Patients complain of leucorrhoea of a mucopurulent nature, sometimes dull pains of low intensity in the lower abdomen. Objectively, hyperemia and edema of the mucous membrane of the cervix are observed, more pronounced in the acute stage and less in the chronic one. When viewed in mirrors and colposcopy, hyperemia around the cervical canal is clearly visible, slight protrusion due to swelling of the mucous membrane, sometimes erosion due to desquamation and desquamation of the epithelium, abundant purulent or mucopurulent discharge.
In the chronic stage, pseudo-erosion is more often determined, the discharge from the channel is cloudy, mucous. The cervix is usually thickened and hardened. With colposcopy, diffuse hyperemia, the presence of vascular loops, swelling around the cervical canal, and the presence of pseudo-erosion are determined.
For a full diagnosis, in addition to the characteristic clinical manifestations, it is necessary to establish the causative agent of the process. For this, bacteriological, bacterioscopic, serological and other available methods are used.
Treatment of endocervicitis includes etiotropic therapy, taking into account the sensitivity of the pathogen to antibacterial drugs. In the acute stage, local procedures are contraindicated due to the danger of infection of the overlying organs of the genital tract. After the acute symptoms subside, physiotherapeutic procedures can be used - local treatment in accordance with the peculiarities of the etiology of endocervicitis.
If conservative treatment is unsuccessful, diathermocoagulation, cryodestruction, laser therapy can be used with parallel treatment of pseudo-erosion. At the same time, it is necessary to treat concomitant genital and extragenital diseases.