The cervical glands can secrete viscous secretions, and the mucus formed can resist the invasion of pathogens in the vagina into the uterine cavity. However, when the body's resistance is reduced, or the cervix is affected by certain factors, the secretions increase, and the outside of the cervix is immersed in the secretions for a long time, it is very vulnerable to the attack of pathogens. The above two situations can easily lead to the "loss" of the cervix and infection, thus forming cervicitis. Cervicitis can be divided into acute and chronic. When we do gynecological examinations in hospitals, we often hear doctors say, "You have cervicitis." The cervicitis here mostly refers to chronic cervicitis, which is a common and frequently occurring gynecological disease that occurs in more than half of married women. Chronic cervicitis has five clinical manifestations: Cervical erosion: This is the most common type of chronic cervicitis. It manifests as a fine granular red area in the vaginal part of the cervix at the external cervical opening. Cervical hypertrophy: Due to the long-term stimulation of chronic inflammation, the cervix becomes congested and edematous, and the glands and stroma proliferate, causing the cervix to hypertrophy to varying degrees. Cervical polyps: Under the long-term stimulation of chronic inflammation, the cervical canal mucosa proliferates locally. Due to the rejection effect of the uterus, the proliferating mucosa gradually protrudes from the cervical opening, forming polyps. Cervical glandular cyst: also known as Nabot's cyst, or Nabot's cyst for short. This is a small bluish-white cyst that protrudes from the surface of the cervix. Endocervicitis: also known as endocervicitis. The inflammation is limited to the endocervical mucosa and the tissues underneath. Clinically, the vaginal part of the cervix is smooth, but the cervical opening is congested or blocked by purulent secretions. When women are of childbearing age, changes in sex hormones during the menstrual cycle will affect the morphology and function of the reproductive tract epithelium. Since the external os of the cervix is the junction of two types of epithelium - squamous epithelium and columnar epithelium, repeated hyperplasia, secretion, and infection make cell proliferation disorders more likely to occur, leading to cervical cancer. During sexual intercourse, the cervix is subjected to friction and collision, which may cause micro-injury. If microbial infection is introduced, it is more likely to invade; semen is alkaline, which is a kind of damage to the pH of the female vaginal environment; the enlarged uterus, fetus, amniotic fluid, etc. during pregnancy rely on the pelvic floor tissue composed of the cervix to maintain in the pelvic cavity and prevent them from leaving the mother's body. The relaxation of the cervical opening is more likely to cause premature birth.; During pregnancy, the cervical mucosa is congested and the tissue is edematous. The effect of hormones causes the squamous-columnar junction to move outward, making it more prone to erosion; during childbirth, the fetus passes through the cervix, and most of the cervix forms transverse fissures. Changes in the anatomical structure can cause the cervix to change due to susceptible factors. Therefore, the cervix is indeed "hard-working" in fulfilling the female reproductive function and is easily damaged, so it must be taken extra care to prevent the occurrence of chronic cervicitis. |
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