Patient's question:
Hello Doctor!I am 25 years old and plan to get married this year during the first lunar month. Last year, I had a medication-induced abortion.
I have been experiencing abnormal vaginal discharge for a long time, and it hasn’t improved despite treatment for several months! Today, I visited the specialist clinic. The doctor said I have congenital columnar epithelial ectopia. Later, I had a colposcopy, and the results showed: the cervix appears as an erosion pattern, covered by columnar epithelium with irregular elevations. The diagnosis is moderate erosion.
I would like to ask you: does this condition affect pregnancy? Is it more difficult to conceive?
Doctor's answer:
Hello: Based on the situation you described, it is best to actively seek treatment. Some people believe that physical therapy methods for cervical erosion (such as laser) may lead to infertility, which is actually an incorrect viewpoint. Cervical erosion itself can cause infertility and definitely requires treatment. However, if the erosion is severe, using medication may be costly, time-consuming, and require a lot of effort (if the erosion is moderate to severe, clinical experience shows that treatment typically takes 2 to 3 months; some people with a good response may recover quickly, while others may need a longer duration). Therefore, for patients with severe cervical erosion who have not been able to conceive, it is recommended to use physical therapy methods such as laser. This approach is fast-acting, and during treatment, it is important to inform the doctor about your fertility goals so that the procedure can be performed more superficially, ensuring it does not affect the function of the cervix. Even in cases of cervical adhesion, it can be treated by simply clearing it.