Symptoms of cervical erosion

Written by Hou Jie
Obstetrics and Gynecology
Updated on January 11, 2025
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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
Obstetrics and Gynecology
1min 12sec home-news-image

Is electrocauterization good for cervical erosion?

Cervical erosion electrocautery is a treatment method used in the past. Nowadays, most cases can generally be treated through physical methods like laser, electrocoagulation, and cryocondensation. After electrocautery, the cervical tissue typically becomes harder, which can result in cervical lacerations during childbirth for patients who plan to conceive in the future. Therefore, electrocautery is rarely used now, and most treatments currently employ laser or electrocoagulation methods. Patients with cervical erosion should first visit a hospital for cervical cancer screening, which generally involves TCT and HPV testing. If these tests show no cervical cancer or precancerous lesions, simple cervical erosion is generally not a serious issue. At this time, topical medications or some physiotherapy treatments can also be used for symptomatic treatment. (Please undergo medication under the guidance of a professional doctor, and do not medicate blindly.)

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Does cervical erosion cause itching?

Simple cervical erosion does not cause itching symptoms. Since cervical erosion is not a disease, if itching occurs, there are other problems involved. For example, some people experience itching due to inflammation of the vulva and vagina, which requires routine checks for vaginal bacteriology, classification of inflammation, and selection of targeted medications for treatment; others might have itching due to allergies, such as allergies to underwear, sanitary pads, or even semen; and there are also cases involving issues like vulvar lichen sclerosus.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Causes of cervical erosion

Cervical erosion is considered a physiological phenomenon, not a disease. It is part of the normal anatomical structure of females, characterized by a more apparent red appearance of the columnar epithelium on the cervix. This is due to the relatively high levels of estrogen in young women, which causes the columnar epithelium to evert from the cervical canal, resulting in a vigorous growth of the epithelium, and thus the red, erosion-like appearance. This is normal, and as age increases, the columnar epithelium gradually moves inward and is covered by squamous epithelium, resulting in a smooth appearance of the cervix.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How is cervical erosion treated?

Cervical erosion is not considered a disease, so there is no need for any treatment for cervical erosion, including the use of anti-inflammatory drugs or various physical therapies such as laser, microwave, LEEP, etc. Simple cervical erosion is just a physiological condition, and routine cervical precancerous lesion screening is necessary. If there are no precancerous cervical lesions, and if the usual secretions are normal without abnormal odor or itching, then no treatment is needed if there is no infection.

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Written by Li Lin
Obstetrics and Gynecology
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Is cervicitis the same as cervical erosion?

Cervicitis is a common inflammation of the female lower genital tract. It is often caused by pathogenic infections of the cervix, leading to cervicitis lesions, most commonly presenting symptoms such as purulent vaginal discharge, vulvar itching, bleeding after intercourse, and visible cervical bleeding and edema during gynecological examinations. This condition requires antibiotic treatment. Cervical erosion, strictly speaking, is not a disease. Cervical erosion occurs when glandular epithelial cells from inside the cervical canal grow outward onto the external part of the cervix. Since glandular epithelial cells are thin, they appear bright red, resembling erosion, thus colloquially termed cervical erosion. These externalized glandular epithelial cells are susceptible to viral or bacterial invasion, causing cervical lesions, thus medicinal treatment is also often recommended.