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 Shen Li Wen
Obstetrics and Gynecology
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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 Wang Jing Hua
Obstetrics and Gynecology
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Can you swim with cervical erosion?

Cervical erosion is permissible for swimming because cervical erosion itself is not considered a disease; it is merely a physiological condition, a normal physiological phenomenon in young women. Cervical erosion is due to high estrogen levels in young people, leading to the proliferation and externalization of columnar epithelium, which is a normal state. It does not affect daily life, including swimming. As long as the water quality in the swimming pool meets health standards and does not lead to infections, normal daily activities can be carried out. Therefore, there is no need to be overly concerned about cervical erosion detected during a physical examination.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Does cervical erosion hurt?

In most cases, cervical erosion does not cause pain. However, cervical erosion caused by inflammation of the cervix and vagina can result in lower abdominal pain in some patients. The primary reason for this pain is the irritation from the inflammation, which can lead to lower abdominal pain and discomfort in the lower back. Therefore, if a patient experiences pain in the lower abdomen and lower back, it is recommended to visit the gynecology department of the local hospital for a gynecological examination to determine whether there is cervical erosion and chronic inflammation, and to provide timely treatment if necessary.

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Written by Li Li Jie
Obstetrics and Gynecology
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Moderate cervical erosion is what?

Cervical erosion can be classified into mild, moderate, and severe based on the size of the erosion area. Mild erosion occurs when the erosion area is less than 1/3 of the cervical area, and moderate erosion when the area is between 1/3 and 2/3. Severe erosion occurs when the area exceeds 2/3 of the cervical area. Women with moderate cervical erosion often suffer from infertility and miscarriages. More seriously, if moderate cervical erosion is left untreated or persists without healing, it can develop into severe cervical erosion or precancerous lesions, and even cervical cancer. Moderate cervical erosion can affect future normal fertility, so it is crucial to take the disease seriously and undertake preventive measures.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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.