Looking at the cervical thin layer liquid-based cytology (TCT) test results in hand, Xiao Mei was a little confused. Except for one item “cell volume >40%”, the other indicators were normal, but the conclusion was “benign reactive changes (moderate inflammation)”. In particular, the test results for pathogens such as bacteria and viruses were all “none”. This made her wonder: if no pathogens were found, why did they say there was inflammation? The first thing that I want to do is to find a doctor and ask him about it, but it’s already after office hours, so she has to rush to the Internet for advice. The company’s main business is to provide a wide range of products and services to its customers. The internet has experts answer: this “inflammation” is physiological, do not worry too much; but some experts say: this is chronic cervicitis, need to be anti-inflammatory treatment, and severe inflammation will affect pregnancy, must be completely treated. This makes the small beauty more confused. The actual TCT is a method of cervical cancer screening, which is a technique that involves inserting a liquid-based plastic sampling brush into the cervix and rotating it clockwise for 5-8 turns to detect cells shed from the ectocervix and cervical canal. Compared with the traditional Pap smear, TCT significantly improves the detection rate of abnormal cells in the cervix and provides direct diagnosis of various microorganisms, such as trichomonas, mycobacteria, bacteria and viral infections, in addition to pre-cancerous lesions and cancer. Xiao Mei’s test result of “benign reactive changes (inflammation)” is equivalent to what is commonly referred to as “cervical erosion”. If there are abnormalities (e.g., ASCUS, ASC-H, LSIL, HSIL, etc. on TCT), further colposcopy and cervical biopsy may be performed to clarify the diagnosis. ”Under normal circumstances, the epithelial cells, which are the protective coating of the cervix and cervical canal, have two textures. One is the squamous epithelium, which covers the surface of the cervix and gives it a smooth appearance; the other is the columnar epithelium, which is located in the cervical canal. The border between the two is called the primitive squamous-columnar junction. After puberty, under the influence of estrogen, the cervix grows larger and the columnar epithelium of the cervical canal moves out. Since the columnar epithelium is so thin that it can penetrate the blood vessels below, the area covered by the columnar epithelium has a red, fine-grained appearance, resembling erosion, and is called “cervical erosion”. The displaced columnar epithelium can be replaced by squamous epithelium, making the cervix look smooth again, thus also forming a new squamous-columnar junction. The essence of cervical erosion is displacement of the columnar epithelium, not ulceration, and is not really an inflammation of the cervix, so there is no need to panic. We can say that cervical erosion is not a disease at all. However, the resistance of the displaced columnar epithelium is relatively poor, pathogenic bacteria can easily invade; combined with pathogenic bacteria infection, easy to occur acute mucopurulent cervicitis, manifested by the cervical surface with a large number of milky white sticky secretions accumulation, a very small number of women may be due to the secretions to prevent sperm from entering the uterine cavity and lead to infertility. Therefore, women with these symptoms should be treated promptly. Screening is better than treatment In cervical erosion, the area between the original squamocolumnar junction and the new squamocolumnar junction is called the migratory zone, which is a good site for cervical cancer. In addition, some cervical precancerous lesions and cervical cancer can also have a cervical appearance of erosion. Therefore, women with cervical erosion should undergo regular cervical cytology screening. It is important to note that a smooth looking cervix does not mean that you can rest easy. Some cervical cancers are hidden inside the smooth cervix, which is not visible to the naked eye, so even a smooth cervix should be screened regularly. In general, women with asymptomatic cervical erosion who have normal cervical cytology screening and pathogen detection do not need special treatment and should be reviewed regularly. Many women have a misconception in this regard, not willing to spend money on screening and disease prevention, but rather invest a lot of money to treat “cervical erosion”; moreover, due to the lack of attention to the screening of cervical lesions, some cervical cancers are treated as “cervical erosion”. This has led to the spread of cancerous tissues through the blood stream and eventually led to the death of the patient.