symptoms of chronic cervicitis, early symptoms and signs of chronic cervicitis
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Symptoms of chronic cervicitis
Typical symptoms: leucorrhea, milky white, mucous or bloodshot in leucorrhea, or sexual intercourse bleeding, accompanied by vulvar pruritus, lumbosacral pain, and aggravated menstruation. Lower abdominal pain, menstrual disorder, female infertility
Related symptoms: increased leucorrhea, lower abdominal pain, lumbosacral pain, female infertility
1. Leucorrhea increases:
Sometimes it is the only symptom of chronic cervicitis. Usually viscous mucus or purulent mucus. Sometimes the secretion can have bloodshot or a small amount of blood, and there can also be contact bleeding. Vulvar pruritus can be caused by the stimulation of leucorrhea.
Pain often occurs in lower abdomen or lumbosacral region, sometimes pain can appear in upper abdomen, thigh and hip joint, which is aggravated during menstruation, defecation or sexual life, especially when inflammation expands backward along uterosacral ligament or along the bottom of broad ligament, forming chronic parauterine connective tissue inflammation, and the pain is even worse when the main cervical ligament thickens. When touching the cervix, it immediately causes iliac fossa and lumbosacral pain, and some patients can even cause nausea and affect sexual life.
3. Bladder and intestinal symptoms:
Chronic cervicitis can spread through lymphatic tract or directly spread to bladder triangle or connective tissue around bladder, so as soon as there is urine in bladder, there are symptoms of frequent micturition or dysuria, but the urine is clear and the routine examination of urine is normal. In some cases, inflammation continues to spread or secondary urinary tract infection occurs through the lymphatic pathway connecting cervix, bladder triangle and ureter. The incidence of chronic pyelonephritis in adult women is many times higher than that in men, which may be related to this situation.
Intestinal symptoms appear less than bladder symptoms, and some patients feel pain when defecating.
4. Other symptoms:
Such as irregular menstruation, dysmenorrhea, pelvic heaviness, infertility, etc.
II. Diagnostic criteria:
Because the symptoms of chronic cervicitis are often masked by other gynecological diseases, it is often found when routine gynecological examination. Through speculum visual diagnosis can be seen cervix has bright red fine granule erosion area and cervical canal secretion purulent mucus-like leucorrhea, can get the diagnosis.
Chronic cervicitis can have cervical erosion, cervical hypertrophy, cervical polyp, cervical gland cyst and cervicitis in clinic, among which cervical erosion is the most common. According to the size of cervical erosion, it can be divided into three situations: mild, moderate and severe:
Erosion area accounts for 1/3 of cervical area;
Erosion area accounts for 1/3 ~ 2/3 of cervical area.
Erosion area accounts for more than 2/3 of cervical area.
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