The term “celiac disease” has been around for a long time, and “celiac disease” sounds like the meat of your body is rotting away from the inside out, so many women are afraid to talk about “celiac disease”. This disease also makes it difficult for many women to talk about it, as if their life style is rotten. The most exaggerated thing is that once a young 25-year-old patient came to me that day for her annual gynecological routine checkup. I took the usual medical history and she said she had undergone LEEP knife, also known as ultra-high frequency electrophoresis, a technique developed in recent years specifically to diagnose and treat cervical disease. I was surprised for a moment that a cut had been made on my cervix at the age of 25, when by definition LEEP Knife is often used in the diagnosis and treatment of pre-cancerous lesions. “It was celiac disease,” she said, “it was small, an unplanned pregnancy, and then when I woke up from the abortion, I was told that celiac disease had been treated together for me.” What exactly is “celiac disease”? There are two types of cells that cover the cervix, squamous epithelial cells near the vaginal end, which look smooth like fish scales covering the surface, and columnar epithelial cells near the uterus in that direction, which stand on the surface of the cervix and appear reddish, looking like eczema-like erosion. In the past, the term “cervical erosion” was very commonly used in gynecological diagnosis due to the lack of greater awareness of “cervical erosion” among doctors and patients. The traditional thinking is that cervical erosion must be treated because it implies the presence of cervical inflammation, and long-term inflammation can cause a lot of harm to women, possibly causing infertility and even cervical cancer. Therefore, celiac disease used to be often over-treated. In the past, doctors would always use various methods such as drugs, microwaves, lasers or freezing to destroy the columnar epithelium on the erosion surface, causing it to necrotize and fall off so that new squamous epithelium could grow. For women who have had children, conization is often used, where a layer is peeled off the cervical area like an apple. Some putative hospitals are heavily abused with antibiotics, or excessively surgical removal or even destructive treatment for young, unmarried women, which has a devastating effect on the cervical function of these women after future pregnancies and the dilatation of the uterus after delivery, thus increasing the rate of miscarriage or obstructed labor. “Celiac disease is not a disease! Celiac disease is very often just an ectropion of the healthy cervical columnar epithelium, a physiological phenomenon and not a real disease. In the end, it is actually a misconception of a normal manifestation of the cervix in the past. Since 2008, the textbook “Obstetrics and Gynecology” abolished the name of “cervical erosion” and replaced it with the physiological phenomenon of “cervical columnar epithelial ectasia”. Under normal circumstances, the columnar and squamous epithelial cells are in a dynamic balance, somewhat similar to a tug-of-war, and this area is medically named the “squamocolumnar junction zone”, which can move in response to changes in estrogen. After puberty, because of the increase in estrogen, the columnar epithelium of the cervical canal proliferates and moves outward from the cervical opening to cover the squamous epithelium, giving the area a fine-grained red zone, which is commonly known as “erosion”. Pregnancy and oral contraceptives can also cause the squamous junction to migrate outward, forming physiological cervical erosion, while after menopause, with the decline in estrogen levels, the squamous junction returns to the cervical canal. This is why it is rare to see “celiac disease” after menopause. Does “cervical erosion” need to be treated? As mentioned earlier, cervical ectopic columnar epithelium is a normal physiological phenomenon and “cervical erosion” is a symptomatic description rather than a clinical diagnosis. Despite this, there is still a long way to go in screening for cervical disease. All women need to do is to have regular cervical smears and HPV tests, and doctors will use the symptoms and reports to determine whether it is related to cervical lesions or just due to hormonal changes. If there is no pathogenic microbial infection on the cervix, and the cervical exfoliation cytology and HPV virology are normal, then such “celiac disease” does not require treatment.