I often see patients coming from out of town to see celiac disease, many of them rural women, moving around the country, and sometimes it’s really sad how a “minor disease” that is not a serious problem at all can become a problem for so many people. Here’s a little science to help. The majority of the cervical erosion is essentially the outward migration of the squamous junction caused by high estrogen levels, which manifests as cervical erosion during the reproductive period, and after menopause estrogen levels drop the cervix is also light, for physiological changes, just like a few “pimples” do not need to be treated at all. The other part is caused by cervical canal mucosal ectasia due to cervical laceration after childbirth, and only a few may be caused by cervical inflammation. Due to differences in the perception of cervical erosion, there are conceptual differences in the treatment of cervical erosion. Doctors abroad do not do any treatment for those without clinical symptoms, but only do cytological screening (TCT) and HPV testing (if conditions permit), and if the cytology is abnormal, treat accordingly according to the cytological findings. Colposcopy and pathology are done if necessary, and if CIN lesions are present they are treated as CIN, if not the next follow-up is decided based on the HPV and TCT results. The main reason why cervical erosion is so important is that many people think that cervical erosion is related to cervical cancer, plus a few doctors are driven by profit to brag about misinformation, making women’s psychological pressure too much, turning it into a “heart disease”, and even severe erosion is not the same room for several years, seeking medical help every day. Personally, I think that cervical cancer has little to do with cervical erosion, and most cervicals that seem to be very eroded do not have cervical cancer, while many smooth cervicals or those with a few small red dots on the surface are cervical cancer or precancerous lesions. Early cervical cancer or precancerous lesions cannot be recognized by the naked eye, and rely mainly on cervical smear (TCT) screening and HPV testing, followed by colposcopy and biopsy for confirmation. Therefore, annual TCT is all that is needed to address any problems in a timely manner. Personally, I have seen several cases of cervical cancer treated as laser treatment for celiac disease to the point of delayed treatment, which feels really sad! TCT is recommended once a year to detect cervical cancer or precancerous lesions, regardless of whether you have cervical erosion or not; if you also have a negative HPV test, TCT once every 3 years is enough. In reality, it is still seen that there are still cases of missed diagnosis. It is still recommended to do TCT every year, and increase the number of examinations if there is bleeding after sex or contact bleeding in between. There is currently an over-treatment of celiac disease, which is driven by confusion of concepts and other such as economic interests. Physical therapy such as too deep can affect the elasticity and hardness of the cervix and may cause cervical laceration easily during childbirth, so it is not recommended. If the cervical erosion is severe after childbirth, excessive leucorrhea or bleeding after regular intercourse can be treated with laser, microwave or cryotherapy. Those with combined vaginitis or Chlamydia trachomatis (CT) infections are treated aggressively, and symptoms can usually improve significantly after local infection control. Cervical cancer should be ruled out before treatment to avoid misdiagnosis of early cancer as inflammation and delayed treatment. In the past, the commonly used drugs are 10-20% silver nitrate and potassium dichromate solution. The corrosive effect of these two drugs is very strong, so they are less used now. Nowadays, they are more commonly used as Able therapy suppository and Able therapy solution. Physiotherapy is the most commonly used effective treatment method, most of which can be cured only once. The principle is to destroy the single layer of columnar epithelium on the cervical erosion surface by various physical methods, so that it will be covered by the new layer of squamous epithelium after necrosis and shedding. It takes 3 to 4 weeks for healing, and about 6 to 8 weeks for deeper lesions. Electro-ironing or hot ironing treatment is less commonly used at present because of the tendency to cause cervical canal adhesions. Cryotherapy does not form scars, so cervical stenosis does not usually occur. Cervical stenosis is also rare with laser treatment, and most of them do not affect the elasticity of the cervix if they are more superficial. Precautions for physiotherapy: ①Cervical smear should be routinely done for cytological examination before treatment. ②The presence of acute genital inflammation is contraindicated. ③Treatment time should be chosen within 3-7 days after menstruation to prohibit sexual intercourse. ④After physiotherapy, there is an increase in vaginal discharge and even a large amount of watery discharge. There may be a little bleeding when the scab is removed 1 to 2 weeks after surgery, so care should be taken to keep the vulva clean and dry to prevent infection. ⑤Bathing, sexual intercourse and vaginal douching are forbidden during the period when the trauma surface is not completely healed (4-8 weeks). ⑥Physical therapy has the possibility of causing postoperative bleeding, cervical canal stenosis and infection. After treatment, regular review is needed to observe the healing of the wound until it is healed, and attention should be paid to the presence of cervical canal stenosis. Generally LEEP or cervical conization is not recommended for cervical erosion. For old cervical laceration and mucosal ectasia caused by childbirth, cervical repair is feasible.