Does cervical erosion cause itching?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on January 06, 2025
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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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Does cervical erosion hurt?

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 Wang Jing Hua
Obstetrics and Gynecology
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How is cervical erosion surgery performed?

The commonly mentioned "cervical erosion" is actually not a disease at all; it is merely a physiological condition that does not require any surgery. Thus, there is no need to discuss whether or how any procedure should be performed. Cervical erosion is primarily due to high estrogen levels in young people, leading to the eversion of the columnar epithelium, which makes the cervical surface appear bright red and eroded. However, this is not a pathological erosion but a physiological phenomenon that will naturally regress over time. The area will eventually be covered by squamous epithelium, leading to a smooth cervical appearance, so there is no need for unnecessary surgery.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Cervical erosion examination what

The term "cervical erosion" has been abolished, meaning that cervical erosion is not a disease but a normal physiological condition, which is the ectopic placement of columnar epithelium on the cervix and does not require treatment. However, if there are erosion-like changes observed on the cervix accompanied by contact bleeding, it is necessary to conduct a precancerous cervical screening. This is because precancerous lesions or cervical cancer can also present with erosion-like changes on the cervix. Therefore, if cervical erosion is observed but no lesions are found during the cervical cancer screening, then no treatment is needed.

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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Is cervical erosion surgery painful?

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.