Patient's question:
What are the symptoms of cervical erosion??For small areas, can it be cured with one treatment? What are the reasons for it?
Thank you
Doctor's answer:
Hello: Clinical manifestations include increased leukorrhea, viscosity, purulent discharge, or streaks of blood. Clinically, it is divided into cervical erosion (mild, moderate, or severe erosion), cervical polyps, and cervical glandular cysts.The formation of cervical erosion may be attributed to the following two reasons:
① The so-called congenital erosion: During the later stages of embryonic development, both the vagina and the vaginal part of the cervix are covered with transitional epithelium. By the sixth month, this epithelium extends into the cervical canal, and by full term, the columnar epithelium of the cervical canal mucosa grows outward beyond the external os of the cervix. Approximately 1/3 of newborn girls retain this state, which resembles adult inflammatory cervical erosion in appearance, hence the term "congenital cervical erosion" ("congenital cervical erosion"). However, it generally persists for only a few days and naturally resolves after the estrogen levels from the mother decline.
② Cervical erosion caused by the proliferation of columnar epithelium of the cervical endometrium, which extends beyond the external os of the cervix. It appears similar to inflammatory cervical erosion but occurs only during the fertile age of ovary function and not during puberty or postmenopausal periods. It is more common during pregnancy and tends to resolve spontaneously after childbirth. Although patients may experience increased leukorrhea, it is clean mucus. Pathological examination shows no inflammatory cell infiltration under the columnar epithelium or only a few lymphocytes, and it is characterized by the papillary and glandular erosion tissue patterns mentioned earlier. All these phenomena suggest that the formation of this type of erosion may be due to an imbalance in sex hormone levels rather than inflammation. While secondary inflammation may occur on the basis of erosion, this is merely a consequence rather than the cause of the erosion.