Many patients are confused about “Celiac Disease” when they visit the doctor! So, is celiac disease a disease or not? Will the cervix rot away? In fact, this is a misunderstanding of the normal physiological phenomenon in the past. To understand celiac disease, must start from the cervical epithelium composition. The cervical epithelium is divided into two components: the cervical canal appears to be “rotten” columnar epithelium and cervical surface smooth squamous epithelium. During a normal gynecological examination, the doctor can only see the green part of the picture on the left, but not the blue part. The blue part is what is known as the columnar epithelium, while the green part is mostly squamous epithelium. In women of childbearing age, the columnar epithelium grows outward under the action of estrogen, so that the area originally belonging to the squamous epithelium becomes the columnar epithelium area, and the so-called “cervical erosion” appears in the center part of the picture on the right. In fact, this is only the result of the cervical canal columnar epithelium turned out, is a normal physiological phenomenon. After the menopause, the female body estrogen level decreased, the columnar epithelium turned back to the cervical canal, gynecological examination can see the smooth cervix again. 1, celiac disease is really not inflammation performance? When there is inflammation can also be manifested as cervical erosion, especially acute cervicitis, physical examination of the cervix is not only visible red fine granular erosion area, and easy to bleed. However, cervical inflammation can also be associated with an abnormal increase in leukorrhea, odor, or a combination of vulvovaginal itching and other symptoms. If there are no such symptoms, just physical examination is seen, can not be diagnosed as cervicitis, and do not need to deal with. 2.Is celiac disease precancerous or cancerous? Of course, it cannot be equated! The diagnosis of cervical pre-cancer or cancer is based on cervical cytology (TCT), human papillomavirus (HPV), colposcopic biopsy and other auxiliary examinations, never a physical examination with the naked eye to diagnose, the cervix is smooth does not equal to the absence of pre-cancerous lesions, so “celiac disease” and pre-cancerous lesions are two different things, not to be confused with each other. 3, celiac disease with bleeding after intercourse how to do? Vaginal bleeding after intercourse requires high vigilance and timely consultation. It is best to perform cervical liquid-based cytology test (TCT) and HPV test to detect cervical cancer at an early stage. When cervical cancer and other conditions are ruled out, symptomatic treatment is sufficient. 4.Does severe celiac disease need treatment? At one time, the textbooks of obstetrics and gynecology were graded according to the range of cervical erosion: the area of less than 1/3 is mild, 1/3-2/3 is moderate, and more than 2/3 is severe, and it is thought that this is related to the degree of inflammation. At present, it is found that this is only the degree of columnar epithelial ectropion is different, all belong to the normal physiological phenomenon, no need to deal with.