Is electrocauterization good for cervical erosion?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on November 29, 2024
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Cervical erosion electrocautery is a treatment method used in the past. Nowadays, most cases can generally be treated through physical methods like laser, electrocoagulation, and cryocondensation. After electrocautery, the cervical tissue typically becomes harder, which can result in cervical lacerations during childbirth for patients who plan to conceive in the future. Therefore, electrocautery is rarely used now, and most treatments currently employ laser or electrocoagulation methods. Patients with cervical erosion should first visit a hospital for cervical cancer screening, which generally involves TCT and HPV testing. If these tests show no cervical cancer or precancerous lesions, simple cervical erosion is generally not a serious issue. At this time, topical medications or some physiotherapy treatments can also be used for symptomatic treatment. (Please undergo medication under the guidance of a professional doctor, and do not medicate blindly.)

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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 Jia Rui
Obstetrics and Gynecology
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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 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.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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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 Shen Li Wen
Obstetrics and Gynecology
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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.