Regarding cervicitis, some people think that it is common for married women, that it does not affect work or life, and that it is insignificant, and that it is the same whether it is treated or not. Another person thinks that cervicitis is a precancerous lesion, and that cancer is feared, which affects personal emotions and even daily life. These are all incorrect. Chronic cervicitis and cervical cancer have some common symptoms, such as vaginal spotting after sexual intercourse or bloody vaginal discharge. If symptoms of cervicitis occur, cervical smears and colposcopy cervical biopsies must be performed to rule out cancer before treating cervicitis. Symptoms of cervicitis 1. Acute cervicitis: increased leucorrhea, which is purulent, accompanied by low back pain and lower abdominal discomfort. 2. Chronic cervicitis: excessive vaginal discharge, which is milky white, mucous or contains blood, or bleeding during sexual intercourse, accompanied by vulvar itching, lumbosacral pain, and aggravation during menstruation. 3. Physical signs: In acute cervicitis, gynecological examination shows cervical congestion, edema, and tenderness; in chronic cervicitis, gynecological examination shows varying degrees of cervical erosion, hypertrophy, or polyps. Clinical manifestations of cervicitis The main symptom of cervicitis is increased vaginal discharge. Acute cervicitis causes purulent vaginal discharge, accompanied by pain in the lower abdomen and lumbosacral region, or bladder irritation symptoms such as frequent urination, urgency, and pain. Chronic cervicitis causes milky white mucous discharge, or light yellow purulent discharge. In severe cervical erosion or cervical polyps, there may be bloody vaginal discharge or bleeding after sexual intercourse. In mild cases, there may be no systemic symptoms. When the inflammation spreads along the uterosacral ligament to the pelvic cavity, there may be pain in the lumbosacral region, a feeling of heaviness in the lower abdomen, and dysmenorrhea, which worsens during bowel movements and sexual intercourse. In addition, sticky and purulent vaginal discharge is not conducive to the passage of sperm and can also cause infertility. Overview of chronic cervicitis Chronic cervicitis is a chronic erosive or proliferative inflammation of the cervix, which is often transformed from acute cervicitis, and may not have obvious acute symptoms. Chronic cervicitis is a common and frequently occurring disease in clinic. The incidence rate increases significantly with age, and it is very rare in unmarried women. It is mainly caused by the stimulation of the cervix by menstruation and sexual life. It is equivalent to the category of "leucorrhea" in traditional Chinese medicine. The main symptom of chronic cervicitis is increased leucorrhea. Leucorrhea is milky white and mucous, sometimes yellow or purulent. When polyps are formed, bloody leucorrhea or bleeding after sexual intercourse may occur. When the inflammation spreads to the pelvic cavity, there may be pain in the lumbar sacral region, lower abdominal distension and dysmenorrhea. These symptoms worsen before and after menstruation, defecation and after sexual intercourse. Sometimes they are also accompanied by frequent urination, difficulty urinating, irregular menstruation, infertility, etc. Cervical erosion is closely related to cervical cancer. The incidence of cervical cancer in patients with cervical erosion is much higher than that in patients without cervical erosion, so active treatment should be given when suffering from cervical erosion. Overview of Acute Cervicitis Acute cervicitis often occurs in puerperal infection or infected abortion. Vaginal Trichomonas, fungus and gonorrhea infections are often accompanied by acute cervicitis. Increased vaginal discharge is the most common and sometimes even the only symptom of acute cervicitis, which is often purulent. Similar to the pathological changes of general infection and inflammation, the cervix is congested and red, with mild edema. The cervical mucosa is turned outward, and a large amount of purulent mucus is discharged from the cervical canal. |
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