The cervical or cervical injury is a lesion diagnosed after the gynecological clinical examination and is in most cases a stigma of inflammation of the cervix, not treated or improperly treated over time.
Many women take this diagnosis as a fatality by associating it with cervical cancer. What patients need to know is that most of the lesions are benign and will go away on their own or after proper treatment.
Extremely important in terms of the evolution of neck pain is early diagnosis. Proper treatment of acute cervicitis will eliminate the risk of these lesions. In addition to cervical infections (be they bacterial, viral, parasitic), we also mention other factors that can cause neck injury: intravaginal swabs, tougher sexual intercourse or sex toys, natural birth trauma, medical maneuvers.
Patients usually do not report any charges. Vaginal discharge may be slightly altered, spotting may occur. The appearance of pelvic pain, lumbar pain, pain during sexual intercourse, abundant menstruation denotes an evolution of the infection with the attachment. Local inflammation causes infertility through changes in the cervix, preventing sperm passage.
A complication of neck injury can be malignant lesions, cervical cancer. Chronic cervicitis does not directly determine the onset of the disease but is an important risk factor so a neck injury once diagnosed should be treated and followed closely by the gynecologist.
Treatment and prevention
Cervicitis may develop for years, but, untreated, can be complicated by inflammation of other neighboring pelvic organs (uterine tubes) or with increased risk of cervical cancer. Therefore, treatment of this condition can be considered a prophylactic measure in the fight against cervical cancer.
The medical treatment aims, first of all, to eradicate the infection. Depending on the agent detected, local treatment (irrigation or ovules) and treatments with antibiotics, antifungals or antivirals are given orally.
Subsequently, the local treatment is supplemented by the use of preparations with healing and re-epithelializing effect.
If, after 2-3 months after the eradication of the infection, the cervical changes persist, the surgical treatment is indicated. Depending on the age, the depth and surface of the lesion, the colposcopic appearance and the modifications of the cytological test, one of the many procedures is chosen: electrocautery, cryotherapy, laser therapy, excision with diathermal duct, conise or even amputation of the neck.
But the most important treatment remains the prophylactic one, carried out through periodic gynecological consultation, carrying out bacteriological tests and Babes-Papanicolau cytology, as well as removing the risk factors (early sexual onset, multiple partners) and condom use.