Does cervical erosion affect pregnancy?

Written by Wang Jing Hua

Obstetrics and Gynecology

Updated on September 13, 2024

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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 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.

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Written by Wang Jing Hua

Obstetrics and Gynecology

46sec

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cervical erosion symptoms

Cervical erosion does not belong to any disease, and therefore, it does not cause any symptoms or consequences. If there are symptoms, then there are other issues. For instance, if there is bleeding, one must consider whether there are precancerous lesions of the cervix, severe inflammation of the cervix, or inflammatory issues of the uterus, among others. If there is abnormal discharge that is excessive, yellowing, itchy, or has an unusual odor, it is necessary to consider the presence of vaginal inflammation or cervical inflammation, rather than cervical erosion. Regular physical examinations and cervical cancer screenings are sufficient.

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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 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 Shen Li Wen

Obstetrics and Gynecology

55sec

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Can cervical erosion lead to natural childbirth?

Women with cervical erosion can also have natural childbirth. Cervical erosion is a physiological phenomenon caused by the downward migration and eversion of the columnar epithelium of the cervix and does not affect the normal elasticity and toughness of the cervix, nor does it impact the dilation of the cervix during labor. As long as the fetal position is normal and the pelvic measurements are normal, natural childbirth is generally possible. In a few cases, women may experience infections on the eroded surface of the cervix during pregnancy, making the surface more fragile and prone to bleeding when touched, which could lead to cervical lacerations during childbirth. Therefore, after delivery, a thorough examination is necessary, and if there are serious lacerations, timely suturing is required.