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 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 Wang Jing Hua

Obstetrics and Gynecology

44sec

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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

51sec

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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.

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Written by Jia Rui

Obstetrics and Gynecology

39sec

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Cervical erosion is graded into several degrees.

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 Wang Jing Hua

Obstetrics and Gynecology

41sec

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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.