Should mild cervical erosion need treatment?

Patient's question:

Female, 46 years old, has always paid attention to personal hygiene. She doesn't know why she got this disease. She has symptoms such as abnormal vaginal discharge, lower back pain, and itching. The treatment has been ineffective. She wants to ask whether mild cervical erosion needs to be treated.

Doctor's answer:

If the screening results are normal and there is mild cervical erosion, no treatment is needed. You just need to get TCT and HPV tests every three years. Approximately 50-60% of women have varying degrees of cervical erosion, which is related to the regression of cervical columnar epithelium and hormone levels. It tends to be more severe during pregnancy and postpartum. Some cases are self-limiting and may recover to some extent, but it is unlikely to completely disappear in the short term. Most erosion will disappear after menopause. If the screening results are fine, there is no need to worry. Just follow up on schedule.

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