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Cervical leukoplakia: forms, symptoms and treatment, questions

During a gynecological examination, the specialist always pays attention to the condition of the uterus mucosa and its cervix.

Normally, it is a pale pinkish color and the presence of lesions of a different color and structure is considered as a pathological process. Consider what is the leukoplakia of the cervix, how to treat it and why it develops.


Leukoplakia cervix, what is it?

Cervical leukoplakia

In medical terminology, the term "leukoplakia" refers to a change in the epithelial layer, which is externally manifested by whitish-colored patches and visually differs from the normal mucosa.

By itself, leukoplakia of the cervix is ​​not considered a disease, but is used to visually describe the appearance of the mucous membrane. It can be a manifestation of various gynecological diseases that require additional examinations and studies.

Detect this problem most often possible during a routine examination at the doctor, because in most cases it does not manifest itself.

  • The danger of this process is the possibility of degeneration into a malignant neoplasm, which occurs in about 20-25% of patients with this pathology.

There are 3 forms of leukoplakia:

  • Simple (flat). It looks like a whitish plaque that does not rise above the level of the epithelium. If the disease is in its early stages, then even a specialist may not notice these foci at first;
  • Leukokeratosis (warty). Altered, keratinous areas rise above the level of the epithelium, the surface of the cervix becomes rough. This form does not cause problems with recognition and often requires a biopsy to exclude a malignant degeneration of the mucosa;
  • Erosive. In this form, erosion or cracks that may bleed appear next to typical whitish patches.

Causes of leukoplakia

There is no single proven reason for the development of cervical leukoplakia. There are two groups of factors that contribute to the development of this pathology:

Внешние: 1. External:

  • Inflammatory processes (endometritis, etc.);
  • Infection (papillomavirus, chlamydia, mycoplasma, etc.);
  • Traumatic mucosal damage (diagnostic curettage, hard intercourse, etc.).

Внутренние: 2. Internal:

  • Concomitant somatic diseases (diabetes, etc.);
  • Allergy or contact dermatitis, for example, when installing the intrauterine device;
  • Genetic predisposition;
  • Decreased immunity, etc.

Thus, only a combination of certain factors can lead to the development of this pathology, and in some women leukoplakia occurs for no apparent reason and is discovered completely by accident.

Symptoms of cervical leukoplakia, photo

photo of cervical leukoplakia when examined by a gynecologist

photo of cervical leukoplakia when examined by a gynecologist

In most situations, leukoplakia of the cervix does not show any symptoms. This process may be accompanied by other signs of the underlying disease, which served as a factor in the onset of pathological foci.

So, in case of infectious and inflammatory processes, a woman will be disturbed by:

  1. Pain in the abdomen;
  2. Unpleasant vaginal discharge;
  3. Urination problems;
  4. Soreness during sexual intercourse.
Symptoms of cervical leukoplakia

Leukoplakia Photo 2

If traumatic damage became the cause of this pathology, then bloody discharge from the vagina that is not associated with the menstrual cycle can join the above symptoms.

Important! Symptoms of leukoplakia can vary depending on the form of the pathological process and the underlying disease. In addition, this process can not manifest itself for many years.

Cervical leukoplakia and pregnancy

Pregnancy with cervical leukoplakia is possible, but ideally the woman is recommended to undergo an examination and be treated at the planning stage of conception.

This pathology will not affect the fetus and the condition of the woman, but it may begin to progress, so pregnant women with this problem are under the close attention of the gynecologist.

Diagnostic criteria

The appearance of leukoplakia is quite typical, but if a doctor has doubts, he can recommend a biopsy. This allows you to examine the area of ​​the mucous mucosa under the microscope and to ascertain the diagnosis.

In addition, other studies are prescribed, such as ultrasound of the reproductive organs, tests for latent infections, and clinical trials.

Treatment of cervical leukoplakia

Treatment of cervical leukoplakia

If a patient has been diagnosed with leukoplakia, the specialist may offer several treatment options depending on the situation of the woman and the nature of the altered foci. What treatment is used for cervical leukoplakia:

  1. Chemical removal of leukoplakia foci. Modified tissues are affected by a chemically aggressive solution that acts only on the area of ​​impact and does not damage healthy tissues.
  2. Surgical intervention is indicated in cases of common lesions that cannot be removed by other methods.
  3. Electrocoagulation. One of the oldest treatments. It has several disadvantages:
    • may damage healthy nearby tissues;
    • leaves behind a scar that creates problems during subsequent pregnancy;
    • heals for a long time;
    • if the lesion is not completely removed, then relapses occur.
  4. Cryosurgery (cauterization of cervical leukoplakia and liquid nitrogen). The impact of low temperatures is practically painless and low-impact. There is a chance of recurrence with deep and widespread leukoplakia foci.
  5. Laser treatment. A highly accurate method that works effectively and leaves no rough scars. Relatively expensive, but allows you to remove changed foci quickly and painlessly.
  6. Radio wave technique. The impact on leukoplakia foci with radio waves of a certain length, which do not affect healthy tissue.

In addition to removing areas of the modified epithelium, doctors prescribe drugs (antibiotics, anti-inflammatory, etc.) aimed at treating the underlying disease that could be the cause of the problem.


The main danger of this pathology is its possibility of transformation into cervical cancer. In medical terminology, this condition is called “optional precancer”, i.e. a condition that can most likely go into cancer.

In this regard, this problem is under strict medical supervision, and experts recommend removing the changed mucous foci.


The exact cause of this pathology is unknown, so prevention is the timely treatment and protection from genital infections, inflammatory diseases and other factors that can cause mucosal degeneration.

Questions to the doctor

Question: How to treat leukoplakia in a nonstop girl?

Answer: For treatment choose sparing methods (laser therapy), which do not lead to the development of scars. In addition, they treat the main pathology, for example, infection of the genital tract.

Q: Do I need preparation before removing leukoplakia?

Answer: This intervention is usually carried out on the 5-6 day of the menstrual cycle. Before removal, sexual abstinence is recommended for 3-4 days, discontinuation of drugs that affect clotting, exclusion of visits to the bath, sauna and swimming pool a week before the intended intervention.

Cervical leukoplakia is an optional precancer. This condition requires medical supervision and removal of mucosal lesions.


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