The medical term for celiac disease is cervical columnar epithelial ectasia, which can be divided into pathologic and physiologic conditions. Pathologic cervical columnar epithelial ectasia may cause vaginal bleeding during intercourse after menopause, while physiologic cervical columnar epithelial ectasia does not have the symptom of bleeding during intercourse.
1. Pathologic cervical columnar epithelial ectasia. Mostly seen in chronic cervicitis, cervical squamous intraepithelial lesions or early cervical cancer, the cervix can cause cervical congestion, redness and swelling under the stimulation of chronic inflammation, HPV infection and other factors, and the appearance of erosion. Due to friction during intercourse, the capillaries on the surface of the cervix can rupture, thus causing the symptom of contact bleeding.
2. Physiologic cervical columnar epithelial ectasia. It is a phenomenon caused by the physiological migration of the columnar epithelium in the cervical canal to the vaginal part of the cervix. It is related to the high level of estrogen, and after menopause due to the lower level of estrogen, this situation can also disappear, and generally does not cause bleeding after intercourse.
If physical examination reveals ectopic cervical columnar epithelium, accompanied by sexual bleeding, it is recommended to consult a doctor in time to check the cause of the disease and carry out standardized treatment.