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 Liu Jian Wei
Obstetrics and Gynecology
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Does cervical erosion hurt?

In most cases, cervical erosion does not cause pain. However, cervical erosion caused by inflammation of the cervix and vagina can result in lower abdominal pain in some patients. The primary reason for this pain is the irritation from the inflammation, which can lead to lower abdominal pain and discomfort in the lower back. Therefore, if a patient experiences pain in the lower abdomen and lower back, it is recommended to visit the gynecology department of the local hospital for a gynecological examination to determine whether there is cervical erosion and chronic inflammation, and to provide timely treatment if necessary.

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Written by Li Lin
Obstetrics and Gynecology
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Cervical erosion and cervical hypertrophy, what to do?

Cervical erosion and cervical hypertrophy are two clinical manifestations of chronic cervicitis, which usually results from untreated acute cervicitis or insufficient treatment that transforms into a chronic condition. Chronic cervicitis is often characterized by an increase in vaginal discharge, which appears as mucopurulent, and excessive vaginal secretions can cause vulvar itching. Additionally, postcoital bleeding may occur, and some individuals may experience symptoms such as sacral pain and lower abdominal pain. For cervical erosion and cervical hypertrophy, physical treatments such as cryotherapy, laser treatment, and microwave therapy are commonly used. For cervical hypertrophy, loop electrosurgical excision procedure (LEEP) is recommended.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How to check for cervical erosion?

Whether there is cervical erosion needs to be assessed through a gynecological examination at the hospital, involving the use of a vaginal speculum, similar to checking for erosion in the right eye. Cervical erosion is physiological, especially during puberty under the effect of estrogen, leading to the enlargement of the cervix. The cervical canal mucosal tissue migrates outward, and the squamocolumnar junction moves outward, resulting in this condition. The surface of the cervix appears granular and pink, similar to what is observed as erosion in the right eye. As estrogen levels decline after menopause, the cervix shrinks and some of the erosions may disappear. It is recommended that women of childbearing age with cervical erosion undergo further cervical cancer screening.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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.