Among gynecological diseases, celiac disease and cervicitis are frequently mentioned, and cervical cancer is one of the most common malignant tumors in gynecology. However, cervical lesions can sometimes play tricks on people: you think you have cervical erosion, but it is actually false; you think your cervix is smooth and there is no trace of erosion, but cervical cancer has come quietly. …… here is a list of the three most common cervical diseases and answers to your questions. The first question is
The first question is: Can you get celiac disease even if you don’t have sex?
The case: 18-year-old Xiaoyu (a pseudonym) is a high school student, has not yet been in a relationship, a chance because of dysfunctional uterine bleeding in the Canton Hospital Obstetrics and Gynecology Clinic for examination, was found to have mild cervical erosion symptoms.
The family is baffled as to how Xiaoyu, who is not sexually active, can be associated with “celiac disease”. After careful examination and questioning of the medical history, the doctor concluded that Xiaoyu had pseudo cervical erosion.
The answer: celiac disease also needs to be “faked”
The concept of cervical erosion in medical pathology is “the shedding and ulceration of the cervical epithelium”. Cervical erosion is the most common manifestation of cervicitis and is mainly classified as mild, moderate or severe. Severe cervical erosion is characterized by papillary, hyperplastic erosion, while mild cervical erosion is a small, mild, superficial granular erosion.
However, sometimes the symptoms that look like celiac disease do not easily lead to a “verdict” of celiac disease. In the case of Xiaoyu, it is pseudo-celiac disease. The main reason for this is the high level of estrogen in the body, which causes the columnar epithelium in the cervical canal to migrate out to the surface of the cervix, which is very similar to mild celiac disease and almost indistinguishable with the naked eye. Pseudoceliac disease caused by estrogen stimulation is not uncommon in adolescent girls, pregnant women, and women who often take birth control pills because they have high estrogen in their bodies.
As long as inflammation and cancer are ruled out, pseudo cervical erosion does not require too much tension and excessive treatment, especially in women during pregnancy when the cervix is congested and edematous due to physiological reasons, and treatment can instead cause adverse effects, leading to miscarriage and premature birth. Generally speaking, once the hormones return to normal, the symptoms will disappear. However, regular checkups are still necessary to prevent missed diagnosis and misdiagnosis.
Question 2: How can it be cervical cancer if there is no cervical erosion?
Case: 38-year-old Ling (pseudonym) has been satisfied with her conjugal life and seldom felt discomfort. However, she was found to have stage II cervical cancer during her physical examination this year. Surprisingly, the surface of Ling’s cervix was very smooth under the doctor’s visual observation, and there was no symptom of erosion.
Answer: Smooth cervical ≠ healthy cervical Many people think that smooth cervical means healthy cervical, but in fact, it does not. Liang Kun said that there is no necessary connection between smooth cervix and cervical health. Even the most experienced doctors can’t guarantee that the judgment of the naked eye is 100% accurate, and the hidden danger may be greater if it is not seen on the surface.
In recent years, the incidence of cervical cancer has been increasing year by year and is getting younger and younger. Medical research shows that the incidence of cervical cancer is closely related to factors such as low age of sexual life (18 years old), confusion of sexual partners, early marriage and early childbirth, and multiple deliveries.
Cervical cancer is the only tumor that can be detected and prevented at an early stage. With better intervention, regular checkups and early detection, the damage and risk can be completely minimized. Women who are married or have sex life must strengthen their awareness of prevention and have regular cervical fluid-based cell examination to avoid regrets due to delayed disease.
Question 3: Can I use antibiotics for cervical erosion?
Case: 25-year-old Lan Lan (a pseudonym) was found to have mild cervical erosion during her physical examination. She was prescribed some antibiotics at a small clinic near her home to save trouble and injected with a drip for 3 days. A month later, she went to the hospital again for a checkup and found that the disease was showing signs of aggravation. Lan Lan was confused, did the previous medication not help at all?
Answer: Antibiotic treatment is not a “panacea”
The fact that there are many patients like Lan Lan who are overly dependent on antibiotic treatment is actually a misconception.
The treatment of cervical erosion must be “symptomatic” according to the degree. Generally speaking, mild cervical erosion does not require excessive treatment, but only regular checkups and observations, and intravenous and oral medications do not help much. For moderate and severe celiac disease, different physical treatments should be chosen in conjunction with the condition and the patient’s actual situation. If you have not had children, women with moderate to severe celiac disease need to have cancer screening and physical therapy such as microwave freezing. For women who have had children and do not require fertility, surgery such as microwave freezing can be done for moderate to severe celiac disease, and Lipo knife surgery can be done for severe celiac disease with hyperplasia, multiple cysts and polyps.
Intravenous antibiotics and medications are only suitable for acute inflammation such as gonorrhea infection and chlamydia infection, but they are very ineffective for mild celiac disease, and too much use is not only a waste of money and energy, but also rash high dose medication especially intravenous may cause vaginal dysbiosis and induce vaginitis.
There are no drugs to cure moderate and severe celiac disease. There are no drugs to really cure moderate and severe celiac disease, only physical therapy. And physiotherapy requires the doctor to grasp the size, if not careful it may cause cervical scarring, cervical canal narrowing, etc., which can affect the patient’s fertility. Therefore, patients must choose a regular hospital and communicate fully with the doctor to avoid misdiagnosis and excessive treatment, resulting in unnecessary adverse consequences.
Experts explain the doubts.
Why is the cervix so delicate? The cervix is the conduit to the uterus and its role should not be underestimated. During sex, sperm enters the uterine cavity through the cervix; during menstruation, menstrual blood is expelled through the cervix; during childbirth, the cervix undergoes even more significant changes and can expand from 1 to 10 centimeters to allow the fetus to pass. Therefore, the cervix is the “barrier” that protects the uterus and is an important line of defense against the invasion of pathogens into the uterine cavity.
Because of its busy “work”, the cervix is also a vulnerable site for infection. The cervix itself is rich in elastic fibers and has a good ability to expand, but it can also tear during childbirth, which, combined with bacterial infection, can lead to cervicitis. Cervicitis is one of the most common diseases in women, and prolonged inflammation is associated with the development of cervical cancer.
However, one advantage for people dealing with cervical disease is that the cervix protrudes from the vaginal opening and can be seen by the doctor under direct vision during a gynecological examination. Experts remind women to pay attention to gynecological screening, cervical lesions are easier to detect and treat early.