1. What is celiac disease? When you go for a medical checkup, almost nine times out of ten women will be diagnosed with “celiac disease”. In fact, the misnomer “cervical erosion” has long been “cancelled” in medical obstetrics and gynecology textbooks and replaced by the physiological phenomenon of “cervical columnar epithelial ectasia”. The reason it is called “cervical erosion” is simply because the columnar epithelium migrates after hormonal fluctuations, making the middle part of the cervical columnar epithelium look like “erosion”. The so-called cervical erosion is essentially the ectopia of the columnar epithelium. 2. What are the symptoms of cervical erosion? Displacement of the cervical columnar epithelium is a normal physiological phenomenon with no specific symptoms. Some people may have contact bleeding, but this is an individual difference. 3. Do I need treatment for celiac disease? If you understand the definition of “cervical erosion” mentioned in the first question, you will understand that cervical erosion is a normal physiological phenomenon, so why bother to treat it? It’s possible that you just finished treatment and the next time your hormone levels fluctuate between periods, the displaced columnar epithelium reappears! If the degree of “celiac disease” is heavy and there is contact bleeding, it is more likely to lead to vaginal inflammation (this is understandable because blood is a culture medium for bacteria). If you have increased leucorrhea, odor and yellow color, you may have vaginal inflammation and need to check your leucorrhea routine and take the right medication. 4. What condition of my cervix needs to be treated? A TCT is needed. If the TCT shows normal, there is no need for treatment. Physiological ectopic columnar epithelium does not need treatment. Symptomatic cervicitis can be treated. 5.How often should TCT be checked to feel relieved? Regular TCT is necessary mainly for early detection of cervical precancerous lesions. The current internationally recommended screening guideline is that women after the age of 21 should have TCT once a year; after the age of 30, they can have TCT+HPV, and if TCT+HPV are negative for 3 consecutive years, they can be checked again at an interval of 3 years. If persistent positive for high-risk HPV, colposcopy is still recommended to exclude cervical precancerous lesions even if TCT is normal.