Is it necessary to treat celiac disease?

Simple cervical erosion is physiologic, i.e., physiologic cervical columnar epithelial ectasia, most often seen in adolescence, reproductive age estrogen secretion, oral contraceptive pills or pregnancy. Inflammatory celiac disease is mostly chronic inflammation formed by untreated or incomplete treatment of acute cervicitis. Simple cervical erosion does not need treatment, but those with symptoms need treatment. Pathologic celiac disease, i.e., chronic cervicitis needs to be treated. But how to distinguish between physiologic and pathologic celiac disease? Physiological cervical columnar epithelium is shifted out of the cervix to show erosion-like changes, while pathological cervical intraepithelial neoplasia and early cervical cancer can also make the cervix show erosion-like changes. Therefore, for these patients, the naked eye alone cannot determine which is the case, and cervical cytology (TCT) and human papillomavirus (HPV) testing are required. If the microscopic examination is normal and the pathogen test is negative, regular follow-up is possible and no treatment is needed. For symptomatic cervicitis that requires treatment, there are physical therapy, drug therapy & surgery. For women of childbearing age with mild cervical erosion and no symptoms, this condition can be left untreated with regular gynecological examination and regular review of TCT or HPV. In case of moderate to severe celiac disease, if there is no obvious discomfort, regular review is also possible. If there are persistent abnormalities in the leukorrhea, cervical lesions or infertility as a result of this, then the treatment of celiac disease can be carried out after ruling out cervical cancer first. Drug treatment: It is suitable for patients with small surface of erosion, shallow infiltration of inflammation or limited by conditions. The side effects of drug treatment are small, but the course of treatment is longer and costs more. The therapeutic effect may not be ideal. Physical therapy: It is suitable for patients with moderate cervical erosion and severe cervical erosion. Commonly used methods include microwave, ironing, laser therapy, cryotherapy. The disadvantage is that the side effects are large, and may cause the decrease of the sensitivity of the nerves of the vaginal wall, which has an impact on the quality of sexual life. In addition, it is easy to recur after treatment. Surgery: If the above treatments are ineffective, or if there is cervical hypertrophy, or if the erosion surface is deep and extensive and involves the cervical canal, cervical conization can be considered. However, surgical treatment is rarely used nowadays. The worst consequence of surgery is that it can lead to infertility, so women with reproductive needs should be cautious. Physical or surgical treatment may result in scarring of the cervix or adhesions in the cervical canal, which may interfere with conception. So how do women with celiac disease who have not had children treat it? First, it still depends on the degree and nature of the erosion. If the erosion is mild and superficial, even if the surface of the erosion is large, but if the depth of the erosion is shallow and there is not much leukorrhea, it can be left untreated for the time being. If the papillary erosion is moderate or above, other causes of infertility are ruled out, and the doctor diagnoses infertility due to cervical factors, the cervix must be treated after a cancer prevention test. As long as future fertility is taken into consideration during physiotherapy and care is taken to keep the treatment area out of the cervical canal, not only will conception not be affected, but the infertility factor can also be removed. The advantage of Sharp knife for cervical treatment over Leep knife is that it does not change the original physiological structure of the cervix, the resection area is small, and it has no effect on the subsequent fertility. Through this article, you should know how to treat celiac disease correctly. Don’t worry about celiac disease, go to a regular hospital, and tell the doctor whether there is a need to have children, the doctor will give you the best plan according to your situation, we will do our best to relieve the pain of patients.