Does cervical erosion hurt?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on February 17, 2025
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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 Hou Jie
Obstetrics and Gynecology
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Symptoms of cervical erosion

Most patients with cervical erosion do not exhibit symptoms. Those with symptoms largely display an increased amount of vaginal discharge, which is mucopurulent. Vaginal secretion can stimulate itching and burning sensation in the vulva. Additionally, symptoms may include bleeding outside of menstruation periods and post-coital bleeding. If combined with a urinary tract infection, symptoms can include urgency to urinate, frequent urination, and painful urination. Gynecological examination may reveal congestion and edema of the cervix, mucosal eversion, and mucopurulent secretions attached or even flowing out of the cervical canal. The cervical canal mucosa is fragile and prone to bleeding. If infected with Neisseria gonorrhoeae, due to the involvement of paraurethral and vestibular glands, congestion and edema of the urethral and vaginal openings may be observed, along with a copious amount of purulent discharge.

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Written by Li Lin
Obstetrics and Gynecology
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Cervical erosion

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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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.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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What are the symptoms of cervical erosion?

Simple cervical erosion is not considered a disease, so there are no symptoms associated with cervical erosion itself. However, if the cervical erosion is due to inflammation, resulting in a large affected area, abnormal secretions, or contact bleeding, then treatment must be aimed at addressing the infection. All women, regardless of whether they have cervical erosion, should undergo routine screening for precancerous cervical lesions. The decision on whether to treat and what treatment to opt for should be based on the presence or absence of precancerous cervical lesions or cervical vaginal inflammation.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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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.