Questioni am a 27 year old female w/ one child. used bc pills for 7 yrs. -just switched 1 week ago to the mirena iud- for a couple yrs. i have had post- sex spotting. finally, about 5 weeks ago i went to my gyno. w/ this and she done an exam. she said she thought i had a small ectropion. she used silver nitrate. 1 week ago, when i went for my iud insertion, she said it was still there and she took a biopsy.( i did have the iud inserted) They called me yesterday and said the biopsy was benign but it did show some inflammation. would this be the ectropion? would the sample come back with inflammation if there was an ectropion present? could the inflammation have been caused by the silver nitrate? she put me on antibiotics, she said "just in case there is an infection". does this sound like cervicitis? is inflammation a precursor to cancer or precancer? i have been faithfully married for 8 yrs. and never had an std or anything. i have had annual paps since 18yrs. old and all have been normal?
Answerit look like it, ectropion and the previous treatment gave you inflammation. An inflammation can be caused by several factor, precancerous I doubt the biopsy will show it but inflammation exist with any reaction including cancer, now it depend what cells has been found in this inflammation.
The antibiotics are general protection procedure, infection can be seen in the most healthy women and with just one partner, a slight change in your vaginal PH can lead to it.
Even the IUD create an inflammation this is the reason why anti-inflamatory are not to be considered if you do want the device to work.The columnar cells of ectropion are perfectly normal. They are not cancerous or pre-cancerous. In fact, they line the inside of the cervical hole in all women. So an ectropion simply means that the columnar cells are around the outside of the hole as well as inside it.
It seems that cells on the cervix become columnar when there is a lot of the hormone oestrogen around. Therefore ectropion is most common in women on the contraceptive pill and during pregnancy.
So ectropion is perfectly normal, and nothing to worry about. It does not affect fertility, and does not become cancerous. However, the columnar cells are more fragile than the flat cells, so an ectropion may bleed after intercourse. If this is troublesome, it can be treated by heat cautery or by freezing. After treatment, flat cells grow over to heal the area. Treatment is not always successful, because columnar cells may grow again, especially if the woman is still on the pill. Of course, any woman who has bleeding after intercourse should see her doctor, to check that it is ectropion and not something more serious.
cervical eversion, pseudoeversion secondary to DES adenosis
After sexual intercourse (postcoital)
Between menstrual periods
Discharge (clear or yellowish mucus)
Causes of Cervical ectropion(cervical erosion)
Cervical ectropion(cervical erosion) may be caused by:
trauma (through intercourse, tampon insertion, foreign objects in the vagina, or speculum insertion)
infection (herpes, early syphilis , tampons that were not removed, severe vaginal infections)
chemicals (spermaticidal contraceptive creams or foams, douches)
Treatment and Cure of Cervical ectropion
The condition usually goes away on its own, but if it doesn't, it can be treated by destroying the out-of-place cells in the same way abnormal cells are treated.
Cervical ectropion it can be treated by heat cautery or by freezing. After treatment, flat cells grow over to heal the area. Treatment is not always successful, because columnar cells may grow again, especially if the woman is still on the pill.
hope this answers your question and do not think that you need to worry much about the inflammation which is so far reactional.
Thanks
