Cervical erosion is graded into several degrees.

Written by Jia Rui

Obstetrics and Gynecology

Updated on December 19, 2024

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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 Liu Jian Wei

Obstetrics and Gynecology

49sec

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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.

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Written by Wang Jing Hua

Obstetrics and Gynecology

38sec

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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 Zhang Xiu Rong

Obstetrics and Gynecology

1min 12sec

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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 Shen Li Wen

Obstetrics and Gynecology

1min 24sec

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Is cervicitis the same as cervical erosion?

Cervical inflammation is not cervical erosion. Firstly, cervical erosion is merely a physiological phenomenon, where elevated estrogen levels in a woman's body cause the downward and outward movement of the columnar epithelium of the cervix. This condition is mainly seen in women of childbearing age. For instance, postmenopausal women generally have lower levels of estrogen, making cervical erosion less common. For example, during pregnancy, elevated estrogen levels can increase the area of cervical erosion. After childbirth, as estrogen levels gradually return to normal, the area of cervical erosion might reduce and might even become invisible. However, cervical inflammation is caused by pathogenic microorganisms. For example, a common scenario is vaginal inflammation spreading to the columnar epithelium of the cervix in some women. Additionally, some women experience sexually transmitted diseases, like the common infection of Neisseria gonorrhoeae, which causes inflammation of the columnar epithelium. Therefore, there is a fundamental difference between cervical inflammation and cervical erosion; cervical inflammation is a pathological change, while cervical erosion is a physiological change.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min 32sec

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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.