Cervical Erosion


Is cervical erosion serious?
Cervical erosion is not considered a disease, so it is not serious. It is merely a physiological state, not an illness, so there is no need to worry or be concerned about the presence of cervical erosion. Simple cervical erosion is caused by higher levels of estrogen in young people, which can lead to the physiological ectropion of the columnar epithelium of the cervix. This is not a disease, but a physiological state, characterized by a bright red erosion-like appearance, which gradually diminishes with age.


How long after cervical erosion surgery should a follow-up be conducted?
Cervical erosion itself is not an indication for surgery, but if surgery has been performed for cervical erosion, a gynecological outpatient follow-up can be done after 2 to 3 months. It is required that within one month, one must be cautious not to take tub baths. If the follow-up examination shows that the surgical site is healing well but there are abnormalities in secretions, tub baths may be taken or vaginal suppositories used under the guidance of a doctor. For cervical erosion, it is advised not to engage in sexual intercourse for three months, as the recovery process takes a considerable amount of time. If it is simply cervical erosion without precancerous lesions of the cervix, then a routine gynecological outpatient follow-up is sufficient without the need for further cytological examination.


How to treat cervical erosion?
Simple cervical erosion is not considered a disease, and it does not require any treatment, including any type of medication, be it traditional Chinese medicine or Western medicine; nor does it require any forms of physical therapy, such as laser, microwave, or LEEP surgery, since it is not a disease, but rather a physiological condition. Young people with high levels of estrogen can normally have cervical erosion. The main thing is to regularly perform screenings for precancerous cervical changes and to check for cervical inflammation or vaginal inflammation, rather than examining and treating cervical erosion specifically.


Cervical erosion and cervical hypertrophy, what to do?
Cervical erosion and cervical hypertrophy are two clinical manifestations of chronic cervicitis, which usually results from untreated acute cervicitis or insufficient treatment that transforms into a chronic condition. Chronic cervicitis is often characterized by an increase in vaginal discharge, which appears as mucopurulent, and excessive vaginal secretions can cause vulvar itching. Additionally, postcoital bleeding may occur, and some individuals may experience symptoms such as sacral pain and lower abdominal pain. For cervical erosion and cervical hypertrophy, physical treatments such as cryotherapy, laser treatment, and microwave therapy are commonly used. For cervical hypertrophy, loop electrosurgical excision procedure (LEEP) is recommended.


What causes cervical erosion?
Firstly, there are many causes of cervical erosion, some of which are due to congenital factors. Many diseases can also cause cervical erosion, as well as multiple induced abortions. Nowadays, many young women engage in premarital sex and, not wanting children temporarily, end up having multiple induced abortions, which is a major cause of cervical erosion. Other factors include having sex too early and having too many sexual partners. If you do not want children, it is essential to take proper contraceptive measures to avoid harming your body. It is always important to maintain good hygiene habits and pay attention to hygiene before and after intercourse.


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.


What should I do about cervical erosion?
Cervical erosion is not considered a disease. Simple cervical erosion is merely a physiological condition in young women. If cervical erosion is present, there is no need for special treatment, but it is routine to first perform screening for precancerous cervical lesions. The key is to check for any precancerous lesions or cervical cancer, and also to examine the condition of secretions. If the secretions are normal and there are no symptoms of inflammation, then it’s not a concern, and there is no need for any medication, various physical treatments, or even surgical treatments aimed at the cervical erosion; continuing regular physical examinations in the future will suffice.


cervical erosion symptoms
Cervical erosion does not belong to any disease, and therefore, it does not cause any symptoms or consequences. If there are symptoms, then there are other issues. For instance, if there is bleeding, one must consider whether there are precancerous lesions of the cervix, severe inflammation of the cervix, or inflammatory issues of the uterus, among others. If there is abnormal discharge that is excessive, yellowing, itchy, or has an unusual odor, it is necessary to consider the presence of vaginal inflammation or cervical inflammation, rather than cervical erosion. Regular physical examinations and cervical cancer screenings are sufficient.


Can cervical erosion lead to natural childbirth?
Women with cervical erosion can also have natural childbirth. Cervical erosion is a physiological phenomenon caused by the downward migration and eversion of the columnar epithelium of the cervix and does not affect the normal elasticity and toughness of the cervix, nor does it impact the dilation of the cervix during labor. As long as the fetal position is normal and the pelvic measurements are normal, natural childbirth is generally possible. In a few cases, women may experience infections on the eroded surface of the cervix during pregnancy, making the surface more fragile and prone to bleeding when touched, which could lead to cervical lacerations during childbirth. Therefore, after delivery, a thorough examination is necessary, and if there are serious lacerations, timely suturing is required.


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.