What does modern medicine offer for the treatment of complex gynecological problems?
“For about two years I have been suffering from inflammation of the appendages. I periodically undergo treatment courses, but they help for a short time. Recently noticed that the menstrual cycle began to stray. It used to be very clear, but for four months now it has been getting shorter for several days. Is it associated with inflammation of the appendages? And how to treat inflammation so that it no longer returns? ” – Clients.
Menstrual irregularities can be associated with a number of reasons. For example, they could cause severe stress, hypothermia, a change in climate or diet.
First of all, with such a problem, a blood test should be taken for a hormonal profile. It is also worth checking for infections. Ultrasound is also necessary. The results of all these surveys will help determine the true cause of the failure.
Cycle disorders can indeed be associated with inflammation of the appendages. Today it is a very common disease that is quite difficult to treat. There are many reasons for this.
Recovery is primarily complicated by any associated infectious processes. That is why it is important from the very beginning to identify and treat all possible bacterial and viral infections.
In addition, a decrease in immunity significantly complicates the treatment of this problem. In some women, even ordinary flu can exacerbate the inflammatory process. That is why the peak of treatment with inflammation of the appendages occurs in autumn and spring, when we are often sick.
To solve this problem, as a rule, a course of antibacterial drugs is prescribed. They are well combined with physiotherapeutic procedures that are selected individually.
In addition, I recommend combining antibiotic treatment with immunostimulating therapy. It may include various drugs that support your immune system and protect you from relapse. After treatment, it is very important to avoid things that can provoke a relapse of the disease. It is necessary to carefully observe intimate hygiene and prevent infections. It is also important to avoid hypothermia, especially in the pelvic area. And of course, you should regularly communicate with a gynecologist to monitor your condition.
“During childbirth, I had intrauterine inflammation and cervical erosion. I treated the inflammation, then I was given cauterization of erosion. But a year later there were severe pain during menstruation, the cycle became irregular. In the clinic I passed a smear, and again they gave me the same diagnoses. I’m worried that no additional tests were needed. And can inflammation and erosion reappear after treatment? “- Clients.
Of course, one smear is not enough to make such diagnoses. You need a full examination. Be sure to take an analysis for all infections and undergo an ultrasound examination of the pelvic organs. Colposcopy is also needed – this is a special examination of the cervix. And only after analyzing the results of all these studies, it will be possible to make an accurate diagnosis.
The occurrence of endometritis – inflammation of the uterine mucosa – after childbirth is quite possible. Indeed, in the process of the appearance of the child, the cervix is stretched and may be damaged. Usually, the prevention and treatment of this problem is carried out directly in the hospital. But if they were not completed or were performed incorrectly, the disease may return.
The same goes for erosion. It often occurs after childbirth, again due to mechanical damage to the cervix. And if the erosion was not treated thoroughly, but only cauterized with liquid nitrogen, it may well arise again.
If we talk about the parallel treatment of erosion and endometritis, then the doctor will draw up a specific program only after a full examination. If infections are found, then you will need to start with their treatment. If there are no infections, the doctor will pick you a course of antibacterial drugs to get rid of endometritis.
Erosion can also be treated only after the issue of infections has been resolved. Today, one of the most optimal methods is considered to be treatment using the Premarin apparatus. It allows you to remove affected tissue using the radio wave method. This is a very gentle effect. The procedure is almost painless, after it there is no bleeding and no scars remain. And most importantly, after such an effect, there are practically no relapses of the disease.
And one moment. Pain during menstruation may not be associated with these diseases. The cause may be endocrinological problems. Therefore, it is worth checking the hormonal background. If it is broken, additional correction with the help of hormone-containing agents will be required.
“I was worried about the pain in my right side during sexual intercourse and menstruation. After the examination, the gynecologist referred me to an ultrasound. The doctor who conducted the study diagnosed me with polycystic ovaries, endometriosis of the uterus, her bend and bilateral ovarian inflammation. And the gynecologist looked “I found only ovarian inflammation, which I decided to treat. Which of them is right? Do I need an additional examination?” – Clients.
I’ll start with the last question: an additional examination is necessary. You need to take a blood test for a hormonal profile and a smear for all infections. Only after that it will be possible to make an accurate diagnosis and outline treatment tactics.
The fact that the diagnoses of the two doctors diverge is understandable. And do not be afraid of such a list of diseases. For example, bending the uterus is not a pathology at all, but a variant of the physiological norm. The shape of the uterus may differ from normal from birth. And this, as a rule, does not interfere with its normal functioning.
Secondly, polycystic ovary requires confirmation. It is necessary to find out the level and ratio of sex hormones. After this, treatment should be prescribed with drugs that correct hormonal disorders.
Finally, endometriosis is one of the most difficult to diagnose gynecological diseases. And until the diagnosis is finally confirmed and specified, it is impossible to choose an adequate program for its treatment.
So, you should undergo a full examination and then clearly follow all the recommendations of your doctor. But it is important to note here that all of these diseases are easiest to treat at an early stage.
That is why it is so important not to wait for the appearance of unpleasant symptoms, and to be examined by a gynecologist twice a year. See a doctor, even if nothing bothers you. Otherwise, you risk missing the beginning of the painful process, which will be more and more difficult to deal with every month.
“Seven years ago, I discovered cervical erosion. I did many procedures, but erosion did not go away. I heard that it does not need to be treated before childbirth. Often I have bacterial infections that I treat right away. Are the infections associated with with erosion? And is it necessary to treat it if I plan a pregnancy not earlier than in a year? ” – Clients.
Nevertheless, it is better to get rid of all health problems before the alleged pregnancy, whether it is a viral disease or cervical erosion.
Cervical erosion does contribute to a more frequent infection. And if it proceeds against the background of human papillomavirus infection, then the risk of poor cell changes increases.
First, you should deal with viral and bacterial infections. This will require a series of examinations. These are tests for all infections, including the human papillomavirus. It is also necessary to do colposcopy.
After all infections are detected and treated, erosion can be treated. There are many different methods for this. In each case, the decision is selected individually. It will also be necessary to normalize the microflora of the vagina – for this, special drugs are prescribed.
Against the background of treatment, it will be useful to use vitamin complexes and immunomodulators. And after the end of treatment, it will be important to regularly visit a gynecologist to monitor your condition. Then you can maintain your health in the future – give birth to a healthy baby.