Celiac disease is extremely common among women of childbearing age and is often associated with abnormal leucorrhea, lumbago, lower abdominal cramping and other discomforts, and even contact bleeding during sexual intercourse, causing a lot of trouble for women. Especially young women who have the requirement to have children, in addition to concern themselves with the disease of the cervix, more worried about celiac disease will affect fertility. So, can you have a baby with celiac disease? First of all, we need to understand what is “cervical erosion”. Most of the cervical erosion seen in clinical work is not really pathological erosion, but is regulated by fluctuating hormone levels, the ectocervix is covered by the surrounding columnar epithelium, forming a red area with a granular, shiny surface that looks like real erosion, but is actually a normal physiological phenomenon, not a disease. Only in a few cases, due to mechanical irritation or injury, such as miscarriage, birth laceration and pathogenic microbial invasion, as well as inflammatory infiltration of deep cervical tissues, the squamous epithelium covering the surface of the cervix is shed and an ulcer is formed, which is true erosion. However, this erosive surface is soon covered by its surrounding columnar epithelium and true erosion is only a transient stage in this pathological process. The term cervical erosion has now been abolished abroad and replaced by columnar epithelial ectasia or columnar epithelial ectropion. In our country, this name is still used due to years of secular habits. Having cervical erosion does not mean that the cervix is diseased, and women who do not have cervical erosion do not mean that the cervix is necessarily normal. The actual cervical cavity is like a person’s ugly appearance, but the character of the person is not related to the appearance. Second, does celiac disease affect pregnancy? If there is only simple cervical erosion, there are no uncomfortable symptoms such as contact bleeding, abnormal leucorrhea, lower abdominal cramping, etc., and the cervical cytology is normal, you can get pregnant. Even if there is a mild inflammation, it generally does not have much effect on conception because the translucent mucus of the cervical canal is secreted in large quantities during ovulation, which facilitates the passage of sperm. However, if cervical erosion is accompanied by serious inflammatory manifestations, such as purulent leucorrhea in the cervix and infections with pathogenic bacteria such as chlamydia or gonococcal infection, the cervical mucus becomes thick and contains a large number of white blood cells, which is not conducive to sperm movement and penetration and can affect conception, it is necessary to actively treat the condition and wait for the symptoms of cervicitis to improve before trying to conceive. Otherwise, the germs may travel up the cervix during pregnancy, which may lead to complications such as premature rupture of the fetal membranes. Treatment modalities suitable for women with cervical erosion who have fertility requirements include medication and non-invasive physical therapy such as focused ultrasound. In addition, if the cervical cytology is abnormal, further colposcopy, multi-point biopsy or conization should be performed to remove the lesion and send it for pathological examination. If the biopsy results are of high grade or higher cervical lesions, surgical treatment is required for cervical erosion. The associated surgery may put the fetus at increased risk of preterm delivery and miscarriage. Therefore, women of childbearing age should have a regular gynecological checkup and cervical cytology examination every year to achieve early detection, early diagnosis and early treatment in the early stage of cervical lesions as far as possible. Third, does cervical erosion have any effect on the baby? In fact, because the columnar epithelium of the cervix is so obviously ectoplasmic during pregnancy, it almost always looks like a severe “celiac disease”, sometimes even with thickened blood vessels on the surface, which looks indistinguishable from cervical cancer. Nevertheless, celiac disease itself does not affect the health and development of the baby. However, if celiac disease is not well understood during pregnancy and medication is misused, it may lead to abnormal development of the baby. However, it is important to note that pregnant women are particularly susceptible to various germs due to their physiological characteristics and relatively low immunity. If celiac disease is accompanied by severe bacterial infections, it may lead to premature rupture of membranes, preterm labor and delivery of low birth weight babies. A Stanford University research team sampled the amniotic fluid of 166 pregnant women with signs of preterm labor and found that bacteria or fungi were found in 15% of the samples. For pregnant women with combined cervical and vaginal inflammation, medication may be given appropriately on the basis of a balanced, informed choice. IV. What are the points of attention for patients with celiac disease during pregnancy? How is it treated? As mentioned earlier, pregnant women are more susceptible to various germs than non-pregnant women. Mothers-to-be with celiac disease should pay special attention during pregnancy: 1. Avoid infection: pay attention to personal hygiene, keep your vulva clean and dry; wash and change your underwear regularly, do not share bath towels with others; avoid bathing and vaginal irrigation. 2.Improve immunity: get enough sleep, ensure 8-10 hours of sleep every day; have rich and balanced nutrition, do not smoke and drink, avoid spicy food, drink more water, eat more vitamin-rich fruits and vegetables; maintain an optimistic mood and do outdoor activities regularly. 3. Strictly control the frequency and intensity of intercourse. Sexual intercourse is prohibited in the early trimester and one month before delivery, and less intercourse in the middle of pregnancy. In addition to avoiding premature birth and miscarriage induced by strenuous sexual intercourse, it can also reduce the chance of damage and infection caused by sexual intercourse to the very fragile cervix during pregnancy. 4, regular follow-up testing. Symptoms such as abnormal leucorrhea and contact bleeding should be seen by a doctor in time to clarify the cause and use reasonable and standardized medication under the guidance of a doctor, never buy medication on your own pharmacy and use it at will. Cervical erosion itself does not require treatment, but should be followed up regularly with cervical cytology. If moderate to severe celiac disease with uncomfortable symptoms does require treatment, a colposcopy guided biopsy can be performed after delivery to rule out cervical lesions and then physical therapy such as laser and microwave.