Patient's question:
Medical history and treatment outcomes: Doctor, hello!Two years ago, I had an electrocautery surgery due to cervical erosion. This time, a colposcopy examination at the hospital showed: everted cervical mucosa, red, rich in blood vessels, slight active bleeding of the cervical mucosa, and a Pap smear result of class I. I would like to ask, what treatment should be recommended for my condition. It doesn’t look like erosion on the cervix, so please provide me with a detailed treatment plan. Thank you!
First follow-up question: Could this lead to cancerization? Is it more serious than cervical erosion? What medication would be best to insert vaginally? How often should I go for a follow-up?
Doctor's answer:
Inflammation of the cervix causes the epithelial lining of the cervical canal to evert (it should actually be referred to as transverse migration), which is what cervical erosion is. In fact, what we commonly refer to as cervical erosion is not true erosion but rather pseud erosion. The reason for this phenomenon is the encountered "cervical eversion." Simply put, the mucosal epithelium of the cervix is different from that of the vagina. There is a boundary between the two. Due to hormonal changes affecting the epithelium of the female reproductive tract, the aforementioned boundary can shift. If this boundary moves outward (towards the vagina), the mucosal lining of the cervical canal will be visible during a gynecological examination. This epithelium is very thin, and the underlying red submucosal tissue can be seen with the naked eye. Compared to the thicker vaginal epithelium (which appears relatively grayish-white with the naked eye), it resembles erosion. It is recommended not to engage in sexual activity until the condition has fully healed.