Is cervical erosion surgery painful?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 15, 2024
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Moderate cervical erosion treatment duration

Patients with moderate cervical erosion can generally use topical medications for treatment. If treating with topical medications, it usually involves applying the medication for 7 to 10 days per month, continuing for three menstrual cycles before a follow-up examination. Alternatively, patients with moderate cervical erosion can opt for physical treatments such as laser therapy, electrocoagulation, or cryoablation. Typically, one or two sessions of such treatments can lead to improvement. After treatment using physical methods, the cervix usually returns to normal within two months. Furthermore, before patients with cervical erosion seek treatment at the hospital, they must first undergo cervical cancer screening to rule out cervical cancer and precancerous conditions. Only if cervical erosion is confirmed without accompanying cancerous or precancerous conditions, treatment with medication or laser can be considered. Cervical cancer screening typically involves a TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) virus testing. These tests help determine whether the cervical condition includes cancer or precancerous changes, and if it's only inflammation, then treatment with medication or laser is feasible.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can cervical erosion be treated with the nine-valent vaccine?

Whether to get the nine-valent cervical cancer vaccine is unrelated to cervical erosion. The nine-valent cervical cancer vaccine is generally suitable for individuals under the age of 25. Those who are not within this age range cannot receive the nine-valent vaccine. Patients with cervical erosion should first go to the hospital for cervical cancer screening, typically involving a TCT and HPV test. TCT, also known as ThinPrep cytologic test, and HPV, known as the human papillomavirus, are used to preliminarily screen for cervical cancer and precancerous lesions. Therefore, patients with cervical erosion can receive the nine-valent vaccine as long as the cervical cancer screening shows no issues and they are under the age of 25.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Does cervical erosion affect pregnancy?

Cervical erosion does not affect pregnancy because cervical erosion itself is not a disease. It is a physiological state where the columnar epithelium is everted due to the high levels of estrogen common in young people, appearing as a bright red state of cervical erosion. However, it is not a disease, but rather an issue with endocrine function, which is normal and a sign of youth. Therefore, cervical erosion does not affect pregnancy, and one should not panic and undergo unnecessary physical treatments.

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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 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.