Mild cervical erosion

Mild erosion of the cervical opening belongs to the first degree of cervical erosion. In this case, the cervical erosion is not serious and it is the best treatment period for patients. If the patient does not actively seek treatment, it may develop into moderate or severe cervical erosion, which will have an impact on the female body. Cervical erosion may cause infertility, irregular bleeding, ectopic pregnancy and other problems. Let's learn more about it~

1. Is cervical erosion serious?

Cervical erosion is a cervical disease that is common in women of childbearing age and is the most common clinical manifestation of chronic cervicitis. Depending on the size of the erosion surface, it is divided into mild cervical erosion, moderate cervical erosion, and severe cervical erosion. Depending on the depth and shape of the erosion surface, it can be divided into simple type, granular type, and papillary type.

Mild cervical erosion is not very serious, but patients with long-term and severe cervical erosion have a higher incidence of cervical prelesions and cervical cancer; the naked eye cannot distinguish whether it is erosion or prelesions and early stages. Therefore, it is not enough for patients to undergo only routine gynecological examinations. They should undergo TCT examinations at the same time as their gynecological examinations once a year.

Mild cervical erosion usually does not affect conception because the inflammation is relatively mild. However, in cases of moderate to severe cervical erosion, especially severe cases, the inflammatory changes are serious and the leucorrhea is often purulent and very viscous. Inflammatory leucorrhea can inhibit or kill sperm, and the thick cervical mucus can prevent sperm from passing through the cervical canal, therefore affecting conception. When the inflammation spreads along the uterosacral ligament to the pelvic cavity and affects the fallopian tubes, it can also lead to inflammatory adhesions of the fallopian tubes, affecting the fertilization process and causing infertility. Therefore, patients with more severe cervical erosion, even women who have not yet given birth, need timely treatment. This is not only related to the long-term severe inflammatory stimulation that may cause cervical erosion, but also to whether the patient can successfully conceive.

Those with cervical erosion-like changes can be diagnosed through cervical cytology examination and human papillomavirus (HPV) testing. Those with congestion and edema need to undergo infection-related examinations. If necessary, colposcopy and biopsy should be performed to rule out the possibility of cervical intraepithelial neoplasia or cervical cancer.

Cervical erosion is not a true erosion caused by pathological epithelial ulcers and loss. It is inappropriate to use "cervical erosion" as a diagnostic term for chronic cervical inflammation. Physiological columnar epithelial ectopia is more common in adolescence, women of childbearing age with high estrogen secretion, those taking oral contraceptives or during pregnancy. Due to the effect of estrogen, the squamous junction moves outward and the cervix locally changes in appearance to an erosive appearance. In addition, cervical intraepithelial neoplasia and early cervical cancer can also cause erosive changes in the cervix.