What are the symptoms of cervical dysplasia?

Some women do not have any gynecological symptoms at ordinary times, but they cannot get pregnant after getting married. Then they go to the hospital for a physical examination and find out that they have cervical hypoplasia. Experts say that cervical hypoplasia in women will directly lead to infertility, so this is a very serious problem. If the condition is not serious, it can usually be treated. At this time, it is necessary to go to a regular large hospital for treatment. So what symptoms will cervical hypoplasia cause?

Symptoms of cervical dysplasia:

1. Congenital absence of uterus: The paramesonephric ducts on both sides extend horizontally toward the midline and merge. If they stop developing before reaching the midline, no uterus will be formed. Congenital absence of the uterus is often combined with congenital absence of the vagina, but there may be normal fallopian tubes and ovaries. During rectal examination, the uterus cannot be touched at the area equivalent to the cervix and uterine body, but only the peritoneal folds can be felt.

2. Primitive uterus: If the two mesonephric ducts on both sides extend horizontally to the midline and meet and then stop developing shortly after that, this type of uterus is very small, usually without a uterine cavity or with a uterine cavity but without endometrial growth, and therefore no menstruation.

3. Solid uterus: The paramesonephric ducts are fused but no uterine cavity is formed; the uterus may be close to normal size but without a uterine cavity. Most patients seek medical treatment for primary amenorrhea and infertility and are discovered during diagnostic curettage.

4. Immature uterus: This is caused by the cessation of development for a short period of time after the fusion of the paramesonephric ducts. When a baby is born, the ratio of the total length of the uterus to the cervix is ​​3:2. After puberty, this ratio changes to the adult ratio of 3:1. If after puberty the uterus is smaller than normal, the cervix is ​​conical and relatively long, and the ratio of the uterine body to the cervix is ​​1:1 or 2:3, it is called an immature uterus.

The uterus stops developing in late pregnancy or at any time after the fetus is born and before puberty, and various degrees of uterine hypoplasia may occur. The cervix of this type of uterus is relatively long, mostly conical, with a small external os; the uterine body is smaller than normal and often extremely anteverted or retroflexed. Those with anteroflexion often have underdeveloped anterior uterine wall, while those with retroflexion often have underdeveloped posterior uterine wall. An immature uterus can cause dysmenorrhea, oligomenorrhea, amenorrhea or infertility.

Uterine hypoplasia does not need to be treated if it does not cause clinical symptoms. If amenorrhea, dysmenorrhea, infertility or habitual abortion is caused by uterine hypoplasia, endocrine therapy can be tried. If the patient's pain cannot be relieved after drug treatment, surgery can be considered. If it is dysmenorrhea, surgical removal of the abnormal uterus can also be considered. If miscarriage or premature birth is caused by uterine malformation, appropriate surgery can be performed according to the different malformations.

In treatment, appropriate amounts of estrogen should be given as early as possible to promote uterine growth and development. Diethylstilbestrol plus medroxyprogesterone acetate is commonly used in sequence. Generally, oral administration of diethylstilbestrol O begins on the 5th day of menstruation. 5-1 mg, take it for 20 consecutive days, add 5 mg of medroxyprogesterone on the 16th day, twice a day, take it for 7 days, and take 4-6 cycles in total.