Pregnancy is such a wonderful time of life for women and their families. This article will discuss what you should know about cervical health to ensure a healthy, term pregnancy. Genetics, cervical injury, surgical procedures, and sexually transmitted infections can affect your cervical health and put you at risk for preterm labor (PTL), pre-labor premature rupture of membranes (PPROM), and incompetency of the cervix during pregnancy.
Risks for Cervical Impairment
Deviations from normal health of the cervix can have multiple causes. The damage or impairment can range from benign to severe and determine the viability of maintaining pregnancies.
Genetics can play a role in cervical health. There are disorders that affect the connective tissue, collagen, and that may declare the cervix incompetent of maintaining a pregnancy.
Obstetric trauma, such as cervical lacerations, may occur with delivery of an infant. This may affect the competency of the cervix. A previous dilation and curettage (D&C) could also have caused structural damage to the cervix.
Sexually Transmitted Infections
Some sexually transmitted infections (STI) can cause scarring on the cervix and other vaginal/ovarian structures. It is important to treat any infections promptly to preserve not only cervical health, but also the ability to conceive.
- Chlamydia is an STI that, if left untreated, may progress into pelvic inflammatory disease. As a result, it can permanently damage a woman’s reproductive system and cause chronic pain, inability to get pregnant, and cause an ectopic pregnancy (pregnancy outside of the uterus).
- HPV(Human Papilomavirus) can cause wart-like lesions that can potentially migrate up to the cervix (called dysplasia). It requires treatment to remove the and these procedures may cause scarring and cause problems during labor, inhibiting the cervical dilation. Also, if the warts block the birth canal, a cesarean section (C-section) may be necessary.
- Pelvic Inflammatory Disease (PID) if left untreated, or you experience multiple infections, can cause permanent damage to your entire pelvis and reproductive system. This may impede your ability to get pregnant as well as causing cervical trauma and damage.
Procedures that Affect Cervical Health
Intracervical procedures are associated with preterm birth – Cervical Conization, Loop Electrosurgical Excision Procedure (LEEP), Large Loop Excision of the Transformation Zone (LLETZ), and dilation & curettage (D&C) are various types of procedures that are performed to remove cervical precancerous/cancerous cells on the cervix. These procedures, although very important, carry risks of causing preterm labor (PTL), pre-labor premature rupture of membranes (PPROM), and incompetent cervix. This is significant for women planning for pregnancy who are at risk for needing these procedures.
Cervical Conization is a diagnostic and treatment for abnormal cells on the cervix. This procedure is performed by an OB or trained NP/midwife. They use a scalpel or laser to remove a cone-shaped piece of the cervix containing the area with abnormal cells. This procedure, as with all procedures that require removal or disruption of tissue, may cause scarring of the remaining tissue.
Loop excision procedure (LEEP) is a similar procedure as conization but it removes more tissue. This, too, is associated with the risks of very preterm delivery.
Large loop excision of the Transformation Zone is another procedure that is performed on the cervix to remove a portion of the cervix itself.
Supporting the Health of the Cervix
It is important to understand the ways to prevent the need for these procedures and maintain a healthy cervix.
- Prevention. Maintaining a healthy immune system through healthy eating, regular exercise, adequate sleep, and stress relief will help boost your immune system.
- Partners. Choosing your partners wisely and using protection such as condoms can be an important way to prevent infections. Condoms don’t prevent HPV, though they do prevent other STIs such as chlamydia.
- Treatment. When you have any type of vaginal infection, you should see your healthcare provider to assure prompt and adequate treatment to prevent any permanent damage from occurring.
- Douching. AVOID IT! Your body maintains a perfect environment for vaginal health. By douching, you disrupt the good bacteria and increase your risk of infections. Let your body do what it knows best.
- Screenings. Have regular pap-smears to maintain cervical health. The times to be screened are every 2 years, starting at age 21, and if you have had multiple partners or have recently changed partners, even if you have had negative tests previously.
- Vaccinations. Talk to your healthcare provider about the vaccines Cervarix and Gardasil that can protect men and women from certain types of HPV, known to cause more severe cervical cancers. These vaccines do not reduce the risk of other types of STIs.
Treatment for Cervical Infections
If you have been diagnosed of Cervical Polyps or any form of cervical or vaginal infection, you need to have a look at the Cervical Polyps Remedy Kit.
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