What should I do about cervical erosion?

Written by Wang Jing Hua
Obstetrics and Gynecology
Updated on March 07, 2025
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Cervical erosion is not considered a disease. Simple cervical erosion is merely a physiological condition in young women. If cervical erosion is present, there is no need for special treatment, but it is routine to first perform screening for precancerous cervical lesions. The key is to check for any precancerous lesions or cervical cancer, and also to examine the condition of secretions. If the secretions are normal and there are no symptoms of inflammation, then it’s not a concern, and there is no need for any medication, various physical treatments, or even surgical treatments aimed at the cervical erosion; continuing regular physical examinations in the future will suffice.

Other Voices

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Written by Li Lin
Obstetrics and Gynecology
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Is cervical erosion cervical inflammation?

Previously, cervical erosion was considered a manifestation of cervicitis. Recent research has proven that cervical erosion occurs when the epithelium inside the cervical canal grows out towards the external os and vaginal portion of the cervix, replacing the original epithelium at these sites. This results in a bright red appearance, visually similar to erosion, hence the term cervical erosion. Since the outward migration of the endometrium is a physiological phenomenon that typically retracts back into the cervical canal as age increases, cervical erosion generally does not require treatment if there is no inflammation.

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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 Jia Rui
Obstetrics and Gynecology
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Is cervical erosion prone to pregnancy?

Cervical erosion, if not severe, generally does not affect pregnancy. However, if cervical erosion continues to worsen, leading to chronic inflammation of the uterus, it is likely to result in infertility. Timely treatment can be administered, and once disease symptoms are controlled, it is possible to become pregnant again. Treatment methods such as LEEP (Loop Electrosurgical Excision Procedure) with blue light can be used to effectively alleviate the symptoms of cervical erosion. Cleansing with traditional Chinese medicine can also have a certain therapeutic effect on alleviating cervical erosion.

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Written by Shen Li Wen
Obstetrics and Gynecology
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How to treat cervical erosion?

Cervical erosion in women is considered a physiological phenomenon, and it usually does not require special treatment. Treatment is only necessary if the woman experiences contact bleeding or has particularly thick secretions that affect sperm passage. Treatment options include using traditional Chinese medicinal suppositories or physical therapies such as common cervical treatments like microwave therapy, cryotherapy, and electrocautery, all of which are very effective for cervical erosion. If the erosion is extensive, it may be necessary to perform cervical TCT and HPV tests to determine the presence of CRN lesions. If there are CRN lesions, such as middle to high-grade lesions, a cervical conization surgery might be considered.

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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.