Celiac disease used to be a common gynecological condition, and for a long time, almost nine out of ten women would be diagnosed with it. However, in 2008, the diagnosis of cervical erosion was abolished and replaced by cervical erosion-like changes, which is actually “cervical columnar epithelial ectasia”, where the part of the cervix that looks like erosion during a gynecological examination is the columnar epithelium and the smooth part is the squamous epithelium. A dynamic balance and hormonally related, the surface of the cervix seen during a gynecological examination shows a red, rough state called cervical celiac-like changes, and the grading of cervical celiac disease is related to the cervical celiac-like area, with the naked eye seeing a celiac surface greater than one-third and less than two-thirds called cervical celiac disease second degree. Therefore, if a doctor says to you “you have celiac disease and you need to be treated”, you should turn your head and leave, it must be a fake doctor. Cervical erosion-like changes do not require special treatment, but if there are abnormalities such as increased discharge, yellowing, odor, contact bleeding, etc., you need to be examined promptly to rule out the possibility of cervical lesions. Cervical erosion is more likely to be affected by the presence of HPV infection due to the exposure of the basal layer. Patients with severe cervical erosion or cervical mucosal ectasia can undergo physical therapy based on the exclusion of cervical lesions. However, our concern is not the severity of cervical erosion, but whether and to what extent the cervix is lesioned and whether there is cervical cancer. If there are cytological changes in the cervix, or if there are pathogenic changes, prompt and aggressive antibacterial treatment is required.