Cervical Erosion and Recurring Vaginal Infections

Cervical erosion and recurrent vaginal infections?

Hello Doctor, at the end of last year, I visited a gynecologist due to pelvic inflammatory disease.
I took medication for two weeks and paid attention to hygiene and care (I only started having sexual intercourse at the end of last year, so I haven't had a Pap smear).
The examination results showed cervical erosion and inflammation of the fallopian tubes and vagina.
Additionally, due to a retroverted uterus, I experience abdominal pain accompanied by lower back pain.
Each time I complete a two-week treatment, I feel better for about one to two weeks, and then the symptoms recur, prompting me to see the doctor again for medication.
My hygiene habits are generally good, and I maintain cleanliness.
I engage in sexual activity about twice a week, always using condoms (both my partner and I shower and clean beforehand).
I'm uncertain whether the cervical erosion is the cause or if my inherently low immune system is leading to frequent infections.
How should I take care of myself? Could it be due to some specific infection?
The usual recurrent symptoms include:
1.
Mild abdominal cramping, abdominal tenderness, and a slight feeling of bloating.
2.
Slightly thick, purulent yellow discharge (the amount is moderate, not particularly excessive) with a faint, unusual odor, but not foul-smelling.
The more severe symptoms (approximately once a month) include:
1.
More frequent abdominal pain (mostly in the area of the ovaries), abdominal tenderness, and discomfort.
2.
One or two episodes daily of a larger amount of purulent yellow discharge, sometimes leaving a trace on my underwear that dries (also with a faint, unusual odor but not foul-smelling).
3.
Lower back pain.
4.
Slightly elevated body temperature.
5.
Frequent urination with increased urine output.

M, 10~19 year old female. Ask Date: 2018/04/05

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the observation of cervical erosion is primarily based on the visible signs of redness and swelling on the surface of the cervix.
The causes can range from simple cervical epithelial eversion and inflammation to cervical viral infections and lesions.
Further examinations, such as a Pap smear, are necessary to confirm the diagnosis and rule out the possibility of malignant changes.
After excluding malignancy, treatment should be directed towards the specific pathogens involved.
Most cases show improvement with pharmacological treatment.

Salpingitis is part of pelvic inflammatory disease (PID).
Treatment and prevention methods include: 1.
Oral or injectable antibiotics, 2.
Adequate rest and hydration, while avoiding sexual intercourse during the illness, 3.
If there are recurrent episodes related to an intrauterine device (IUD), it should be removed, 4.
After 2-3 days of treatment, the effectiveness should be evaluated; if outpatient treatment is ineffective or if there is an abscess, hospitalization for further evaluation is necessary.
Thank you! Wishing you peace and health.
Dr.
Zhang.

Reply Date: 2018/04/05

More Info

Cervical erosion, also known as cervical ectropion, occurs when the cells from the inside of the cervical canal grow on the outside of the cervix. This condition can lead to various symptoms, including increased vaginal discharge, bleeding, and discomfort during intercourse. Your situation, characterized by recurrent vaginal infections and pelvic pain, raises several important considerations regarding your health and management strategies.

First, it’s essential to understand that cervical erosion itself is not an infection but rather a condition that can make the cervix more susceptible to infections. The inflammation you are experiencing in conjunction with cervical erosion could be due to several factors, including hormonal changes, infections, or even irritation from sexual activity. Given that you have a history of pelvic inflammatory disease (PID), it is crucial to monitor your symptoms closely, as PID can lead to chronic pelvic pain and complications if not adequately treated.

Your recurrent infections, characterized by symptoms such as abdominal pain, changes in vaginal discharge, and urinary symptoms, suggest that you may be dealing with a persistent infection or an underlying condition that affects your immune response. It’s worth noting that certain infections, such as bacterial vaginosis or yeast infections, can cause similar symptoms and may require specific treatments.
Here are some recommendations for managing your condition and preventing recurrence:
1. Regular Gynecological Check-ups: Since you have not had a Pap smear, it is advisable to schedule one as soon as possible. Regular screenings can help detect any abnormalities early and monitor the health of your cervix.

2. Maintain Good Hygiene: Continue practicing good hygiene, especially after sexual activity. Ensure that both you and your partner are clean before engaging in sexual intercourse. However, avoid douching, as it can disrupt the natural balance of bacteria in the vagina.

3. Use Protection: While you are using condoms, which is excellent for reducing the risk of sexually transmitted infections (STIs), ensure that they are used consistently and correctly. This will help protect against infections that could exacerbate your symptoms.

4. Diet and Lifestyle: A balanced diet rich in vitamins and minerals can support your immune system. Consider incorporating foods high in antioxidants, such as fruits and vegetables, and ensure you stay hydrated. Regular exercise can also help improve your overall health and immune function.

5. Stress Management: Chronic stress can weaken your immune system, making you more susceptible to infections. Engage in stress-reducing activities such as yoga, meditation, or any hobbies that you enjoy.

6. Follow-Up on Infections: If you experience symptoms of infection, such as increased discharge, unusual odors, or pain, seek medical attention promptly. Your healthcare provider may recommend specific tests to identify the cause of your symptoms and tailor treatment accordingly.

7. Consider Immunity Factors: If you suspect that your immune system may be compromised, discuss this with your healthcare provider. They may recommend tests to evaluate your immune function and suggest appropriate interventions.

8. Avoid Irritants: Be cautious with products that may irritate your vaginal area, such as scented soaps, lotions, or feminine hygiene products. Stick to mild, unscented products to minimize irritation.

In conclusion, while cervical erosion can contribute to your symptoms, it is essential to address the recurrent infections and any underlying issues. Regular follow-ups with your gynecologist, maintaining good hygiene, and adopting a healthy lifestyle are crucial steps in managing your condition. If symptoms persist or worsen, further evaluation may be necessary to rule out other potential causes. Always communicate openly with your healthcare provider about your concerns and symptoms to receive the best care possible.

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