This is an automatically translated article.
The presence of white patches on the mucosal surface of the cervix is called hyperkeratosis. This is the starting sign of dysplasia or carcinoma in situ of the cervix.
1. What is a white spot on the cervix?
“White spot” (leukoplakia) is the term given to a solid white patch on mucous membranes and is associated with an increased risk of cervical cancer.
The patient has white spots on the cervix, colposcopy through the speculum with luminal light shows that this is a lesion including: From the mucous membrane, the upper layer of the epithelium and the underlying layers are affected. hypertrophy, becoming thickened, corresponding to the process of keratinization. At this time, the epithelial layer will turn white.
2. What is the cause of cervical white spots?
The origin of the formation and development of cervical white spots is still unclear. The theories about all causes of cervical white spots can be roughly divided into two groups: endogenous factors (working inside the body) and exogenous factors (effects from outside). ).
Endogenous factors include:
Hormonal imbalance at any level of the hypothalamic-pituitary-ovarian system: When ovulation does not occur, excess or deficiency of sex hormones, over endometrial hyperplasia. Chronic inflammatory diseases of the uterus and appendages. Metabolic diseases. Immunosuppression. Exogenous factors include:
After cervical trauma: Occurs during childbirth, abortion, rough sex or early sex life, frequent change of partners. Genitourinary infections: Epidermophytosis, genital herpes, chlamydia infection. Cervical diseases: Due to ulcers, cervicitis.
Mất cân bằng nội tiết tố có thể là nguyên nhân gây vết trắng cổ tử cung
3. What are the signs of cervical white spots?
In the vast majority of cases, cervical whites are silent, meaning they are completely asymptomatic and are just an incidental finding during routine gynecological exams.
In the late stage, when the cervical white spot has developed rapidly, the patient can feel the signs of the disease such as: Pain during intercourse and increased vaginal discharge with an unpleasant odor. The color of vaginal discharge may vary. However, these symptoms are very easily confused with gynecological diseases.
When the cervical white has spread beyond the cervix, to the vaginal wall, the patient begins to feel continuous itching and burning even though there is no contact. In some cases, a woman may notice the appearance of blood dripping from the vagina after intercourse.
Đau khi giao hợp là triệu chứng phổ biến của vết trắng cổ tử cung
4. Are cervical whites dangerous?
Three types of cervical white spots are commonly observed:
Flat: The surface of the lesion is level with the surrounding normal epithelium. This area still has a stratified squamous structure and this is an incidental finding, usually during routine gynecological exams. Wart form: The surface of the lesion is raised and not uniform like the surface of the wart. The white patches rise high above the level of the cervical lining and can stack, altering the surface of the cervix, making it uneven. Ulcer form: Right in the white of the cervix, there are lesions in the form of erosion or cracks and breaks. Flat cervical white spots are usually benign and need to be distinguished from other lesions such as infection, fungal infection. In contrast, cervical white spots and ulcers are warning signs of danger. This may be evidence of involvement in precancerous processes.
Vết trắng cổ tử cung dạng sùi và loét có thể báo hiệu tiền ung thư.
5. What to do when there is a white spot on the cervix?
Perform a cytological smear by scraping a few cells from the surface of the white patch. However, this test does not always give accurate results. The next step, if colposcopy is selected, is a procedure that allows the boundary and size of the lesion to be determined. The surest criterion is always a biopsy, especially when performed under colposcope control. Once the biopsy results are available, this is the criterion for deciding how to treat. If the cervical white spot is simple and benign, the gynecologist is responsible for treatment; however, if the biopsy shows the presence of atypical cells, this responsibility shifts to the oncologist, staging, and radical planning if possible.
All of these treatments can be done on an outpatient basis, preferably on day 5 of the menstrual cycle. The healing process lasts from 2 weeks to 2 months.
In summary, cervical white spots can be a warning sign of malignancy forming in the future. It is important that sexually active women have regular gynecological examinations, smears and hysteroscopy, in order to detect these lesions early and receive aggressive radical treatment, improving the quality of life. future projections.
Currently, Vinmec International General Hospital is having a package of screening and early detection of gynecological cancer, customers will be screened for cervical cancer in the following steps:
To be examined and consulted with a specialist doctor Department of Obstetrics and Gynecology Cervical cancer screening through automated system HPV genotype PCR test and transvaginal ultrasound of the uterus. Colposcopy: Early detection of abnormal lesions in the cervix. Other related tests, such as abdominal ultrasound, blood test... At Vinmec, the application of modern colposcopy method and aseptic procedure helps the diagnostic process to achieve the main results. most accurate. Screening results are then returned to the home with specific advice and recommendations for the patient.
Any questions that need to be answered by a specialist doctor as well as customers wishing to be examined and treated at Vinmec International General Hospital, you can contact Vinmec Health System nationwide or register online HERE.
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Vaginal discharge and white blood: What you need to know Identify normal and pathological discharge What is leukorrhea? Does white blood cause cervical cancer complications?
