How is cervical erosion treated?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on January 21, 2025
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Cervical erosion is not considered a disease, so there is no need for any treatment for cervical erosion, including the use of anti-inflammatory drugs or various physical therapies such as laser, microwave, LEEP, etc. Simple cervical erosion is just a physiological condition, and routine cervical precancerous lesion screening is necessary. If there are no precancerous cervical lesions, and if the usual secretions are normal without abnormal odor or itching, then no treatment is needed if there is no infection.

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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 Wang Jing Hua
Obstetrics and Gynecology
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Causes of cervical erosion

Cervical erosion is considered a physiological phenomenon, not a disease. It is part of the normal anatomical structure of females, characterized by a more apparent red appearance of the columnar epithelium on the cervix. This is due to the relatively high levels of estrogen in young women, which causes the columnar epithelium to evert from the cervical canal, resulting in a vigorous growth of the epithelium, and thus the red, erosion-like appearance. This is normal, and as age increases, the columnar epithelium gradually moves inward and is covered by squamous epithelium, resulting in a smooth appearance of the cervix.

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Moderate cervical erosion treatment duration

Patients with moderate cervical erosion can generally use topical medications for treatment. If treating with topical medications, it usually involves applying the medication for 7 to 10 days per month, continuing for three menstrual cycles before a follow-up examination. Alternatively, patients with moderate cervical erosion can opt for physical treatments such as laser therapy, electrocoagulation, or cryoablation. Typically, one or two sessions of such treatments can lead to improvement. After treatment using physical methods, the cervix usually returns to normal within two months. Furthermore, before patients with cervical erosion seek treatment at the hospital, they must first undergo cervical cancer screening to rule out cervical cancer and precancerous conditions. Only if cervical erosion is confirmed without accompanying cancerous or precancerous conditions, treatment with medication or laser can be considered. Cervical cancer screening typically involves a TCT (ThinPrep Cytologic Test) and HPV (Human Papillomavirus) virus testing. These tests help determine whether the cervical condition includes cancer or precancerous changes, and if it's only inflammation, then treatment with medication or laser is feasible.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can you swim with cervical erosion?

Cervical erosion can swim because simple cervical erosion is not a disease itself, it does not need to be concerned about, and does not need attention. Since it is not a disease, there are no prohibitions, including no dietary restrictions; you can eat anything and engage in activities like swimming or other aspects of life, such as sexual activity, etc. Because cervical erosion is not a disease, there's no need to worry about it; don't be anxious about whether you have cervical erosion. Routine check-ups for pre-cancerous cervical lesions and checking for any abnormal vaginal discharge are sufficient.

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How many days of hospitalization for cervical erosion surgery?

The decision should be made based on the condition of the illness. Generally, patients with mild conditions do not need hospitalization, while those with severe conditions usually require a hospital stay of about three to seven days. Cervical erosion is a common gynecological disease in women, related to increased estrogen levels, and is a common symptom during the reproductive age. A few patients may experience an increase in vaginal discharge that is yellowish or even pus-like, and severe cases can lead to bleeding after intercourse. If the patient has no symptoms and the cervical cancer screening is normal, treatment is generally not necessary. However, if the patient experiences an abnormal increase in vaginal discharge or contact bleeding, it is important to seek medical attention promptly. Post-surgery, it is advisable to take oral anti-inflammatory medication for three to five days to prevent infection.