Cervical erosion is one of the most commonly found gynecological conditions. It is prevalent amongst 17 to 50%young population; incidence could be as high as up to 80% in sexually active adolescents. The prevalence decreases with age 35 and above.
Cervical erosion happens when cells from inside the cervical canal grow onto the outside of the cervix. These cells are called glandular cells. Glandular cells are red, so the area looks red.
Cervical erosion is sometimes called cervical ectropion or cervical ectopy.
Dr. Dimple Doshi at Vardaan Hospital; believes prevention is better than cure, and thus apart from the precise treatment guidelines; preventive measures are an essential part of our consultations with the patients who have either had it or want to know more about it.
Although cervical ectropion resolves itself over time, it creates a vulnerable ground for seeding various sexually transmitted infections including Chlamydia, gonorrheal, HIV or HPV infections as the glandular epithelium can easily take up the STDs. Cervical erosion may be debilitating for females who experience excessive vaginal discharge or frequent vaginal bleeding. However, appropriate treatment is successful in relieving these symptoms.
cervical ectropion does not lead to infertility; neither does it has any adverse effects on pregnancy or the fetus.
A lot of women are born with cervical erosion. It can also be caused if you are:
Most of the time, cervical erosion does not cause any symptoms and disappears on its own.
But it may be responsible for symptoms like:
Many times you may not know that you are having cervical erosion until you visit your gynecologist for symptoms like
White discharge Spotting, discharge and pain after sex Intermenstrual bleeding.
It may be diagnosed incidentally when you go to your gynecologist for a normal check-up or pap smear examination.
Out of all these; cautery is said to be 92 to 95 % effective in treating cervical erosion
It is the most commonly used method used by gynecologists’ to treat cervical erosion.
Diathermy or cauterisation of cervical ectropion is usually done under local anaesthesia and you may be given short general anaesthesia if you wish so..
You will be able to go home 15 minutes after the treatment if you feel comfortable. You can drive a car or take public transport.
It is normal to experience watery discharge; spotting or bleeding or cramping lower abdominal pain for the first few days.
The discharge should not be yellow or foul smelling. If this occurs, you must see your doctor who will start antibiotics.
For 4 weeks after the procedure you should
Properly treated cervical erosion does not return in absence of major hormonal changes in your body.
Cervical erosion is partly preventable by avoiding exogenous hormones like contraceptives or hormone replacement therapy.