How to check for cervical erosion?

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on September 01, 2024
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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How long does cervical erosion bleed after the scab falls off?

Cervical erosion, if treated with methods like laser or electrocoagulation, may experience bleeding during the scab shedding process. This bleeding usually ceases within about a week. It is common for the blood volume to increase slightly when the scabs fall off, then the bleeding gradually decreases, and stopping within a week is considered normal. If bleeding persists for more than a week after treatment for cervical erosion, it is necessary to visit a hospital for relevant examinations, and receive targeted treatments based on the condition of the cervical wound. If there is active bleeding, treatment should be based on the examination results. Therefore, if bleeding due to scab shedding from cervical erosion lasts excessively long, it is crucial to seek appropriate medical attention at a hospital. Generally, sexual intercourse should be avoided within a month after the operation for cervical erosion, and anti-inflammatory targeted treatments are necessary post-surgery.

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Is third-degree cervical erosion severe?

Grade III cervical erosion, if cervical cancer and precancerous lesion screening show no issues, simple Grade III cervical erosion is not severe and not frightening. Normally, cervical erosion is classified by the size of the area into Grade I, Grade II, and Grade III erosion. Grade III erosion is the most severe type among cervical erosions. Patients with cervical erosion typically start by undergoing routine cervical cancer screening at hospitals. This usually involves a TCT (ThinPrep Cytologic Test) and HPV virus testing. Through these two tests, it is possible to preliminarily screen for cervical cancer and precancerous lesions. If these tests show no issues, simple Grade III cervical erosion is not frightening. At this point, treatment can include physical methods such as laser, electrocoagulation, or cryocondensation for symptomatic treatment, or some people may use medication for symptomatic treatment, which is also an option. If the cancer screening shows no problems, Grade III cervical erosion is not severe.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to treat cervical erosion?

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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How does second-degree cervical erosion heal by itself?

In general, if one hopes for cervical erosion to heal on its own, it might take a long time and the effects might not be very clear. Therefore, if cervical erosion is found to be severe, it is recommended that the patient visits the obstetrics and gynecology clinic of the local hospital. If necessary, physical therapy or anti-inflammatory treatment may be needed to treat the cervical erosion. Generally, after clinical treatment, most patients with cervical erosion will receive effective treatment. If cervical erosion repeatedly persists and does not heal, it is advised for the patient to promptly identify the reasons causing it to persist and seek timely symptomatic treatment.