This disease is so common that sometimes it is not perceived as a pathology that requires particular attention. Nevertheless, there is a group of patients for which this is not the case. We are talking about pregnant women.
Erosion of the cervix during pregnancy is not uncommon. The reasons why the disease occurs are only a few:
- The change in hormonal levels;
- Frequent stress;
- Increasing of the diameter of the uterus as a result of pregnancy;
- Mechanical damage;
- Infectious diseases.
Among the symptoms that may indicate erosion during pregnancy only spotting can be identified, but often there are no symptoms at all; that is why it is so important to visit the gynecologist at least once a year. It is very simple to diagnose erosion, but only a gynecologist can do it.
The treatment strategy for pregnant women (if performed) is mainly dependent on the cause of the disease. A specialist takes swabs for infections and does the scraping from the surface to determine the presence of human papilloma virus. If the result is negative, this means that most likely the erosion is caused by dyshormonal phenomena and can disappear after delivery. If you notice the signs of infection, appropriate therapy is appointed.
As you can guess, it is rather difficult to treat pregnant women. Because of the negative effects on the fetus, many drugs are banned, especially in the first trimester, while the baby’s vital organs are formed. Most of the authorized agents also can be used only with great restrictions. Therefore, if you are planning a child, do not forget to be pre-examined by a gynecologist to identify every possible violation and to deal with them without haste.
However, recent advances in the treatment of erosion during pregnancy give hope for the best.
Until recently, doctors were of the opinion that the treatment of cervical erosion during pregnancy is better to postpone until later, when a woman gives birth. But now there is a way that will get rid of the disease at any stage and without consequences. Its name is laser coagulation or cauterization with a laser. It has several advantages over other methods of treatment, such as:
- It does not leave scars;
- It touches only the damaged tissue;
- It gives faster rehabilitation.
Laser cauterization is recommended even to nulliparous women. However, this method of treatment is more expensive than others. And it can also be the cause for a delay of the treatment, because in most cases the erosion does not affect the delivery.
Another myth is that erosion can quickly develop into cancer; it is not true. The probability of occurrence of cancer of the uterus due to erosion there, but in this case, the disease should be on an advanced stage. Therefore, it is quite possible to wait and not to treat the erosion immediately after detection. But do not delay too much.
In the ideal case, even before trying to get pregnant a woman must pass a series of tests and visit the gynecologist.
Check for erosion in advance
It is better to do it at least six months before the alleged conception, especially if the disease is treated by cauterization. During this time, the cervix is well healed, and you can be sure that the disease does not return. At the same time your baby will be protected from the potential complications associated with taking potent drugs.
Erosion of the cervix during pregnancy is such a condition that the doctors often prefer to watch. Active measures can harm not only the child but also the future delivery.
For small and medium erosion gynecological examination is conducted to pregnant with the same frequency as that of healthy women. If the center occupies a large area or doctors identify the risks of metaplasia (precancerous changes in the cells), the question of the treatment is decided on an individual basis. However, such situations are rare.
After 2-3 months after childbirth a woman is again examined and if erosion is left, prescribed therapy. At the same time any of the treatment methods used has no effect on breastfeeding and milk quality. As a rule, the erosion of the cervix after childbirth is treated by cauterization.