Does cervical erosion hurt?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on February 17, 2025
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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.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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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.

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Written by Hou Jie
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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.

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Written by Zhang Xiu Rong
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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 Jia Rui
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Cervical erosion is graded into several degrees.

In clinical practice, cervical erosion is divided into three degrees. It is considered first degree when the area of cervical erosion is within one-third; it falls under the second degree if it exceeds one-third but is within two-thirds; and it is classified as third degree if the area of cervical erosion exceeds two-thirds. Preliminary judgments can be made based on the results of the examination. Regardless of the degree of cervical erosion, timely treatment is necessary. Generally, normal condition can be restored with systematic treatment based on the attending physician's advice.

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Written by Li Li Jie
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Moderate cervical erosion is what?

Cervical erosion can be classified into mild, moderate, and severe based on the size of the erosion area. Mild erosion occurs when the erosion area is less than 1/3 of the cervical area, and moderate erosion when the area is between 1/3 and 2/3. Severe erosion occurs when the area exceeds 2/3 of the cervical area. Women with moderate cervical erosion often suffer from infertility and miscarriages. More seriously, if moderate cervical erosion is left untreated or persists without healing, it can develop into severe cervical erosion or precancerous lesions, and even cervical cancer. Moderate cervical erosion can affect future normal fertility, so it is crucial to take the disease seriously and undertake preventive measures.