What should I do if I have cervical erosion and bleeding?

Patient's question:

A colleague felt blood flowing from her vagina while attending a meeting after work, so she went to the restroom to tidy up. She mentioned that she had recently been diagnosed with cervical erosion and has been experiencing irregular bleeding. A few days ago, she took medication, thinking it had resolved the issue, but it started again today.

Doctor's answer:

When suffering from mild cervical erosion, patients generally have no obvious subjective symptoms, and it is possible that only a slight increase in leukorrhea may occur, often being easily overlooked. Many patients' cervical erosion is discovered during population surveys or follow-up visits for other gynecological conditions. The most prominent symptom for moderate and severe cervical erosion patients is an increased amount of leukorrhea, which is yellow, viscous, or mixed with blood streaks. In very few cases, post-coital bleeding may recur. Your bleeding is caused by cervical erosion, and long-term stimulation of the external genitalia by inflammatory leukorrhea can also lead to pruritus ani. Additionally, since the cervical lymphatic vessels are directly connected to the parametrium, inflammation can spread repeatedly through the lymphatic system to the pelvic cavity, resulting in pelvic connective tissue inflammation and symptoms such as lower back and sacral pain, as well as lower abdominal distension. In very rare cases, infertility may also be caused by cervical erosion.

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