergence of pathogenic microorganisms in the uterine neck: staphylococci, fungi.
• Injuries to the mucous membrane during childbirth, etc.

Cervicitis - symptoms

The disease has the following characteristic features:

• Spotting may occur during intercourse or between menstrual periods.
• Sexual desire disappears, intercourse provokes pain.
• Discharge in cervicitis has a pathogenic appearance: cheesy, foamy, purulent.
• There is a false and frequent urge to urinate.
• A pulling pain appears in the lower abdomen.

Cervicitis treatment

Having understood gynecology, explaining cervicitis - what it is, having determined their type with the help of a cytogram, you need to immediately start treatment. Therapy should be carried out under the close supervision of a physician. Focal manifestations of the disease should be treated with surgical methods. Treatment of chronic cervicitis is a complex of measures. Among the medications, doctors prescribe:

• Suppositories for local use: Geksikon, Terzhinan.
• Antibiotic group: Clarithromycin, Lomefloxacin.
• Means that restore microflora: Acylact, Bifidumbacterin.
• Correction of immunity: Immunal.

Physiotherapy is represented by the following methods:

• electrophoresis;
• irradiation with ultraviolet rays;
• magnetotherapy;
• ultrasonic waves.

To maintain the body, in addition to therapy, it is allowed to use folk remedies:

• A cotton swab dipped in garlic juice. Squeeze liquid from 2-3 cloves, mix with 1 tsp. apple cider vinegar and 1 tbsp. l. honey. Cotton wool should be moistened and placed inside the vagina, like a candle, for 60 minutes. The method cannot be used in the presence of erosion of the uterine mucosa.
• If cervicitis is caused by candidiasis, steam with tea tree oil (a few drops). Carry out the procedure for at least 15 minutes.

With infectious cervicitis, drugs are prescribed:

• Ceftriaxone;
• Erythromycin;
• Flagil;
• Livarol candles.

Video: chronic inflammation of the cervix

Attention! The information presented in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can diagnose and give recommendations for treatment, based on the individual characteristics of a particular patient.

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Cervicitis - what is this cervical disease. Symptoms and treatment of chronic and acute cervicitis in women

Cervicitis (syn. endocervicitis) Is an inflammation of the canal For obvious reasons, only women suffer from cervicitis.

The main reason for the development of cervicitis (endocervicitis) is various sexually transmitted infections. Most often, cervicitis is provoked by gonorrhea, trichomoniasis, chlamydia, ureaplasmosis, human papillomavirus, herpes virus.

Due to the fact that the above infections are rarely limited only to the lesion of the cervix and, as a rule, spread to other organs, cervicitis is often not a separate disease, but only one of many manifestations of genital infection. In particular, simultaneously with cervicitis, a woman may show signs of urethritis, colpitis (vaginitis), endometritis, salpingo-oophoritis.

In rare cases, cervicitis may be caused by an allergy to spermicides, lactic acid condoms, or intimate hygiene products.

From the medical literature or at your doctor's appointment, you can find out such terms related to cervicitis as:

Acute cervicitis means that the infection has appeared relatively recently and is actively developing.

Chronic cervicitis means that the infection that provoked it, most likely entered the body for a long time and is currently developing slowly, gradually destroying the tissues of the cervix.

Purulent cervicitis- means that pus is formed against the background of a woman. Purulent cervicitis especially often occurs against the background of gonorrhea.

Viral cervicitis- means that the causative agent of the disease is a sexually transmitted virus (most often HPV or herpes).

Bacterial cervicitis- means that the cause of cervicitis is a bacterial infection (most often, gonorrhea, bacterial vaginosis).

Candidal cervicitis- means that it arose against the background of a fungal infection (more about this: http://www.sitemedical.ru/content/%D0%BE%D0%B1%D1%8A%D1%8F%D1%81%D0%BD % D0% B5% D0% BD% D0% B8% D0% B5-% D0% BC% D0% BE% D0% BB% D0% BE% D1% 87% D0% BD% D0% B8% D1% 86% D1% 8B-% D0% BA% D0% B0% D0% BD% D0% B4% D0% B8% D0% B4% D0% BE% D0% B7% D0% B0-% D0% BF% D0% BE% D0% BB% D0% BE% D0% B2% D1% 8B% D1% 85-% D0% BE% D1% 80% D0% B3% D0% B0% D0% BD% D0% BE% D0% B2-% D1% 83-% D0% BC% D1% 83% D0% B6% D1% 87% D0% B8% D0% BD-% D0% B8-% D0% B6% D0% B5% D0% BD% D1% 89 % D0% B8% D0% BD-% D1% 87% D1% 82% D0% BE-% D1% 8D% D1% 82% D0% BE-% D1% 82% D0% B0% D0% BA% D0% BE% D0% B5-% D1% 8D% D1% 84% D1% 84% D0% B5% D0% BA% D1% 82% D0% B8% D0% B2% D0% BD% D0% BE% D0% B5 -% D0% BB% D0% B5% D1% 87% D0% B5% D0% BD% D0% B8% D0% B5)

Nonspecific cervicitis- means that the inflammation of the cervix arose as a result of changes in the normal microflora of the vagina, but has no connection with genital infections. Nonspecific cervicitis is especially common as a consequence of bacterial vaginosis.

Atrophic cervicitis- means that simultaneously with inflammation, a woman has a thinning of the tissues of the cervix. Usually, atrophic cervicitis is a consequence of chronic inflammation of the cervix.

Focal cervicitis- means that only certain areas of the mucous membrane of the cervical canal are inflamed.

In the absence of adequate treatment for cervicitis and other accompanying manifestations of infection, it significantly increases the risk of infertility, ectopic pregnancy, cervical cancer, premature birth and miscarriage.

The main symptoms of acute cervicitis (endocervicitis) are:

• foul-smelling, purulent, frothy discharge from their vagina (see http://www.sitemedical.ru/content/%D0%B2%D1%8B%D0%B4%D0%B5%D0%BB%D0%B5%D0 % BD% D0% B8% D1% 8F-% D0% B7% D1% 83% D0% B4-% D0% B8-% D0% BD% D0% B5% D0% BF% D1% 80% D0% B8% D1% 8F% D1% 82% D0% BD% D1% 8B% D0% B9-% D0% B7% D0% B0% D0% BF% D0% B0% D1% 85-% D0% B8% D0% B7- % D0% B2% D0% BB% D0% B0% D0% B3% D0% B0% D0% BB% D0% B8% D1% 89% D0% B0-% D0% BA% D0% B0% D0% BA- % D1% 80% D0% B5% D1% 88% D0% B8% D1% 82% D1% 8C-% D1% 8D% D1% 82% D1% 83-% D0% BF% D1% 80% D0% BE % D0% B1% D0% BB% D0% B5% D0% BC% D1% 83);
• itching in the genital area;
• lower abdominal pain (http://www.sitemedical.ru/content/%D0%B1%D0%BE%D0%BB%D0%B8-%D0%B2-%D0%B6%D0%B8%D0%B2 % D0% BE% D1% 82% D0% B5-% D1% 83-% D0% B6% D0% B5% D0% BD% D1% 89% D0% B8% D0% BD-% D0% B1% D0% BE% D0% BB% D0% B8-% D1% 81% D0% B2% D1% 8F% D0% B7% D0% B0% D0% BD% D0% BD% D1% 8B% D0% B5-% D1% 81-% D0% BC% D0% B5% D1% 81% D1% 8F% D1% 87% D0% BD% D1% 8B% D0% BC% D0% B8-% D0% B1% D0% B5% D1% 80% D0% B5% D0% BC% D0% B5% D0% BD% D0% BD% D0% BE% D1% 81% D1% 82% D1% 8C% D1% 8E-% D0% B3% D0% B8 % D0% BD% D0% B5% D0% BA% D0% BE% D0% BB% D0% BE% D0% B3% D0% B8% D1% 87% D0% B5% D1% 81% D0% BA% D0 % B8% D0% BC% D0% B8-% D0% B7% D0% B0% D0% B1% D0% BE% D0% BB% D0% B5% D0% B2% D0% B0% D0% BD% D0% B8% D1% 8F% D0% BC% D0% B8)
• pain during urination and frequent urge to urinate;
• pain during sex and spotting from the vagina after sex (http://www.sitemedical.ru/content/%D0%B1%D0%BE%D0%BB%D0%B8-%D0%B2%D0%BE- % D0% B2% D1% 80% D0% B5% D0% BC% D1% 8F-% D0% B8% D0% BB% D0% B8-% D0% BF% D0% BE% D1% 81% D0% BB % D0% B5-% D0% BF% D0% BE% D0% BB% D0% BE% D0% B2% D0% BE% D0% B3% D0% BE-% D0% B0% D0% BA% D1% 82 % D0% B0-% D1% 81% D0% B5% D0% BA% D1% 81% D0% B0-% D1% 83-% D0% BC% D1% 83% D0% B6% D1% 87% D0% B8% D0% BD-% D0% B8-% D0% B6% D0% B5% D0% BD% D1% 89% D0% B8% D0% BD-% D0% BF% D1% 80% D0% B8% D1 % 87% D0% B8% D0% BD% D1% 8B-% D0% BB% D0% B5% D1% 87% D0% B5% D0% BD% D0% B8% D0% B5);
• dark spotting vaginal discharge between two periods (http://www.sitemedical.ru/content/%D0%BA%D1%80%D0%BE%D0%B2%D1%8F%D0%BD%D0% B8% D1% 81% D1% 82% D1% 8B% D0% B5-% D0% B2% D1% 8B% D0% B4% D0% B5% D0% BB% D0% B5% D0% BD% D0% B8 % D1% 8F-% D0% B8% D0% B7-% D0% B2% D0% BB% D0% B0% D0% B3% D0% B0% D0% BB% D0% B8% D1% 89% D0% B0 -% D1% 85% D0% B0% D1% 80% D0% B0% D0% BA% D1% 82% D0% B5% D1% 80% D0% BD% D1% 8B% D0% B5-% D0% B4 % D0% BB% D1% 8F-% D0% BD% D0% BE% D1% 80% D0% BC% D0% B0% D0% BB% D1% 8C% D0% BD% D1% 8B% D1% 85- % D0% BC% D0% B5% D1% 81% D1% 8F% D1% 87% D0% BD% D1% 8B% D1% 85-% D0% B8-% D1% 80% D0% B0% D0% B7 % D0% BB% D0% B8% D1% 87% D0% BD% D1% 8B% D1% 85-% D0% B3% D0% B8% D0% BD% D0% B5% D0% BA% D0% BE% D0% BB% D0% BE% D0% B3).

Chronic cervicitis most often does not show any symptoms.

Yes, it’s possible. Quite often, genital infections, against the background of which cervicitis develops, proceed in a chronic form, completely asymptomatic and go unnoticed for a long time. In such cases, chronic cervicitis can be detected during a routine examination by a gynecologist or during an examination for some other problem.

The presence increases the risk of intrauterine infection of the fetus (an infection that provoked inflammation of the cervix).

In addition, against the background of cervicitis, the risk of premature birth, low birth weight, and infectious complications in the mother (for example, endometritis) after childbirth is significantly increased.

Treatment of cervicitis during pregnancy is selected depending on the type of infection that provoked it. You can find detailed advice on how to treat infections during pregnancy in the Pregnancy section.

The main methods for diagnosing cervicitis are:

Examination by a gynecologist. During the examination, the doctor assesses the condition of the walls of the vagina and cervix. Heavy, foul-smelling discharge in the vagina, redness and irritation of the vagina and cervix, and discharge of pus from the cervical canal are the most common signs of cervicitis that a doctor may notice during an examination.

To clarify the cause of the disease, the doctor may advise you to take a regular microbiological smear from the vagina and a cytological smear (Pap test).

A detailed explanation of how these analyzes are carried out, how to prepare for them and what their results may mean is presented in the articles: http://www.sitemedical.ru/content/%D0%B1%D0%B0%D0%BA%D1%82 % D0% B5% D1% 80% D0% B8% D0% BE% D0% BB% D0% BE% D0% B3% D0% B8% D1% 87% D0% B5% D1% 81% D0% BA% D0 % B8% D0% B9-% D0% BC% D0% B0% D0% B7% D0% BE% D0% BA-% D0% B8% D0% B7-% D0% B2% D0% BB% D0% B0% D0% B3% D0% B0% D0% BB% D0% B8% D1% 89% D0% B0-% D0% BA% D0% B0% D0% BA-% D0% BF% D1% 80% D0% BE% D0% B2% D0% BE% D0% B4% D0% B8% D1% 82% D1% 81% D1% 8F-% D0% B0% D0% BD% D0% B0% D0% BB% D0% B8% D0 % B7-% D0% BA% D0% B0% D0% BA-% D0% BF% D0% BE% D0% B4% D0% B3% D0% BE% D1% 82% D0% BE% D0% B2% D0 % B8% D1% 82% D1% 8C% D1% 81% D1% 8F-% D1% 87% D1% 82% D0% BE-% D0% BE% D0% B7% D0% BD% D0% B0% D1 % 87% D0% B0% D1% 8E% D1% 82-% D1% 80% D0% B5% D0% B7% D1% 83% D0% BB% D1% 8C% D1% 82% D0% B0% D1% 82% D1% 8B and http://www.sitemedical.ru/content/%D0%BC%D0%B0%D0%B7%D0%BE%D0%BA-%D0%BD%D0%B0-%D1% 86% D0% B8% D1% 82% D0% BE% D0% BB% D0% BE% D0% B3% D0% B8% D1% 8E-% D1% 87% D1% 82% D0% BE-% D1% 8D% D1% 82% D0% BE-% D1% 82% D0% B0% D0% BA% D0% BE% D0% B5-% D0% BA% D0% B0% D0% BA-% D0% BF% D1 % 80% D0% BE% D0% B2% D0% BE% D0% B4% D0% B8% D1% 82% D1% 81% D1% 8F-% D0% BA% D0% B0% D0% BA-% D0% BF% D0% BE% D0% B4% D0% B3% D0% BE% D1% 82% D0% BE% D0% B2% D0% B8% D1% 82% D1% 8C% D1% 81% D1% 8F-% D1% 87% D1% 82% D0% BE-% D0% BE% D0% B7% D0% BD% D0% B0% D1% 87% D0% B0% D1% 8E% D1% 82-% D1% 80% D0% B5% D0% B7% D1% 83% D0% BB% D1% 8C% D1% 82% D0% B0% D1 % 82% D1% 8B.

In cases where the smear does not give accurate results, the doctor may prescribe a PCR test for genital infections (see also http://www.sitemedical.ru/content/%D0%9F%D0%A6%D0%A0-%D0 % B0% D0% BD% D0% B0% D0% BB% D0% B8% D0% B7-% D1% 87% D1% 82% D0% BE-% D1% 8D% D1% 82% D0% BE-% D1% 82% D0% B0% D0% BA% D0% BE% D0% B5-% D0% BA% D0% B0% D0% BA-% D0% BF% D0% BE% D0% B4% D0% B3% D0% BE% D1% 82% D0% BE% D0% B2% D0% B8% D1% 82% D1% 8C% D1% 81% D1% 8F-% D0% BA% D0% B0% D0% BA% D0 % B8% D0% B5-% D0% B8% D0% BD% D1% 84% D0% B5% D0% BA% D1% 86% D0% B8% D0% B8-% D0% BC% D0% BE% D0 % B3% D1% 83% D1% 82-% D0% B1% D1% 8B% D1% 82% D1% 8C-% D0% B2% D1% 8B% D1% 8F% D0% B2% D0% BB% D0 % B5% D0% BD% D1% 8B).

Depending on the symptoms of the disease and changes detected during the gynecological examination, the doctor may prescribe additional tests and tests (analysis for syphilis, ultrasound of the pelvic organs, general analysis of urine and blood, etc.)

During an examination for cervicitis, a gynecologist may detect cervical erosion, leukoplakia, or dysplasia in a woman. A detailed description of what it is and what needs to be done about it is presented in the articles: http: //www.sitemedical.ru/content/%D0%BF%D0%BE%D0%B4%D1%80%D0%BE % D0% B1% D0% BD% D0% BE% D0% B5-% D0% BE% D0% B1% D1% 8A% D1% 8F% D1% 81% D0% BD% D0% B5% D0% BD% D0% B8% D0% B5-% D1% 8D% D1% 80% D0% BE% D0% B7% D0% B8% D0% B8-% D1% 88% D0% B5% D0% B9% D0% BA% D0% B8-% D0% BC% D0% B0% D1% 82% D0% BA% D0% B8-% D1% 87% D1% 82% D0% BE-% D1% 8D% D1% 82% D0% BE -% D1% 82% D0% B0% D0% BA% D0% BE% D0% B5-% D0% BF% D1% 80% D0% B8% D1% 87% D0% B8% D0% BD% D1% 8B -% D0% B2% D0% BE% D0% B7% D0% BD% D0% B8% D0% BA% D0% BD% D0% BE% D0% B2% D0% B5% D0% BD% D0% B8% D1% 8F-% D0% BD% D0% B0% D1% 81% D0% BA% D0% BE% D0% BB% D1% 8C% D0% BA% D0% BE-% D1% 8D% D1% 82% D0% BE-% D0% BE% D0% BF, http://www.sitemedical.ru/content/%D0%BF%D0%BE%D0%B4%D1%80%D0%BE%D0%B1% D0% BD% D0% BE% D0% B5-% D0% BE% D0% B1% D1% 8A% D1% 8F% D1% 81% D0% BD% D0% B5% D0% BD% D0% B8% D0 % B5-% D0% BB% D0% B5% D0% B9% D0% BA% D0% BE% D0% BF% D0% BB% D0% B0% D0% BA% D0% B8% D0% B8-% D1 % 88% D0% B5% D0% B9% D0% BA% D0% B8-% D0% BC% D0% B0% D1% 82% D0% BA% D0% B8-% D1% 87% D1% 82% D0 % BE-% D1% 8D% D1% 82% D0% BE-% D1% 82% D0% B0% D0% BA% D0% BE% D0% B5-% D0% BD% D0% B0% D1% 81% D0% BA% D0% BE% D0% BB% D1% 8C% D0% BA% D0% BE-% D1% 8D% D1% 82% D0% BE-% D0% BE% D0% BF% D0% B0% D1% 81% D0% BD% D0% BE-% D0% BA% D0% B0% D0% BA% D0% BE% D0% B5-% D0% BB% D0% B5% D1% 87% D0% B5% D0% BD% D0% B8 and http://www.sitemedical.ru/content/%D0%B4%D0%B8%D1%81%D0%BF%D0%BB%D0%B0%D0%B7%D0%B8 % D1% 8F-% D0% BF% D1% 80% D0% B5% D0% B4% D1% 80% D0% B0% D0% BA% D0% BE% D0% B2% D0% BE% D0% B5- % D1% 81% D0% BE% D1% 81% D1% 82% D0% BE% D1% 8F% D0% BD% D0% B8% D0% B5-% D1% 88% D0% B5% D0% B9% D0% BA% D0% B8-% D0% BC% D0% B0% D1% 82% D0% BA% D0% B8-% D1% 87% D1% 82% D0% BE-% D1% 8D% D1% 82 % D0% BE-% D1% 82% D0% B0% D0% BA% D0% BE% D0% B5-% D0% BF% D1% 80% D0% B8% D1% 87% D0% B8% D0% BD % D1% 8B-% D1% 81% D1% 82% D0% B0% D0% B4% D0% B8% D0% B8-% D0% BB% D0% B5% D1% 87% D0% B5% D0% BD % D0% B8% D0% B5-% D0% B2% D0% BB% D0% B8% D1% 8F% D0% BD% D0% B8% D0% B5-% D0% BD% D0% B0-% D0% B1% D0% B5% D1% 80% D0% B5% D0% BC% D0% B5% D0% BD% D0% BD% D0% BE% D1% 81% D1% 82% D1% 8C.

1. Refuse sexual intercourse 1-2 days before the examination
2. 2-3 days before the examination, do not douche and refuse any intimate hygiene products
3. Stop using any medications in the form of vaginal suppositories, tablets or sprays as soon as possible before the examination, unless their use was previously agreed with your doctor
4. Hygiene of the external genital organs should be carried out in the evening, before the examination - only with warm water. In the morning, on the day of the examination, you do not need to wash yourself.
5. It is advisable not to urinate 2-3 hours before the visit to the doctor.

Treatment for cervicitis (endocervicitis) depends on the type of infection that triggers the disease.

Due to the fact that many infections that cause cervicitis are contagious and are transmitted during intercourse, treatment of both sex partners is mandatory in most cases.
Even if a man has no signs of illness, this does not mean that he is not infected. Chlamyliosis, trichomoniasis and gonorrhea in men can be completely asymptomatic.

Before starting treatment, your doctor may ask you to have a pregnancy test. This is strictly necessary as some of the medications used in the treatment of cervicitis can adversely affect the development of pregnancy. If it turns out that you are pregnant, the doctor will select a special, safe treatment.

The main treatment for cervicitis (endocervicitis) is the prescription of antibiotics to suppress the development of infection. The choice of antibiotic is made by the attending physician and depends on the type of infection that caused the disease.

Quite often, antibiotics for the treatment of cervicitis are prescribed in the form of vaginal suppositories or creams.

Detailed recommendations on the treatment of genital infections are presented in the articles http://www.sitemedical.ru/content/%D0%BE%D0%B1%D1%8A%D1%8F%D1%81%D0%BD%D0%B5 % D0% BD% D0% B8% D0% B5-% D1% 82% D1% 80% D0% B8% D1% 85% D0% BE% D0% BC% D0% BE% D0% BD% D0% B8% D0% B0% D0% B7% D0% B0-% D1% 83-% D0% BC% D1% 83% D0% B6% D1% 87% D0% B8% D0% BD-% D0% B8-% D0% B6% D0% B5% D0% BD% D1% 89% D0% B8% D0% BD-% D1% 87% D1% 82% D0% BE-% D1% 8D% D1% 82% D0% BE-% D1 % 82% D0% B0% D0% BA% D0% BE% D0% B5-% D0% BD% D0% B0% D1% 81% D0% BA% D0% BE% D0% BB% D1% 8C% D0% BA% D0% BE-% D1% 8D% D1% 82% D0% BE-% D0% BE% D0% BF% D0% B0% D1% 81% D0% BD% D0% BE-% D0% BB% D0 % B5% D1% 87% D0% B5% D0% BD% D0% B8% D0% B5, http://www.sitemedical.ru/content/%D0%BE%D0%B1%D1%8A%D1% 8F% D1% 81% D0% BD% D0% B5% D0% BD% D0% B8% D0% B5-% D1% 85% D0% BB% D0% B0% D0% BC% D0% B8% D0% B4 % D0% B8% D0% BE% D0% B7% D0% B0-% D0% BF% D0% BE% D0% BB% D0% BE% D0% B2% D1% 8B% D1% 85-% D0% BE % D1% 80% D0% B3% D0% B0% D0% BD% D0% BE% D0% B2-% D1% 83-% D0% BC% D1% 83% D0% B6% D1% 87% D0% B8 % D0% BD-% D0% B8-% D0% B6% D0% B5% D0% BD% D1% 89% D0% B8% D0% BD-% D0% BD% D0% B0% D1% 81% D0% BA% D0% BE% D0% BB% D1% 8C% D0% BA% D0% BE-% D1% 8D% D1% 82% D0% BE-% D0% BE% D0% BF% D0% B0% D1% 81% D0% BD% D0% B E-% D0% BB% D0% B5% D1% 87% D0% B5% D0% BD% D0% B8% D0% B5, http://www.sitemedical.ru/content/%D0%BE%D0% B1% D1% 8A% D1% 8F% D1% 81% D0% BD% D0% B5% D0% BD% D0% B8% D0% B5-% D0% B3% D0% BE% D0% BD% D0% BE % D1% 80% D0% B5% D0% B8-% D0% BE% D1% 82% D0% BA% D1% 83% D0% B4% D0% B0-% D0% B1% D0% B5% D1% 80 % D0% B5% D1% 82% D1% 81% D1% 8F-% D0% BD% D0% B0% D1% 81% D0% BA% D0% BE% D0% BB% D1% 8C% D0% BA% D0% BE-% D0% BE% D0% BF% D0% B0% D1% 81% D0% BD% D0% B0-% D1% 81% D0% B8% D0% BC% D0% BF% D1% 82% D0% BE% D0% BC% D1% 8B-% D0% BB% D0% B5% D1% 87% D0% B5% D0% BD% D0% B8% D0% B5, http://www.sitemedical.ru / content /% D0% BE% D0% B1% D1% 8A% D1% 8F% D1% 81% D0% BD% D0% B5% D0% BD% D0% B8% D0% B5-% D1% 83% D1 % 80% D0% B5% D0% B0% D0% BF% D0% BB% D0% B0% D0% B7% D0% BC% D0% BE% D0% B7% D0% B0-% D0% B8-% D0 % BC% D0% B8% D0% BA% D0% BE% D0% BF% D0% BB% D0% B0% D0% B7% D0% BC% D0% BE% D0% B7% D0% B0-% D0% BF% D0% BE% D0% BB% D0% BE% D0% B2% D1% 8B% D1% 85-% D0% BE% D1% 80% D0% B3% D0% B0% D0% BD% D0% BE % D0% B2-% D1% 83-% D0% BC% D1% 83% D0% B6% D1% 87% D0% B8% D0% BD-% D0% B8-% D0% B6% D0% B5% D0 % BD% D1% 89% D0% B8% D0% BD-% D1% 81% D0% B8% D0% BC% D0% BF% D1% 82% D0% BE% D0% BC% D1% 8B-% D0 % BB% D0% B5% D1% 87% D0% B5% D0% BD% D0% B8% D0% B5, http://www.sitemedical.ru/content/%D 0% B2% D0% B8% D1% 80% D1% 83% D1% 81-% D0% BF% D0% B0% D0% BF% D0% B8% D0% BB% D0% BB% D0% BE% D0 % BC% D1% 8B-% D1% 87% D0% B5% D0% BB% D0% BE% D0% B2% D0% B5% D0% BA% D0% B0-% D0% B2% D0% BF% D1 % 87-% D0% BE% D1% 81% D1% 82% D1% 80% D0% BE% D0% BA% D0% BE% D0% BD% D0% B5% D1% 87% D0% BD% D1% 8B% D0% B5-% D0% BA% D0% BE% D0% BD% D0% B4% D0% B8% D0% BB% D0% BE% D0% BC% D1% 8B-% D0% B8% D1% 81% D1% 82% D0% BE% D1% 87% D0% BD% D0% B8% D0% BA% D0% B8-% D0% B7% D0% B0% D1% 80% D0% B0% D0% B6 % D0% B5% D0% BD% D0% B8% D1% 8F-% D0% BB% D0% B5% D1% 87% D0% B5% D0% BD% D0% B8% D0% B5, http: // www.sitemedical.ru/content/%D0%BE%D0%B1%D1%8A%D1%8F%D1%81%D0%BD%D0%B5%D0%BD%D0%B8%D0%B5-% D0% BC% D0% BE% D0% BB% D0% BE% D1% 87% D0% BD% D0% B8% D1% 86% D1% 8B-% D0% BA% D0% B0% D0% BD% D0 % B4% D0% B8% D0% B4% D0% BE% D0% B7% D0% B0-% D0% BF% D0% BE% D0% BB% D0% BE% D0% B2% D1% 8B% D1% 85-% D0% BE% D1% 80% D0% B3% D0% B0% D0% BD% D0% BE% D0% B2-% D1% 83-% D0% BC% D1% 83% D0% B6% D1 % 87% D0% B8% D0% BD-% D0% B8-% D0% B6% D0% B5% D0% BD% D1% 89% D0% B8% D0% BD-% D1% 87% D1% 82% D0% BE-% D1% 8D% D1% 82% D0% BE-% D1% 82% D0% B0% D0% BA% D0% BE% D0% B5-% D1% 8D% D1% 84% D1% 84 % D0% B5% D0% BA% D1% 82% D0% B8% D0% B2% D0% BD% D0% BE% D0% B5-% D0% BB% D0% B5% D1% 87% D0% B5% D0% BD% D0% B8% D0% B5.

At the moment, there are no really effective alternative methods or recipes for the treatment of cervicitis (endocervicitis).

Infections that provoke the development of cervicitis cannot be eliminated with medicinal herbs, therefore, the use of alternative methods of treating cervicitis is allowed only with the consent of the doctor and simultaneously or after the main treatment with antibiotics.

If you are planning treatment with folk remedies, pay attention to the following notes:

• The misconception about the effectiveness of many of the described methods of alternative treatment of cervicitis arose due to the fact that, approximately 4-5 weeks after the onset of the disease, even without any treatment, the infection that provoked it can go into an asymptomatic course, but it continues to develop.
• Many popular recipes for the treatment of cervicitis involve the introduction of tampons moistened with infusions of medicinal herbs into the vagina or douching. Such treatment for cervicitis can greatly disrupt the composition of the vaginal microflora and provoke dangerous complications. see also http://www.sitemedical.ru/content/%D0%BE%D1%82%D0%B2%D0%B5%D1%82%D1%8B-%D0%BD%D0%B0-%D0 % B2% D0% BE% D0% BF% D1% 80% D0% BE% D1% 81% D1% 8B-% D0% BE-% D1% 81% D0% BF% D1% 80% D0% B8% D0 % BD% D1% 86% D0% B5% D0% B2% D0% B0% D0% BD% D0% B8% D1% 8F% D1% 85-% D0% B2% D0% BB% D0% B0% D0% B3% D0% B0% D0% BB% D0% B8% D1% 89% D0% B0-% D1% 83-% D0% B6% D0% B5% D0% BD% D1% 89% D0% B8% D0% BD