Causes of cervical atrophy

The female uterus is a very important organ for women. If the female uterus begins to shrink, the woman will age very quickly. You can clearly see the wrinkles on her face becoming more and more, and the skin becomes more and more loose. Therefore, most women will take care of their uterus in order to slow down their aging. So what are the causes of cervical atrophy?

The most fundamental reason for uterine atrophy is the decline of ovarian function, which leads to a decrease in estrogen and atrophy of the internal reproductive organs. For example, the common clinical premature ovarian failure can cause uterine atrophy and clinical amenorrhea. In this case, in order to avoid the occurrence of cardiovascular diseases and osteoporosis, hormone replacement therapy can be used. Progynova can be taken orally together with progesterone. The main thing is to observe whether menstruation can occur clinically. If menstruation does not occur, simply taking Progynova orally will be sufficient. If uterine atrophy occurs after perimenopause, it is recommended to let nature take its course. Have a gynecological examination once a year.

reason

The causes of atrophy can be divided into two categories: physiological atrophy and pathological atrophy. The former is the degeneration of certain organs and tissues at a certain stage of body development. Such as the thymus in adolescence; the gonads, breasts, and uterus after menopause; and the atrophy of various organs in the elderly. The latter is atrophy that occurs under pathological conditions. For example, systemic atrophy is often caused by long-term malnutrition, wasting diseases (such as malignant tumors) and long-term starvation. Local atrophy is common in brain and kidney atrophy caused by local ischemia (such as atherosclerosis); local compressive atrophy caused by long-term pressure (such as hydronephrosis compressing the renal parenchyma, causing it to atrophy and become thinner); disuse atrophy caused by long-term inactivity of limb organs (such as: when a fractured limb is fixed with plaster, the muscles and bones atrophy due to long-term inactivity); target organ atrophy caused by endocrine dysfunction (such as atrophy of the thyroid, adrenal glands, gonads and other organs caused by hypopituitarism in Simon's disease).

symptom

Women's menstrual cycle is a normal physiological phenomenon caused by the regular periodic thickening, spiraling and shedding of the endometrium. However, it needs to rely on the coordination of the hypothalamus-pituitary-ovary and the cyclical response of the endometrium to sex hormones for support. Endometrial atrophy can be caused by many causes, including ovarian dysfunction, pituitary lesions, and endometrial cancer. The clinical manifestations of endometrial atrophy are severe lesions such as decreased menstrual volume and infertility. It is generally more common in women of childbearing age. In specific situations, it is recommended to go to the hospital for examination to find out the cause so as to provide symptomatic treatment.

Clinical manifestations

(1) Menstrual abnormalities: Patients with congenital absence of uterus or primordial uterus have no menstruation. Patients with immature uterus may have no menstruation, or may have symptoms such as scanty menstruation, delayed menstruation, dysmenorrhea, and irregular menstruation; patients with double uterus or bicornuate uterus often have excessive menstrual flow and prolonged menstrual duration.

(ii) Infertility: Uterine hypoplasia, such as absence of uterus, primordial uterus, or immature uterus, is often one of the main causes of infertility.

(III) Pathological pregnancy: An abnormally developed uterus often causes miscarriage, premature birth or abnormal fetal position after pregnancy. Spontaneous uterine rupture may occur during pregnancy. If the fallopian tube of the rudimentary uterine horn is unobstructed, the fertilized egg can implant in the rudimentary horn of the uterus. However, due to the poor development of the uterine muscle layer, it often ruptures during pregnancy, and the symptoms are the same as those of ectopic pregnancy.

(iv) Pathology during and after delivery: The malformed uterus is often accompanied by myometrial hypoplasia. During delivery, abnormal labor force and difficulty in cervical dilation may lead to difficult labor or even uterine rupture. Vaginal delivery may result in retained placenta, postpartum hemorrhage, or postpartum infection. After a patient with double uterus becomes pregnant, the pregnant uterus grows and develops, and if the non-pregnant uterus is located in the rectouterine fossa, it may cause obstructive dystocia during delivery. Patients with double uterus, bicornuate uterus or septate uterus may experience bleeding after delivery due to the discharge of decidua from the non-pregnant side of the uterine cavity.