Is cervical erosion cervical inflammation?

Written by Li Lin
Obstetrics and Gynecology
Updated on September 06, 2024
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Previously, cervical erosion was considered a manifestation of cervicitis. Recent research has proven that cervical erosion occurs when the epithelium inside the cervical canal grows out towards the external os and vaginal portion of the cervix, replacing the original epithelium at these sites. This results in a bright red appearance, visually similar to erosion, hence the term cervical erosion. Since the outward migration of the endometrium is a physiological phenomenon that typically retracts back into the cervical canal as age increases, cervical erosion generally does not require treatment if there is no inflammation.

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Cervical erosion examination what

The term "cervical erosion" has been abolished, meaning that cervical erosion is not a disease but a normal physiological condition, which is the ectopic placement of columnar epithelium on the cervix and does not require treatment. However, if there are erosion-like changes observed on the cervix accompanied by contact bleeding, it is necessary to conduct a precancerous cervical screening. This is because precancerous lesions or cervical cancer can also present with erosion-like changes on the cervix. Therefore, if cervical erosion is observed but no lesions are found during the cervical cancer screening, then no treatment is needed.

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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.

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Cervical erosion is classified into several grades.

Cervical erosion is generally divided into three grades: Grade 1 cervical erosion refers to erosion covering less than one-third of the total cervical area, which is also called mild erosion. Grade 2 erosion, also known as moderate-to-severe erosion, refers to the erosion covering about two-thirds of the total area, which is considered moderate, being the middle grade of erosion. Grade 3 cervical erosion is the last and most severe grade, also known as severe erosion. In this case, the erosive area exceeds two-thirds of the entire cervical area, and may even involve the entire cervix. This condition is generally more serious and typically requires examination including a TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) co-screening to investigate the possibility of cervical lesions. Further assessments might include a colposcopy or localized treatment, as severe erosion could lead to symptoms like contact bleeding and increased discharge that need to be addressed.

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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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How does second-degree cervical erosion heal by itself?

In general, if one hopes for cervical erosion to heal on its own, it might take a long time and the effects might not be very clear. Therefore, if cervical erosion is found to be severe, it is recommended that the patient visits the obstetrics and gynecology clinic of the local hospital. If necessary, physical therapy or anti-inflammatory treatment may be needed to treat the cervical erosion. Generally, after clinical treatment, most patients with cervical erosion will receive effective treatment. If cervical erosion repeatedly persists and does not heal, it is advised for the patient to promptly identify the reasons causing it to persist and seek timely symptomatic treatment.