Estrogenic type of smear: what does it mean?

Estrogenic type of smear is characteristic of women, in the body of which less progesterone is assumed than normal. The total number of cells decreases, while the concentration of surface cells increases. Almost a third of the percentage of CI, EI increases.

Characteristic of such processes for pregnancy, in the first three months of bearing the fetus. The two following trimeters are characterized by a 10% growth, accompanied by a decrease in the number of navicular cells. Features of the structure of the tissues of the reproductive system in this period of time - a separate cellular arrangement without the formation of seams.

Menopause

The estrogenic type of stroke in postmenopausal women, as can be seen from medical statistics, is found in many women. Normally, every lady, faced with menopause, should see a doctor for a detailed study of the state of the body. In this case, a smear is used to determine the characteristics of the reproductive system, the processes occurring in it.

From the information obtained in this analysis, you can accurately formulate how well a person is healthy and whether his sexual system has encountered pathological processes. If the level of hormone production decreases in the body, the doctor will notice this, examining the results.

Features of the

study Regardless of the age and reasons why a woman is prescribed a smear from the vagina, its results are evaluated by analyzing three key parameters:

• index of maturation;
• is eosinophilic;
• is karyopicnotic.

The first of these shows the percentage ratio of epithelial cells present in the sample tissue taken. There are basal, intermediate, epithelium. In the laboratory, three numerical indices are formulated that allow the doctor to determine whether ovarian failure is present. If, for example, there is an overabundance of surface cells, then we can say with confidence about the increased concentration of estrogen in the tissues of the female body.

Karyopicnotic is an indicator that helps to establish how many pyknotic nuclei formations are relative to the total amount of cell mass. The higher this parameter, the higher will be the concentration of estrogen in the body.

Concluding the topic of

Finally, eosinophilic is a parameter that is revealed during the cytology of the estrogenic smear type . It shows how large the percentage of cells stained in the total number of cells. Normally, the value should be slightly less than that found for the karyopicnotic index. If the parameters are set higher than the norm, it is necessary to find the cause of such a change in a timely manner and take measures to restore the healthy state of the organism.

In some cases, analysis also helps to identify inadequate progesterone activity. In the period of menopause, this is reflected by the presence of strata or cramped cell formations, detected with a smear.

Cytology

If the estrogenic smear type gives such indicators that doctors suggest negative processes occurring in the female body, it is necessary to understand: the first under the impact will be the ovaries. First, the functionality of this organ is inhibited, and then the vaginal mucosa changes.

This adjustment of the reproductive system is not instantaneous, it takes some time. Partly the functions of the gonads pass to other internal organs. So, the scientists found out that the adrenal glands during the menopause can support the female body, producing compounds for which the ovaries were previously responsible. Of course, menopause still affects the well-being of a woman, but this is not so pronounced.

Based on the cytological analysis, it is possible to conclude correctly how the epithelium gradually becomes dead. And the process of cell maturation is controlled by the adrenal glands. Estrogenic type of smear can show a sharp decrease in the concentration of this hormone. And in such a situation, in the analysis it will be possible to obtain information about the cells included in the deep layers of the epithelium. At the same time, the cellular epithelial structure undergoes significant changes, the dimensions of individual components decrease, the shape changes to the wrong one. As a rule, cells acquire an elongated, bizarre appearance.

Changes in the menopause period

Age changes in the female body are quite typical, so it's easy to notice them on analyzes. To be frightened of it it is not necessary - in spite of the fact that at the most different women the estrogenic type of a smear in a menopause is observed, it yet does not specify on any disease. In some cases, of course, this may reflect pathological processes in the body, but natural causes can provoke the formation of specialized clusters of epithelial cells. In this case, there will be clear boundaries for single cell formations, but in groups the smoothness of the lines is lost.

In the climacteric epithelium is characterized by cells with enlarged nuclei, which allows to study in detail both the membrane and chromatin, but the nucleolus is difficult to detect. Often there is an increase in the concentration of keratin, due to which the elasticity of the structures grows. Protein components are useful, but their overabundance is provoked by coarsening of organic tissues. All these processes are accompanied by a shortage of estrogen due to the inadequacy of its production by internal organs.

In such conditions, epithelial cells are often unable to fully mature, and therefore perform the function assigned to them, related to the protection of the organ. Therefore, nature provides an additional protective mechanism: more actively produced leukocytes, histiocytes, thereby the estrogenic type of smear is somewhat smoothed, as these cells take on the functions to eliminate infection, damage to organic tissues.

Possible diagnoses

Sometimes, the estrogenic smear type in combination with certain white blood cell counts can cause atrophic colpitis. It must be remembered that the usual form of this disease is provoked by pathogenic microflora, which means that the therapeutic course presupposes the use of antibacterial medicines.

Atrophic colpitis is a diagnosis that does not require similar therapy. So it is customary to denote the natural biological processes occurring in the female body( it is the estrogen type of smear that indicates them).Many mistakenly believe that any colpitis is an inflammation that must be combated as early as possible. Atrophic does not belong to this category, so the doctor does not prescribe a treatment similar to the usual form of the disease. If such a diagnosis is made and no specific therapy is prescribed, do not panic: it's not a specialist's qualification, he does the right thing.

Scared or early yet?

About what is estrogenic type of smear in women, the most clearly can tell a professional gynecologist with a lot of experience. The term exists among specialists and is applied to some specific changes in the tissues of the reproductive system. It is interesting that not every woman, experiencing menopause, encounters such processes in the body, which in laboratory studies reflect themselves by the appropriate type of smear.

What does this mean - estrogenic smear type? The term is applied to the situation when, during the instrumental study of tissue samples, a relatively unchanged concentration of surface epithelial cells responsible for the protective functions of the body is revealed. Despite the menopause, a rather high level of specific sex hormones is still observed in the female body, which is shown by laboratory tests.

Why does this happen?

When doctors tell us what this means( estrogenic type of smear), it is necessary to explain why the female organism behaves in this way. Menopause is the period when a woman faces a lack of sex hormones due to the oppression of the ability to produce such compounds by the glands of the reproductive system. If the climacteric is accompanied by a specific treatment that allows you to keep the hormonal background normal, then the smear will be estrogenic.

Good or bad( estrogen type of smear), the doctor will tell a woman who has such indicators of the working capacity of the body. In general, they say that the body has the same parameters as in youth. If this is achieved by substitution therapy, the evaluation is considered positive. At the same time, in some cases, this result may indicate pathological processes.

Special evaluation of the results is required when working with pregnant women - the characteristics of the body in this case are significantly different from patients experiencing menopause.

When there is a reason to worry

Sometimes a doctor can conclude that the estrogen type of smear is bad. As a rule, the situation when a woman is obviously approaching the menopausal age, and the body's indices remain at the same level as they were in youth, is generally of concern, and there are no external factors in the form of hormonal therapy and taking medications that affect the production of active compounds.

It is known that an increased level of estrogen can be provoked by malignant processes in the body. If you suspect such a cause, carefully examine the ovaries and uterus, to eliminate the possibility of such a diagnosis or confirmation of fears.

Smears are different

"Estrogen smears" is a general term applicable to several types of study results. Sometimes it is applied to the smear, the results of the study which reflect the insufficiency of estrogen. In this situation, the basal cells will be dominant. At the same time, laboratory workers can see large white blood cells. As a rule, such formations are single.

The second type of smear is established if there is a shortage of estrogens, but on a moderate scale. Parabasal cells, characterized by enlarged nuclei, have the greatest concentration in tissue samples, in addition single inclusions can be from the intermediate basal layer. There is a possibility of observing single white blood cells.

When estrogen suffices

These are the last two types of estrogen smear. One of them allows us to understand that there is a small shortage, but the deviation is quite insignificant. In this case, the surface epithelium and the intermediate are observed in biological samples.

Finally, the fourth type reflects the situation when in the female body estrogen is present in sufficient quantity. Biological tissues are rich in superficial epithelium, which is characterized by fairly small nuclei. The cells are preferably of the correct shape.

This is observed either with a lack of progesterone, or with increased activity of estrogen producing glands. To finally formulate the diagnosis, you will have to take the blood for additional tests.