How to check for cervical erosion?

Written by Sun Shan Shan
Obstetrics and Gynecology
Updated on September 01, 2024
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Whether there is cervical erosion needs to be assessed through a gynecological examination at the hospital, involving the use of a vaginal speculum, similar to checking for erosion in the right eye. Cervical erosion is physiological, especially during puberty under the effect of estrogen, leading to the enlargement of the cervix. The cervical canal mucosal tissue migrates outward, and the squamocolumnar junction moves outward, resulting in this condition. The surface of the cervix appears granular and pink, similar to what is observed as erosion in the right eye. As estrogen levels decline after menopause, the cervix shrinks and some of the erosions may disappear. It is recommended that women of childbearing age with cervical erosion undergo further cervical cancer screening.

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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.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Does cervical erosion affect pregnancy?

Cervical erosion does not affect pregnancy because cervical erosion itself is not a disease. It is a physiological state where the columnar epithelium is everted due to the high levels of estrogen common in young people, appearing as a bright red state of cervical erosion. However, it is not a disease, but rather an issue with endocrine function, which is normal and a sign of youth. Therefore, cervical erosion does not affect pregnancy, and one should not panic and undergo unnecessary physical treatments.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Cervical erosion physical therapy

Cervical erosion is not a disease; it is an appearance of cervical erosion caused by the ectropion of columnar epithelium due to the level of estrogen in the body. Therefore, if it concerns women of childbearing age who are sexually active, it is necessary to go to the hospital in a timely manner for cervical cancer prevention screening, including checks for human papillomavirus infection and liquid-based cytology. If there are no issues, and the cervical erosion is not severe with no contact bleeding, it can be regularly observed. However, if there is cervical erosion accompanied by bleeding after sexual intercourse, and if HPV and TCT tests show no abnormalities, physical therapy can be implemented at this point, including anti-inflammatory and local hemostasis symptomatic treatment. It is also essential to maintain cleanliness of the external genitalia.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How is cervical erosion treated?

Cervical erosion is not considered a disease, so there is no need for any treatment for cervical erosion, including the use of anti-inflammatory drugs or various physical therapies such as laser, microwave, LEEP, etc. Simple cervical erosion is just a physiological condition, and routine cervical precancerous lesion screening is necessary. If there are no precancerous cervical lesions, and if the usual secretions are normal without abnormal odor or itching, then no treatment is needed if there is no infection.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Does cervical erosion cause itching?

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.