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[Clinical and pathological peculiarities of cervix in young women not giving birth with pseudo-erosions during hormonal contraception].

An early initiation of sexual life as the cause of problem concerning hormonal contraception with young women not given birth acquires a special actuality. It is known that no matter how carefully the operation of abortion is held, it is inevitably accompanied by the traumatization of cervix, especially in women with first pregnancy. According to the reference data the consequences of the first abortion in every third woman are the inflammatory diseases of reproductive organs, the infringement of menstruation, infertility, ectopic pregnancy, endometriosis, etc. It is known that the most effective method of avoiding the first pregnancy and in particular the first abortion is the hormonal contraception (HC). It is necessary to mention that there are numerous and diverse investigations dedicated to the study of condition of the cervix in the process of hormonal contraception. The detailed analysis of the literature in last 5-8 years show that the frequency of cervical cancer in women who use HC does not exceed the overall rate in the population. Besides the right choice of oral contraception (OC) for present contingent of women promotes the epithelization of the pseudo-erosions of the cervix.

Adolescent↗

[Colposcopy images of cervix in women with Gardnerella vaginalis infection].

Among micro-organisms infecting vagina whose dominant genus is GV anaerobic bacteria are often present. There are reports that GV infections of vagina and uterine cervix, apart from their well-known negative role in obstetrics practice can play a role in carcinogenic processes of uterine cervix. The aim of the study was to assess characteristic colposcopy images of cervix in women with Gardnerella vaginalis infection. The research was carried out on 1180 women hospitalised in the period of 14 months. Many observations lead to conclusions that pathognomic clinic feature of Gardnerella vaginalis infection of uterine cervix is visible in colposcope presence of clean, translucent mucus in external cervical os and opaque vaginal contents in the rear vaginal vault. High hydrogen ion concentration in vaginal contents (pH 6.0 and over) correlates with positive "fishy odour test" of this contents. Gardnerella vaginalis infection of vagina and uterine cervix concerns women with existing erosion-type changes of uterine cervix. Visible in colposcopic test restless and "spotted" images visible after Schiller test are pathognomic colposcopic features of Gardnerella vaginalis infection.

Adult↗