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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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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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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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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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.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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How is cervical erosion surgery performed?

The commonly mentioned "cervical erosion" is actually not a disease at all; it is merely a physiological condition that does not require any surgery. Thus, there is no need to discuss whether or how any procedure should be performed. Cervical erosion is primarily due to high estrogen levels in young people, leading to the eversion of the columnar epithelium, which makes the cervical surface appear bright red and eroded. However, this is not a pathological erosion but a physiological phenomenon that will naturally regress over time. The area will eventually be covered by squamous epithelium, leading to a smooth cervical appearance, so there is no need for unnecessary surgery.