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Cervical Ectropion (Erosion): Symptoms, Diagnosis and Treatment

What exactly is cervical erosion

Cervical ectropion (erosion): symptoms, diagnosis and treatment Cervical erosion is commonly known as the partial or complete absence of the squalors’ epithelial lining of the cervix. An inflammatory response is observed around the mouth of the cervix along with the cervical lining. That makes the lining become red and thus giving a red, infected and eroded appearance.

Cervical erosion compiles of all those changes that would occur in the cervix along the squamous epithelial lining at the region of the columnar cells. Mainly, cervical erosion is responsible for the increased level of circulating estrogen hormone in the body.

In women, who have experienced any kind of therapy of hormone replacement are found to be at the higher risk. Usage of pills, creams and patches to control the level of estrogen by some women would be another cause of cervical erosion. Many researchers believe that cervical erosion is found in all female babies at the time of their birth, and this ratio is very much high.

Cervical erosion is observed rarely in those women who are at menopause stage, as in this stage, the level of estrogen is very low in the blood. Most of the infections provide a path to the cervical erosion. From the evidence, it is proof that the cells of cervical lining are very much susceptible to many fungi and bacteria, and that’s why tends to get infected. In most of the cases, combination of the cervical infections and the cervical erosion are seen together.

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Cervical erosion causes

Mainly cervical erosion is caused in such conditions like trauma (intercourse, inanimate objects that are inserted in vagina, tampon insertion), or any previous infection that is present in the vagina under diseased conditions. I n some cases, it is also observed that various chemicals like contraceptive creams or foams are the major cause of cervical erosion.

The risk factors that will enhance the cause of cervical erosion are likely associated with the usage of chemical agents and multiple partners for sexual behavior. Unlearned sexual life is another factor of cervical erosion. It is also observed that the women facing multiple abortions are at higher risk of cervical erosion. Cleaning of the vagina with the high concentration of disinfectants can play an important role in cervical erosion as some of the women are very much particular about their hygiene.

Symptoms of cervical erosion

In most of the conditions, it has been found that cervical erosion becomes asymptomatic in young women. It can be observed on routine examination of the pelvis. The other symptoms that can be attributed in the cervical erosion are commonly bleeding after intercourse. Cervical erosion can also be related to the bleeding that may occur at initial stage of pregnancy. Common symptoms of cervical erosion are presented below.

  • Abnormality in vaginal discharge
    Abnormality in the flow of the vaginal bleeding is complained mainly in women
  • Pain during sexual intercourse
    Pain feels during and sometimes after sexual intercourse
  • Increased vaginal discharge
    The color of the vaginal discharge changes and becomes yellowish with and without odor
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Other symptoms

  • Any kind of previous vaginal infection that leads to cervical erosion. In pregnant women, complain of minor bleeding has been observed. Most of the time, it has been estimated that infertility is due to the cervical erosion. Major symptoms include backache, chronic illness, chronic pelvic infection, ulceration.

In most of the cases, typically no symptoms were observed.

Cervical erosion can be differentiated by other infections as well ulcers that may be present in the cervix like, syphilis, sexual transmitted diseases (AIDS), and carcinomas. For such purpose, mainly biopsy has been done for the routine examination of the cervical erosion.

For the tests and examination of the cervical erosion, different samples are needed. In the pelvic examination, an area of small diameter is seen which physically shows redness, inflammation and becomes raw in form.

Smear formation

In this type of examination, a smear from cervical discharge is being prepared and on colposcopic examination an area of stripped, raw and squamous epithelial cells layer observed. This will confirm the presence of cervical erosion.

Cervical biopsy

In some of the cases, the cervical biopsy is being required for the clinical manifestation of the cervical erosion.

Cervical ectropion treatment

On the confirmation of the cervical erosion by laboratory findings the treatment should be started as soon as possible. For the symptomatic cervical erosion, proper treatment is quite necessary. The main aim of the treatment lies on the fact that the destruction of the squamous cells should be inhibited. For the treatment of the cervical erosion, many drug treatments are in use depending on the cause and severity of the infection. It may require complete and perfect prescribed medications. Erosions that are due to the invasion of any chemical agent or traumic situation, would take time to heal up the cervical surface. Many of the antifungals and estrogen vaginal creams are helpful in thickening the vaginal and cervical epithelium.

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Delores C. West is a compassionate healthcare professional with a focus on women's health and wellness. As a certified nurse-midwife, Delores is dedicated to providing comprehensive care to women throughout their reproductive journey. With a warm and nurturing approach, she empowers her patients to make informed decisions about their health and well-being. Delores's expertise in women's health makes her a trusted resource for individuals seeking personalized and compassionate care. Connect with her on LinkedIn to learn more about her commitment to women's health and wellness.