Patient's question:
Hello, I am 22 years old and currently living in the United States. I previously had a first-degree cervical erosion, and the doctor performed a live cell tissue examination for me, saying it was just inflammation and that there was no need for medication or antibiotics. He just recommended coming back for a check-up every six months. Is what the doctor said correct? Is it enough as long as it is not inflamed? Wouldn’t it not be cured then? I have a friend who has the same condition, and the doctor prescribed medication for her. Can I take her medication? Thank you for your valuable advice.First follow-up question: It is difficult to see a doctor in the U.S., and buying medicine is even harder. Can you tell me what medication I should take if I were to take medication, and what I should pay attention to in daily life?
Doctor's answer:
Hello:Right, what the doctor said is correct. The living cell tissue examination only showed inflammation, and it's just a first-degree cervical erosion, which doesn't require treatment. Cervical erosion is the most common local lesion of chronic cervical inflammation and is one of the most common gynecological conditions, accounting for about 40% of gynecological outpatient cases.
The normal cervical surface is covered by stratified squamous epithelium, with a smooth surface and a pink color. Chronic cervical inflammation can cause the squamous epithelium to fall off, being replaced by cervical canal columnar epithelium. Due to the thinness of the columnar epithelium, the underlying stroma is exposed, appearing red. Therefore, the common cervical erosion is not a true erosion surface. Pregnant women or some young women with high estrogen levels may cause cervical congestion, increased secretion function of cervical glands, and downward migration of cervical canal columnar epithelium, making the cervix appear eroded.
Mild cervical erosion does not affect fertility, and if there are no obvious symptoms, treatment may not be necessary. However, moderate to severe cervical erosion, especially granular or papillary cervical erosion, should be actively treated. Patients with cervical erosion who experience bleeding during intercourse or bleeding upon examination should also be treated.