When we have a gynecological examination in the hospital, we often hear the doctor say, “You have celiac disease”. Celiac disease is the most common type of chronic cervicitis. It manifests as a fine granular red area in the appearance of the vaginal portion of the cervix at the external opening of the cervix. Celiac disease is not really celiac disease due to the fact that the inflammation present in the deep tissues of the cervix is not easily eliminated after suffering from chronic cervical inflammation. The squamous epithelium on the surface of the cervix is shed due to nutritional disorders, and the exfoliated surface is gradually covered by the columnar epithelium that proliferates from the cervical canal. To put it bluntly, the squamous epithelium of the vaginal part of the cervix is replaced by the columnar epithelium of the cervix. The columnar epithelium is thin, so the blood vessels under the skin are easily visible, so the surface of the cervix there is always red, and the red area is the cervical erosion area. Chronic cervicitis is especially common in married women. It is associated with damage to the cervix during abortion, sex or childbirth. The vast majority of patients do not have a clear onset of the process, and after the disease, some patients do not have symptoms, or only manifested as increased leukorrhea, in the gynecological examination found to be suffering from chronic cervicitis. Increased leukorrhea is the main symptom, usually thick or purulent mucus, sometimes with blood or bleeding from sexual intercourse, followed by vulvar itching, lower abdomen or lumbosacral pain, which is aggravated during sexual intercourse, menstruation and defecation. According to the size of the surface of the erosion, it can be divided into three degrees: 1, mild erosion surface has not exceeded 1/3 of the radius of the cervix; 2, moderate refers to the surface of the erosion has reached the cervical radius of 1/3-2/3; 3, severe erosion surface exceeds 2/3 of the radius of the cervix. At present, the term “cervical erosion” has been abolished because it is not a true erosion. However, due to the low resistance of the columnar epithelium of the cervix, pathogens are prone to invade and inflammation occurs. In certain physiologic situations, such as puberty, pregnancy, or women taking oral contraceptives, physiologic celiac disease occurs when the columnar epithelium of the cervical canal proliferates and moves outward due to increased estrogen levels. When estrogen levels fall, the columnar epithelium can return to the cervical canal. However, in the clinic, there are still patients who often take “cervical erosion”, so in addition to the popularization of the concept of “cervical erosion” is not a disease, encountered these common questions, how should we answer? 1. Can celiac disease cause infertility? (1) Generally speaking, mild chronic cervicitis does not cause infertility; (2) In moderate and severe chronic cervicitis, the cervical secretion will be significantly increased, thick and sticky, and contain a large number of leukocytes, which will adversely affect the mobility of sperm, and prevent sperm from entering the uterus, thus affecting conception. Therefore, patients should undergo active treatment. 2. What kind of Celiac Disease must be treated? Moderate or severe celiac disease, especially granular or papillary celiac disease, should be treated actively. In this case, it may not just be chronic cervicitis. Patients with celiac disease who have bleeding during sexual intercourse or who have blood on palpation during examination should also be treated. Before treatment, all should have routine cervical smears for cancer prevention. Severe cervical inflammation is also a contraindication to abortion, which can only be performed after improvement. 3.What precautions should be taken during the treatment of Celiac Disease? Regardless of whether it is medication, physical therapy or surgery, the vulva should be kept clean after treatment, and sexual intercourse, tub baths, swimming and vaginal douching should be prohibited before the wound is completely healed. Review regularly after treatment. During the treatment, if you find the secretion has a foul smell, you should consult a doctor in time, and the person who administers the treatment removes the cotton ball in the vagina to prevent infection. After physical therapy, if there is a small amount of bleeding, it is normal. If the bleeding increases, exceeds the amount of menstruation or the bleeding time is too long, then you should go to the hospital in time to find the cause and stop the bleeding as soon as possible. After ironing treatment, patients should pay attention to observe the first menstruation, whether there is poor menstruation or dysmenorrhea, to prevent cervical adhesion. 4. Can celiac disease become cancerous? The answer is yes. Under the stimulation of long-term chronic inflammation, the columnar epithelium of the cervical canal is more prone to atypical hyperplasia than the squamous epithelium, and if left untreated, some of them will eventually develop into cancer, but the process of this development and transformation is relatively slow. 5.What are the common treatment methods for celiac disease? For chronic cervical inflammation, localized treatment is used, and there are many methods, such as medication, physical therapy and surgery. (1) Drug therapy: suitable for patients with shallow infiltration of inflammation. Antibiotics can be used for localized medication, such as methotrexate, sulfonamides, furacillin and so on. During the treatment period, there is more yellow vaginal discharge, but there should be no odor. The treatment mostly starts after the menstrual period is cleared, continuous medication for one month, and stop using it during the menstrual period. (2) Physical therapy: cryotherapy, laser therapy. (3) Surgical treatment: If the above treatment is ineffective, or if there is cervical hypertrophy, or if the erosion is deep and extensive and involves the cervical canal, cervical conization or total hysterectomy can be considered. However, surgical treatment is rarely used nowadays. 6.Does sexual life have any effect on celiac disease? During sexual intercourse, the penis has direct contact with the cervix, which will aggravate the inflammation of the cervix and may enlarge the surface of the erosion. In severe cases, bleeding during sexual intercourse may also occur. Therefore, whether a woman has chronic cervical inflammation or not, she should pay attention to sexual hygiene. Before and after sex, both men and women should wash the vulva, and the man should pay attention to removing the foreskin scale, because it is currently believed that the cholesterol in the foreskin scale can be transformed into carcinogenic substances under the action of bacteria. The cervix is also actively treated after suffering from celiac disease. 7. Does wearing a ring have any effect on celiac disease? After long-term follow-up observation, it has not been found that IUD with a tail wire can cause or aggravate inflammation. However, if the patient suffers from moderate or severe chronic cervicitis, treatment should be carried out before the IUD is inserted.