How to treat cervical erosion?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 18, 2024
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Cervical erosion in women is considered a physiological phenomenon, and it usually does not require special treatment. Treatment is only necessary if the woman experiences contact bleeding or has particularly thick secretions that affect sperm passage. Treatment options include using traditional Chinese medicinal suppositories or physical therapies such as common cervical treatments like microwave therapy, cryotherapy, and electrocautery, all of which are very effective for cervical erosion. If the erosion is extensive, it may be necessary to perform cervical TCT and HPV tests to determine the presence of CRN lesions. If there are CRN lesions, such as middle to high-grade lesions, a cervical conization surgery might be considered.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Is cervical erosion surgery painful?

Cervical erosion surgery, if you are afraid of pain, can generally be performed painlessly. The method of cervical erosion surgery depends on the approach used. Methods like laser, electrocoagulation, and cryocondensation typically do not pose major issues. During the surgery, patients may feel discomfort or a burning sensation, but these are generally tolerable and most patients handle them well. For patients with severe cervical erosion, electrosurgical loop excision surgery might cause more significant pain. If worried about pain, patients can opt for a non-invasive loop excision surgery. Therefore, patients who are particularly sensitive to pain can request their doctors to perform a painless surgery, which does not cause suffering, and is generally bearable and free from fear for most patients.

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Written by Jia Rui
Obstetrics and Gynecology
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How many days of hospitalization for cervical erosion surgery?

The decision should be made based on the condition of the illness. Generally, patients with mild conditions do not need hospitalization, while those with severe conditions usually require a hospital stay of about three to seven days. Cervical erosion is a common gynecological disease in women, related to increased estrogen levels, and is a common symptom during the reproductive age. A few patients may experience an increase in vaginal discharge that is yellowish or even pus-like, and severe cases can lead to bleeding after intercourse. If the patient has no symptoms and the cervical cancer screening is normal, treatment is generally not necessary. However, if the patient experiences an abnormal increase in vaginal discharge or contact bleeding, it is important to seek medical attention promptly. Post-surgery, it is advisable to take oral anti-inflammatory medication for three to five days to prevent infection.

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Written by Tao Zhong E
Obstetrics and Gynecology
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Cervical erosion is classified into several grades.

Cervical erosion is generally divided into three grades: Grade 1 cervical erosion refers to erosion covering less than one-third of the total cervical area, which is also called mild erosion. Grade 2 erosion, also known as moderate-to-severe erosion, refers to the erosion covering about two-thirds of the total area, which is considered moderate, being the middle grade of erosion. Grade 3 cervical erosion is the last and most severe grade, also known as severe erosion. In this case, the erosive area exceeds two-thirds of the entire cervical area, and may even involve the entire cervix. This condition is generally more serious and typically requires examination including a TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) co-screening to investigate the possibility of cervical lesions. Further assessments might include a colposcopy or localized treatment, as severe erosion could lead to symptoms like contact bleeding and increased discharge that need to be addressed.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Cervical erosion grade one

Cervical erosion of the first degree simply means that the area of cervical erosion is not very large. Cervical erosion of the second degree is also a physiological phenomenon and doesn’t need to be overly concerned about. As long as the screening results for precancerous cervical lesions are normal, and there is no contact bleeding or infection in the discharge, it's not a problem. Simple cervical erosion is just a physiological phenomenon, as young women naturally have higher levels of estrogen, and their columnar epithelium is prone to eversion. It is a physiological state and should not be treated as a disease.

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Written by Li Lin
Obstetrics and Gynecology
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Is cervical erosion cervical inflammation?

Previously, cervical erosion was considered a manifestation of cervicitis. Recent research has proven that cervical erosion occurs when the epithelium inside the cervical canal grows out towards the external os and vaginal portion of the cervix, replacing the original epithelium at these sites. This results in a bright red appearance, visually similar to erosion, hence the term cervical erosion. Since the outward migration of the endometrium is a physiological phenomenon that typically retracts back into the cervical canal as age increases, cervical erosion generally does not require treatment if there is no inflammation.