Can cervical erosion be treated with the nine-valent vaccine?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 08, 2024
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Whether to get the nine-valent cervical cancer vaccine is unrelated to cervical erosion. The nine-valent cervical cancer vaccine is generally suitable for individuals under the age of 25. Those who are not within this age range cannot receive the nine-valent vaccine. Patients with cervical erosion should first go to the hospital for cervical cancer screening, typically involving a TCT and HPV test. TCT, also known as ThinPrep cytologic test, and HPV, known as the human papillomavirus, are used to preliminarily screen for cervical cancer and precancerous lesions. Therefore, patients with cervical erosion can receive the nine-valent vaccine as long as the cervical cancer screening shows no issues and they are under the age of 25.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Cervical erosion grade one

Cervical erosion of the first degree simply means that the area of cervical erosion is not very large. Cervical erosion of the second degree is also a physiological phenomenon and doesn’t need to be overly concerned about. As long as the screening results for precancerous cervical lesions are normal, and there is no contact bleeding or infection in the discharge, it's not a problem. Simple cervical erosion is just a physiological phenomenon, as young women naturally have higher levels of estrogen, and their columnar epithelium is prone to eversion. It is a physiological state and should not be treated as a disease.

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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.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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.

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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 Shen Li Wen
Obstetrics and Gynecology
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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.