”Doctor, I found cervical erosion in my physical examination, so I want to come for treatment” “Doctor, I used to have cervical erosion, I used medicine, please check me, is it good?” “Doctor, I found moderate cervical erosion in my examination last year, please check me, is there any aggravation? Please check me if it is still aggravated” …… Although the name “celiac disease” has been removed from the 7th edition of the textbook “Obstetrics and Gynecology” published in 2008, there are still patients coming to see us every day. “celiac disease”. Some women and even some doctors mistakenly believe that a smooth cervix is healthy. “It is not a disease at all, but because the concept of “cervical erosion” has been used in medicine for a long time, this distorted concept is deeply rooted in the minds of women and even some doctors, and it takes a process to completely remove it. So there are still many women who are deeply disturbed by it, and talk about “celiac disease”. This is not only a mental and financial burden for women, but also a waste of medical resources. The actual fact is that you’ll be able to find out more about the actual cervical cavity. ”Celiac disease” is only a surface manifestation of the cervix and is no longer a disease in itself. Most of them are physiological and have been replaced by “cervical columnar epithelial ectasia”, and there is no direct causal relationship between cervical erosion and the degree of erosion and cervical cancer. The main cause of cervical cancer is persistent high-risk human papillomavirus (HPV) infection, not cervical erosion. Only a small percentage of “cervical erosion” is indeed caused by cervical lesions. This group of patients often have a lot of leucorrhea, abnormal color, bleeding after sex, etc. When the doctor examines the cervical discharge, he will find that it is yellow, smelly, and congested. These abnormalities may be acute and chronic inflammation caused by microbial infection, or may be cervical precancerous lesions or even cervical cancer. It is necessary to choose cervical cytology examination, cervical HPV test, mycoplasma and bacterial culture, chlamydia test according to age, symptoms and the presence of regular cervical cancer prevention examination, etc., so as to clarify the cause and then target treatment, instead of just plugging medicine, laser, freezing and microwave treatment. So what is cervical columnar epithelial ectopic? The female cervical epithelium is composed of the squamous epithelium of the vaginal part of the cervix and the columnar epithelium of the cervical canal. The squamous epithelium, which originates from the genitourinary sinus during fetal life, grows upward to the ectocervix and adjacent to the columnar epithelium of the cervical canal, forming the primitive squamous-columnar junction. After puberty, the cervical development increases under the influence of estrogen, and the cervical canal columnar epithelium and its underlying mesenchymal components reach the vaginal part of the cervix, causing the primitive squamous-columnar junction to move outward. The inner part of the primitive squamous-columnar junction is covered by a thin monolayer of cervical canal columnar epithelium, and the interstitium underneath it is permeable and red, with the appearance of a finely granular red area, called columnar epithelial ectasia. It is called “cervical erosion” in the past because it looks like erosion to the naked eye, but in reality it is not true erosion. After menopause, the original squamous-columnar junction tends to move inward and the cervix looks smooth, so “cervical erosion” does not heal itself, so in most cases, “cervical erosion” is actually a sign of youth. The woman’s cervix is connected to the outside world, which can be seen through the speculum examination, but whether the cervix is diseased cannot be diagnosed under the naked eye observation, “just the naked eye observation of the cervix is not allowed to make a diagnosis, the smooth cervix can also get cervical cancer, such cases are not uncommon.” The presence of “erosion” does not mean that it is a precancerous lesion of cervical cancer; the absence of “erosion” does not mean that one cannot get cervical cancer either. For the prevention of cervical disease, it is necessary to have regular medical checkups, to care more about the cervix, to pay more attention to health, and to enjoy life better!