Treatment of cervical dysplasia
A pathological condition in which the cells covering the cervix change and acquire signs of atypia. This condition can lead to the development of cervical cancer if it is not diagnosed and cured in a timely manner.
The disease is most often asymptomatic, and women may not be aware of its presence, so regular gynecological examinations and HPV screening are crucial for the prevention and early detection of pathology.
The main risk factor for dysplasia is infection with oncogenic HPV types, but the onset of the disease can also be influenced by early onset of sexual activity, frequent change of partners, smoking, prolonged use of oral contraceptives and weakened immunity. Diagnosis of cervical dysplasia is performed using a PAP test (cytology), HPV testing and colposcopy with biopsy (under local anesthesia). Treatment of dysplasia depends on the degree of lesion. With CIN I, dynamic monitoring is often carried out (no more than 1.5-2 years), since young women (up to 30 years old) with normal immune function may have an independent regression of the disease. With the preservation of CIN I for more than 2 years, CIN II and CIN III, or the progression of dysplasia, surgical intervention is indicated.
PAP test (cytological examination of a smear from the cervix) HPV testing to identify oncogenic virus types Colposcopy with biopsy of suspicious areas of the cervix A general blood test and tests for sexually transmitted infections Upon admission to the hospital, the following are required: Fluorography or chest X-ray Electrocardiography Laboratory examinations: general blood test, biochemical blood test, coagulogram, blood tests for hepatitis B and C, syphilis, HIV, smear for purity and smear for oncocytology from the cervix Determination of blood type and Rh factor
For the treatment of CIN I, excision is performed, — removal of the affected area of the cervix, or laser ablation — destruction of the affected tissue. Ablation is performed under local anesthesia and requires a lot of preparation. Excision or conization of the cervix is used in the treatment of severe forms of dysplasia (CIN II and CIN III). The choice of method depends on the degree of cervical lesion, the age of the patient and her plans for childbirth. Cervical conization is the most common operation in which the cone—shaped part of the cervix containing pathological cells is excised. The procedure allows not only to remove dysplastic cells, but also to conduct a histological examination of tissues to confirm the diagnosis. Excision and conization of the cervix is recommended to be performed under medical sleep, for the comfort and safety of the patient. Hospitalization in a hospital for several hours is required.
Radio wave knife or electric loop to perform conization or LEEP Laser equipment for ablation of the affected tissue Colposcope with high-resolution optics for accurate determination of lesion boundaries and treatment direction
After surgical treatment of cervical dysplasia, it is recommended to refrain from sexual intercourse and the use of tampons for 4-6 weeks. Physical activity should also be limited for this time. Minor spotting during the first 2-3 weeks after surgery is normal. It is important to undergo regular follow-up examinations, including a PAP test and HPV testing, every 6 and 12 months to rule out a recurrence of the disease.
Benefits
Effective cancer prevention
Surgical treatment of dysplasia significantly reduces the risk of cervical cancer in patients with CIN II and CIN III.
Minimally invasive methods
Ablation and conization are minimally invasive procedures that help preserve the cervix and minimize the risk of complications.
Preservation of reproductive function
Treatment of cervical dysplasia, especially in young women, is carried out with minimal impact on the reproductive organs, which allows you to preserve the ability to procreate.
Fast recovery
After treatment of dysplasia, the patient recovers quickly and can return to normal life within a few weeks.
Frequently Asked Questions
Is it possible to get pregnant after treatment of cervical dysplasia?
How often do I need to be examined after dysplasia treatment?
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Medical examination aimed at diagnosing, treating and preventing diseases of the female reproductive system.
Removal of tumors in the intimate area
A procedure aimed at eliminating benign growths such as papillomas, warts, cysts and genital warts.
Reproductive surgery
Surgical treatment and simultaneous accurate diagnosis of female infertility factors: adhesions, endometriosis, congenital malformations of the genital organs, obstruction of the fallopian tubes, intrauterine pathology (septum and synechia), polycystic ovary syndrome.
Cervical plastic surgery
Cervical plastic surgery (tracheloplasty) is a surgical restoration of the anatomical structure and function of the cervix, which helps to maintain the health of the reproductive system.
Treatment of vulvar diseases
Vulvar diseases, including chronic fissures, sclerotrophic lichen and other dermatological conditions. We offer modern and effective treatment methods aimed at reducing symptoms and restoring the normal condition of the vulva skin.
Correction of menopause problems
The onset of menopause is often accompanied by a number of physical and mental manifestations unpleasant for a woman. The gynecologist will choose therapy, which can relieve or completely eliminate the symptoms.
News & Media
All news and mediaThe III All-Russian Progress Conference "Aesthetic Gynecology and Perineology: balance of beauty and functionality" was held in Moscow
The event lasted from 24 to 26 May, and the theme was Aesthetic gynecology and perineology: the balance of beauty and functionality.
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