About the treatment of “cervical erosion
The cervix is an important part of the female reproductive organs and is closely related to women’s lives and fertility. Cervical erosion is a problem for many women. “Cervical erosion is the result of the replacement of the squamous epithelium on the outside of the cervix by a single layer of columnar epithelium in the mucous membrane of the cervical canal. It is a physiological change caused by hormonal changes in the female body and is not a disease. The term “cervical erosion” is derived from the English translation of Cervical erosion, but at the time the translation was somewhat inappropriate, calling erosion the meaning of erosion, when in fact erosion has multiple meanings of loss of epithelium, epithelial shedding or ulceration. For a long time, it has been used incorrectly, resulting in a lot of over-medication of the cervix and adding a lot of unnecessary worry to patients. Now the obstetrics and gynecology community is aware of the seriousness of the problem and has abandoned the term “cervical erosion” and replaced it with “ectopic cervical columnar epithelium. It is not considered a pathological change, but a physiological change of the cervix. However, due to the long-term habit of becoming natural, there are also many physicians who have not changed their minds and still call it “cervical erosion”, and even more, some medical institutions and commercial advertisements make a big deal about it for economic interests, making people more afraid of “cervical erosion”. The high incidence of cervical erosion in women during their reproductive years is due to the high ovarian function and high estrogen level in the body, which causes the columnar epithelium in the cervical canal to move out to the surface of the cervix to replace the squamous epithelium, a physiological change. In fact, the birth of a baby girl’s cervix is also “erosion”, which is due to the effect of maternal estrogen in the body, to be born a few days later, the body estrogen decline, the columnar epithelium back to the cervical canal, the cervix is smooth. Most postmenopausal women have a smooth cervix due to low estrogen in their bodies.
Here are a few points for your attention.
1, celiac disease should not be confused with cervicitis;
2, cervical erosion is not properly translated, now changed to cervical columnar epithelial ectopic, is a physiological change, not a lesion;
3, celiac disease is not cervical cancer, not precancerous lesions;
4, should not make a big deal on the word “celiac disease” and advertising, misleading people;
5, gynecological examination found “cervical erosion”, do not panic, according to the formal screening of cervical disease;
6, “cervical erosion” whether treatment, depending on whether the co-infection, whether there are symptoms. Asymptomatic and uncoinfected people do not need treatment; symptomatic and co-infected, such as increased discharge and contact bleeding,
After negative cytological examination, medication or physical therapy should be given;
7. There are no specific diagnostic criteria for cervical hypertrophy, and the key is that there is no therapeutic significance, i.e. no treatment is needed.
Screening for cervical lesions
Cervical lesions are one of the most common disorders in women, and the most serious case is the development of cervical cancer. Cervical cancer is one of the common malignant tumors in gynecology, with the second highest incidence of malignant tumors in women, after breast cancer, but the first in some developing countries. The World Health Organization reports that there are about 500,000 new cases worldwide each year, and the country with the highest incidence of cervical cancer is Chile (15.4/100,000), followed by China (14.6/100,000) and Japan (2.4/100,000), accounting for 73%-93% of the incidence of malignant tumors of the female reproductive system. In developed countries, its incidence has decreased significantly, thanks in large part to effective prevention and early diagnosis and treatment of cervical cancer. Although cervical erosion is a physiological change that does not require treatment, screening for cervical disease is again advantageous in terms of screening for diseases of the female reproductive system, which can be seen superficially by gynecological examination, as well as pathological tests on its exfoliated cells, and the use of colposcopy, which allows for magnified observation. Women of childbearing age are recommended to have their cervix examined along with a physical examination. There is evidence that over 90% of cervical cancers can be effectively prevented by biennial screening, but in China today, only an estimated 5% of cervical cancers are currently prevented.
Most experts recommend the following as to which women need cervical cytology screening and how often it should be done at intervals.
1. Cytology should be done at least once every two years for those women who have no cervical pathology symptoms and no history of disease.
2. All women who are sexually active should have regular cytology exams starting at age 18-20 or within one to two years after their first sexual encounter.
3. For women over 70 years of age, if they have had two regular cytology examinations with normal results in the last five-year period, they can stop having regular examinations, but if they have never had cytology examinations or have volunteered for them, they should have cytology examinations.
Other considerations.
1. The above applies only to women who have no suspicious symptoms or past medical history and whose previous cytology results were abnormal but were not followed up clinically. Women with suspicious symptoms or previous medical history should be managed according to the process of the consultation protocol.
2. Cytology is not required for women who have never had sex.
3. For women who started having sex before the age of 16, clinicians may start regular cytology examinations before the age of 18, depending on the situation.
4. It is not necessary for young women (especially those under 30 years of age) to be examined frequently (e.g. once every six months) or to have some additional DNA testing done, as this is not very meaningful and not inexpensive.
5.Women who have been doing regular cytology examinations for a long time can stop the examinations at the age of 70.
6. For women with total hysterectomy, if the cervical part is not completely removed then regular cytology examination is needed; if there is a history of atypical cervical hyperplasia or malignant lesions, a vaginal vault smear is also needed.
Late stage cancer is incurable. Early detection and early treatment of cancer can be curable. The worldwide mantra for cervical cancer is early detection and elimination of cervical cancer as early as possible with the assurance of a well-developed cervical cancer screening system. A few minutes of gynecological examination every year will keep you away from cervical cancer.