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Cervical Erosion
How is cervical erosion surgery performed?
The commonly mentioned "cervical erosion" is actually not a disease at all; it is merely a physiological condition that does not require any surgery. Thus, there is no need to discuss whether or how any procedure should be performed. Cervical erosion is primarily due to high estrogen levels in young people, leading to the eversion of the columnar epithelium, which makes the cervical surface appear bright red and eroded. However, this is not a pathological erosion but a physiological phenomenon that will naturally regress over time. The area will eventually be covered by squamous epithelium, leading to a smooth cervical appearance, so there is no need for unnecessary surgery.
What should I do about cervical erosion?
Cervical erosion is not considered a disease. Simple cervical erosion is merely a physiological condition in young women. If cervical erosion is present, there is no need for special treatment, but it is routine to first perform screening for precancerous cervical lesions. The key is to check for any precancerous lesions or cervical cancer, and also to examine the condition of secretions. If the secretions are normal and there are no symptoms of inflammation, then it’s not a concern, and there is no need for any medication, various physical treatments, or even surgical treatments aimed at the cervical erosion; continuing regular physical examinations in the future will suffice.
cervical erosion symptoms
Cervical erosion does not belong to any disease, and therefore, it does not cause any symptoms or consequences. If there are symptoms, then there are other issues. For instance, if there is bleeding, one must consider whether there are precancerous lesions of the cervix, severe inflammation of the cervix, or inflammatory issues of the uterus, among others. If there is abnormal discharge that is excessive, yellowing, itchy, or has an unusual odor, it is necessary to consider the presence of vaginal inflammation or cervical inflammation, rather than cervical erosion. Regular physical examinations and cervical cancer screenings are sufficient.
Can cervical erosion lead to natural childbirth?
Women with cervical erosion can also have natural childbirth. Cervical erosion is a physiological phenomenon caused by the downward migration and eversion of the columnar epithelium of the cervix and does not affect the normal elasticity and toughness of the cervix, nor does it impact the dilation of the cervix during labor. As long as the fetal position is normal and the pelvic measurements are normal, natural childbirth is generally possible. In a few cases, women may experience infections on the eroded surface of the cervix during pregnancy, making the surface more fragile and prone to bleeding when touched, which could lead to cervical lacerations during childbirth. Therefore, after delivery, a thorough examination is necessary, and if there are serious lacerations, timely suturing is required.
Does cervical erosion hurt?
Cervical erosion is not considered a disease and does not cause pain. If there is pelvic inflammation, some people may experience chronic pelvic pain, a sense of heaviness, or lower back pain. Issues with the cervix generally do not lead to noticeable symptoms. Some may have increased discharge or contact bleeding, which usually indicates a concurrent infection. In such cases, screening for precancerous cervical lesions and bacterial vaginosis tests should be conducted. Treatment should be based on the specific condition to be targeted. Simple cervical erosion does not require any treatment.
What are the symptoms of cervical erosion?
Simple cervical erosion is not considered a disease, so there are no symptoms associated with cervical erosion itself. However, if the cervical erosion is due to inflammation, resulting in a large affected area, abnormal secretions, or contact bleeding, then treatment must be aimed at addressing the infection. All women, regardless of whether they have cervical erosion, should undergo routine screening for precancerous cervical lesions. The decision on whether to treat and what treatment to opt for should be based on the presence or absence of precancerous cervical lesions or cervical vaginal inflammation.
How is cervical erosion treated?
Cervical erosion is not considered a disease, so there is no need for any treatment for cervical erosion, including the use of anti-inflammatory drugs or various physical therapies such as laser, microwave, LEEP, etc. Simple cervical erosion is just a physiological condition, and routine cervical precancerous lesion screening is necessary. If there are no precancerous cervical lesions, and if the usual secretions are normal without abnormal odor or itching, then no treatment is needed if there is no infection.
Symptoms of cervical erosion
Most patients with cervical erosion do not exhibit symptoms. Those with symptoms largely display an increased amount of vaginal discharge, which is mucopurulent. Vaginal secretion can stimulate itching and burning sensation in the vulva. Additionally, symptoms may include bleeding outside of menstruation periods and post-coital bleeding. If combined with a urinary tract infection, symptoms can include urgency to urinate, frequent urination, and painful urination. Gynecological examination may reveal congestion and edema of the cervix, mucosal eversion, and mucopurulent secretions attached or even flowing out of the cervical canal. The cervical canal mucosa is fragile and prone to bleeding. If infected with Neisseria gonorrhoeae, due to the involvement of paraurethral and vestibular glands, congestion and edema of the urethral and vaginal openings may be observed, along with a copious amount of purulent discharge.
Does cervical erosion cause itching?
Simple cervical erosion does not cause itching symptoms. Since cervical erosion is not a disease, if itching occurs, there are other problems involved. For example, some people experience itching due to inflammation of the vulva and vagina, which requires routine checks for vaginal bacteriology, classification of inflammation, and selection of targeted medications for treatment; others might have itching due to allergies, such as allergies to underwear, sanitary pads, or even semen; and there are also cases involving issues like vulvar lichen sclerosus.
How to check for cervical erosion?
Firstly, women who are sexually active and have cervical erosion need to visit a hospital for further examinations such as colposcopy to check for erosion. Cervical erosion is a physiological manifestation, caused by the external migration of columnar epithelium from the cervical canal due to hormonal levels, presenting as an erosion-like appearance. Thus, this condition is also a physiological response. Once sexually active, women who have been sexually active for over two years need to regularly undergo cervical cytology testing using the human papillomavirus (HPV) and liquid-based cytology to see if there are other potential issues. If there are no problems, cervical erosion can be periodically monitored, and it's advised to avoid cold exposure, fatigue, spicy and irritating foods, and maintain cleanliness of the external genital area.