Is third-degree cervical erosion severe?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 21, 2024
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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 Jia Rui
Obstetrics and Gynecology
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Can cervical erosion be treated with the nine-valent vaccine?

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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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 Li Lin
Obstetrics and Gynecology
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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.

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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.