Cervical erosion

Written by Li Lin
Obstetrics and Gynecology
Updated on September 04, 2024
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Cervical erosion occurs when the epithelium inside the cervical canal grows outward to the external orifice of the cervix and the cervical part of the vagina, replacing the original epithelium of the external orifice and vaginal portion. The outward-growing epithelium from the cervical canal appears bright red, which visually resembles erosion, hence it is called cervical erosion. As the migration of the endometrium from the cervical canal is a physiological phenomenon, with increasing age, the migrated endometrium gradually retracts back into the cervical canal. Therefore, upon detecting cervical erosion, it generally only requires cytological screening and does not need treatment.

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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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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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Is third-degree cervical erosion severe?

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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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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How long does cervical erosion bleed after the scab falls off?

Cervical erosion, if treated with methods like laser or electrocoagulation, may experience bleeding during the scab shedding process. This bleeding usually ceases within about a week. It is common for the blood volume to increase slightly when the scabs fall off, then the bleeding gradually decreases, and stopping within a week is considered normal. If bleeding persists for more than a week after treatment for cervical erosion, it is necessary to visit a hospital for relevant examinations, and receive targeted treatments based on the condition of the cervical wound. If there is active bleeding, treatment should be based on the examination results. Therefore, if bleeding due to scab shedding from cervical erosion lasts excessively long, it is crucial to seek appropriate medical attention at a hospital. Generally, sexual intercourse should be avoided within a month after the operation for cervical erosion, and anti-inflammatory targeted treatments are necessary post-surgery.