زخم دهانه رحم عارضه‌ای است که در اثر التهاب یا آسیب به بخش انتهایی رحم به وجود می‌آید. این زخم معمولاً به دلیل عفونت‌های باکتریایی، قارچی یا ویروسی و حتی تحریکات فیزیکی مداوم شکل می‌گیرد. در موارد حاد، علائمی مثل خونریزی غیرطبیعی، ترشحات زیاد و احساس درد در ناحیه لگن مشاهده می‌شود. درمان‌های موجود شامل استفاده از آنتی‌بیوتیک‌ها، جراحی‌های جزئی یا روش‌های جدید مانند فریز کردن زخم است. شناسایی زودهنگام زخم دهانه رحم تأثیر زیادی در پیشگیری از بروز عوارض جدی مثل بیماری التهابی لگن یا ناباروری دارد.

زخم دهانه رحم چیست

زخم دهانه رحم یا سرویسیت (Cervical ulcer) حالتی است که در آن بخش پایینی رحم که به واژن متصل می‌شود، دچار التهاب و آسیب می‌گردد. این ناحیه باریک درست مثل یک دروازه بین رحم و واژن عمل می‌کند. خون قاعدگی از طریق این مجرا عبور می‌کند و در زمان بارداری هم دهانه رحم باز می‌شود تا نوزاد از کانال تولد عبور کند.

سرویسیت به دو شکل حاد و مزمن بروز می‌کند. در نوع حاد، التهاب معمولاً ناشی از عفونت است و خیلی سریع و در مدت کوتاهی بروز می‌کند، اما نوع مزمن اغلب به خاطر تحریک مداوم و طولانی‌مدت رخ می‌دهد و دوره درمان آن هم طولانی‌تر است. بر اساس آمار، بیش از نیمی از زنان حداقل یک بار در طول زندگی‌شان این وضعیت را تجربه می‌کنند.

با توجه به اهمیت سلامت دهانه رحم، مراجعه به پزشک و درمان به موقع از بروز مشکلات جدی‌تر جلوگیری می‌کند. Cervical ulcer can be treated with early diagnosis and there is no need to worry.

Cervical ulcer symptoms

This complication appears in many cases without symptoms. In fact, when many women go for a pelvic examination due to other problems, they also notice the presence of a cervical ulcer. However, if the disease was accompanied by certain symptoms, it is very important to pay attention to these symptoms. You should take any abnormal symptoms seriously and see a gynecologist as soon as possible. Especially, sometimes, diseases such as uterine polyps cause symptoms similar to cervicitis; Therefore, it is very important to be under the care of a doctor for accurate diagnosis and proper treatment.

Cervical ulcer symptoms include the following:

• Abnormal and excessive vaginal secretions that are white, yellow or gray and have an unpleasant smell.
• pain in the uterus during sex.
• Bleeding or spotting between periods.
• Vaginal bleeding after sex.
• Severe pain in the lower abdomen or pelvis (in rare cases).
• Feeling pressure or pain in the pelvis or abdomen.
• Painful intercourse.
• Feeling pain during cervical examinations.
• Fever (rarely).
Frequent urination or painful urination Burning and itching of the vagina

Cervical wound treatment

The first step to treat cervicitis is to visit a gynecologist, obstetrics and laparoscopy specialist such as Dr. Giti Gheazi, who is considered one of the best laparoscopic surgeons in Tehran. The doctor uses various methods to diagnose cervical ulcer, such as clinical examination, pap smear test, colposcopy, biopsy, urine test, blood test, and sexually transmitted infection test. After examining the cause and severity of the wound, the treatment process begins. A very important point is that one's spouse must also be treated simultaneously in the treatment process.

This complication is treated through the following methods:

1. Treatment with antibioticsIf a bacterial infection is diagnosed, the doctor prescribes antibiotics. This treatment is necessary for women who are under the age of 25 or have high-risk sex, even if the bacteria are not seen in the tests.
2. TreatmentAntifungal and antiviral: If the wound is due to fungal or viral infections, the doctor prescribes antifungal or antiviral drugs.
3. Surgery: If drug treatments are not effective, the doctor uses surgical methods such as laser or cervicitis for treatment. Laser is effective for removing the damaged tissue and healing the cervical wound.
4. Removal of the uterus: In rare and very severe cases when the cervical ulcers become chronic infections or there is a risk of becoming cancerous, the doctor removes the uterus. Surgery to remove the uterus is performed when other treatments do not work and the person's life is at risk.

How long does it take for a cervical wound to heal

It usually takes 4 to 6 weeks for a cervical ulcer to heal completely. Various factors affect the shortening or lengthening of the recovery period. One of these factors is the patient's age. As the age increases, the immune system becomes weaker and the treatment of diseases will require more time. In addition, a person's general health status plays a big role in the speed of recovery. Healthy people get rid of this disease sooner than women who have chronic diseases or are overweight. Adherence to post-surgery care and proper diet are also effective in shortening the recovery time of cervicitis.

Cervical wound treatment in traditional medicine

In addition to the mentioned medical methods, there are also some traditional treatments for this disease. The most important thing is that before doing anything, you must ask your doctor about the effectiveness of home remedies for cervicitis. These alternative treatments are not yet scientifically proven and should not be used as a first-line treatment for cervicitis. In addition, such treatments alone cannot cure cervical ulcer or vaginal infection and they definitely need to take special drugs.

Some traditional methods of treating cervical ulcer include the following:

• Traditional Chinese medicine: Chinese medicinal plants have anti-inflammatory properties and help to improve cervicitis.
• Probioticss: consumption of probiotic yogurts treats cervical inflammation caused by bacterial infections.
• Garlic: Due to its antibacterial properties, garlic eliminates infections and inflammations of the uterus.
• Green tea: drinking green tea helps the health of the uterus and reduces the risk of ovarian problems and uterine cancers.
• Baking soda: The alkaline property of baking soda destroys infections and fungi in the uterus and treats inflammations.
• Pomegranate skin decoction: Pomegranate skin decoction eliminates abnormal uterine secretions and cures vaginal infections.
• Animal oil: consuming animal oil also helps to treat this condition and reduces inflammation caused by sexually transmitted infections.
• Maintaining vaginal health: Using cotton underwear, avoiding allergens and using condoms during sex will maintain vaginal health.

The best medicine for cervical ulcer

Which drug is considered as the best drug for the treatment of cervical ulcer depends on the cause of the disease and the diagnosis of the specialist doctor. In most cases, bacterial infections are the main cause of cervical ulcers. In this situation, the doctor prescribes appropriate antibiotics to eliminate the infection. These drugs are usually given to the patient for 1 to 2 weeks to heal the wound.

If the cause of the ulcer is a fungus or a virus, the doctor will prescribe antifungal or antiviral drugs to treat the infection quickly. These drugs directly fight the infection and heal the wound. If the wound was caused by an allergy to condoms or spermicides, you should stop using these items to prevent the recurrence of the wound.

Proximity with cervical ulcer

The question that arises for many women with cervical ulcers is whether it is possible to have sex with a cervical ulcer? If you have just started your treatment and are still taking the medicine, you should refrain from sexual intercourse until the end of the treatment period; Because any kind of irritation and contact is associated with the possibility of bleeding or aggravation of the wound. In this situation, sexual contact not only aggravates your symptoms, but also increases the possibility of infection. If the doctor allows you to do this, you can have sex by following the recommended instructions and hygiene tips, otherwise you have to wait until the end of the treatment.

Is cervical ulcer dangerous?

This disease usually responds well to treatment and its risk disappears with the use of medicine, but since the cause of cervical ulcer is infection or sexually transmitted diseases, if not treated, it leads to serious and dangerous problems such as pelvic inflammation or infertility. In rare cases and when the causative agent of the disease is the HPV virus, there is also a possibility of a person getting cervical cancer. For this reason, it is very important to take any abnormal symptoms, such as vaginal discharge, pain during intercourse, or abnormal bleeding and spotting, seriously and to consult a specialist doctor for further investigation.

The best cervical wound doctor in Tehran

Ms. Dr. Giti Ghayazi, specialist in gynecology, obstetrics and laparoscopy, with years of experience in the field of treating women's problems, is one of the best choices for the treatment of cervical ulcer in Tehran. His skill in accurate diagnosis and providing effective treatment methods along with his professional ethics have made many patients trust him for treatment. The doctor patiently listens to your problems and questions and always provides the necessary guidance during the treatment. You can go through the treatment and recovery process with peace of mind by visiting the office of Dr. Qiyazi located in Tehran, Argentina Square, at the beginning of Alvand St., Central Doctors Building, 2nd floor, while having detailed instructions.

Frequently Asked Questions

What should be done to prevent cervical ulcer?

Use a condom during sex to prevent the transmission of sexually transmitted infections. The HPV vaccine also prevents viruses that cause cervical cancer and ulcers. It is also very effective to perform a regular pap smear test and observe personal hygiene, such as washing the genital area with warm water and mild soap.

Why do we get cervical ulcer?

The reason for this is contracting sexually transmitted infections such as chlamydia, gonorrhea or the HPV virus. Hormonal changes, sensitivity to hygiene products or condoms, physical injuries caused by childbirth or sexual relations, improper hygiene and uncontrolled diabetes are other causes of cervicitis.

Who are most exposed to this disease?

Women who have high-risk sexual behavior or multiple sexual partners, those who have unprotected sex or start having sex at a young age, and those who have a history of sexually transmitted infections are more susceptible to cervical ulcers.

Final Recommendations for Cervical Ulcers

Failure to treat cervical ulcer on time causes problems such as pelvic inflammation, infertility and even in certain cases, it leads to cancer. Observance of health tips, refraining from high-risk sexual relations, HPV vaccine and regular pap smear test have a great effect in preventing this disease. It is very important to take any abnormal symptoms such as abnormal vaginal discharge, spotting, bleeding, or pain seriously and see a gynecologist as soon as possible for treatment. Timely treatment of this disease prevents dangerous side effects and improves your quality of life.