Clinical and diagnostic aspects of cervical ectopia associated with sexually transmitted infections in young unborn women

2025

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DOI 10.59598/me-2305-6045-2024-113-4-8-16
Data confidence 70 medium
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Abstract

Relevance. The prevalence of cervical ectopia varies from 17 to 59%. Cervical ectopia is diagnosed in 54.2% young women under 25 years of age. It is most often diagnosed during preventive examinations. Cervical ectopia is considered a variant of the normal histophysiological condition of the cervix. At the same time, it has been proven that in ectopia, the cylindrical epithelium with its crypts is the main and ideal place for the introduction of sexually transmitted infections. The complicated course of ectopia against the background of the inflammatory process is observed in 67.7-71.2% cases, contributes to the disruption of epithelial proliferation processes and can lead to the development of dysplasia and cellular atypism.Aim. To analyze the literary sources devoted to cervical ectopia associated with sexually transmitted infections in young unborn women.Materials and methods. The literary review and analysis of publications on the topic in sources indexed in e-Library, Google Academy, Pubmed databases. The keywords to search were cervical ectopia, human papillomavirus, and pathology of the uterus. The inclusion criteria were the reports on randomized and cohort studies conducted on large populations, meta-analyses and systematic reviews, original full-text articles in English and Russian, which are publicly available and contain statistically confirmed conclusions. The exclusion criteria were summary reports, newspaper articles and personal messages. The result of the relevant search was 1,200 articles, and 32 articles were selected for final analysis.Results and discussion. The results showed that cervical ectopia associated with sexually transmitted infections, especially papillomavirus infection, occurs with high frequency among women of young reproductive age, which accordingly increases the risk of cervical cancer developing.Conclusion. Thus, cervical ectopia is common among young women and adolescents, and is almost always associated with sexually transmitted infections.