Celiac disease is a controversial topic. 80%-90% of women have been tested for celiac disease in the past, and many people are confused when they are tested for “celiac disease”. Is it a disease? Do you need to treat it? Some of our patients have reported that doctors are now giving different advice on how to deal with it, some saying it is normal and does not need to be treated, while others are expanding the description, causing patients to panic and thus over-treat. Today, we will talk about the truth about celiac disease. 1. What exactly is celiac disease? In my last science article, “The Secret of the Uterus (I) – Taking You to the Cervix”, we learned that the cervical canal is made up of columnar epithelium and the ectocervix is made up of squamous epithelium. The area where the two converge is called the squamous-columnar junction, and its position is not static, moving with estrogen levels, age, endocrine, etc. During puberty and childbearing, especially during pregnancy, the squamous epithelium will ectropion into the ectocervix, and because the squamous epithelium is thin, capillaries will ooze out and therefore appear red. In the past, people called it “cervical erosion”. 2. Is cervical erosion a disease? So cervical erosion is not really “erosion”, but a non-pathological normal phenomenon. Therefore, the term “cervical erosion” was abolished abroad in the 1980s, and in 2008, the seventh edition of the undergraduate Obstetrics and Gynecology also renamed “cervical erosion” as “cervical columnar epithelial ectopic In 2008, the seventh edition of the undergraduate Obstetrics and Gynecology also renamed “cervical erosion” as “ectopic cervical columnar epithelium. In the past, we would classify cervical erosion as mild, moderate and severe depending on the degree of ectropion, and wired as 1/3 and 2/3 of the ectropion area respectively. But here, I need to say one more thing, the term celiac disease can be eliminated, but this clinical manifestation cannot be eliminated, especially nowadays many doctors’ “one-strike” approach to celiac disease, which will lay a hidden danger for the continued development of many gynecological diseases. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. 3. Is cervical erosion cervicitis? In the past, the clinical manifestations of chronic cervicitis were expressed as: cervical erosion, cervical hypertrophy, cervical polyps, and cervical glandular cysts. However, it is now generally accepted that cervical erosion is not a manifestation of cervicitis, but just a normal physiological phenomenon. The point we need to learn here is that when the cervical columnar epithelium is ectopic, it is vulnerable to germs because the columnar epithelium is monolayer and less resistant than the squamous epithelium. Therefore at this time, if there is an increase in leucorrhea, sticky leucorrhea during non-ovulatory period or leucorrhea mixed with blood during non-fertilization period in daily life, you should promptly check whether there is a combination of cervicitis, especially you need to pay attention to detect whether there is high-risk HPV virus infection, because the persistent infection of high-risk HPV virus is the main cause of cervical cancer, and cervical inflammation in the state of erosion or on its basis is really as the virus breeding breeding The cervical inflammation on the basis of celiac disease is really a “big helper” for virus reproduction and growth, which is an indirect and powerful invisible “driver” of cervical cancer. The two are not directly related to each other, but the cervix is in a period of low resistance in this state, and if there is a combination of other problems such as cervicitis, it will easily lead to the invasion of viruses, bacteria and other pathogens and thus induce more serious cervical diseases. 4, too much sex can cause cervical erosion? The previous notion that too frequent sexual activity can trigger cervical erosion, but clinical findings show that cervical erosion can also exist in women who have not had sex. Therefore, sex is a trigger for cervicitis or other gynecological diseases and does not directly cause cervical erosion. However, if there is already a state of erosion after frequent sex, especially sex with a condom, it will physically aggravate the friction surface, leading to aggravate or accelerate the occurrence of cervical disease. 5.Does cervical erosion necessarily induce cervical cancer? The answer is no. The relationship between the two cannot be understood in this way. It does not mean that simple cervical erosion or longer erosion will definitely lead to cervical cancer. Cervical cancer is the result of abnormal proliferation of cervical squamous epithelium, which is caused by persistent infection with high-risk human papillomavirus (HPV). Cervical erosion alone does not directly lead to cervical cancer if there is no combined high-risk HPV infection. When there is a continuous infection of high-risk HPV virus, if there is also cervical erosion or other gynecological diseases, it will provide a “breeding ground” for the virus to breed and multiply, and the chance of self-clearance of high-risk HPV virus is lower than under normal conditions, and the probability of cervical cancer is relatively higher. 6.Does cervical erosion need to be treated? Under what circumstances does it need to be treated? Now we know that cervical erosion is not a disease and not cervicitis. So does that mean that all celiac disease can be put out of reach? In my opinion, although celiac disease is a normal physiological phenomenon, we cannot leave all celiac disease unattended. As explained in the previous paragraph of this article, when cervical erosion is present, it means that the cervical columnar epithelium is ectoplasmic, and since the columnar epithelium is a single layer, its resistance is lower than that of the squamous epithelium, so it means that the cervix is in a period of low resistance in this state, and if it is combined with other comprehensive problems such as cervicitis, it can easily lead to the invasion of viruses, bacteria and other pathogens and thus induce more serious cervical diseases. In other words, if there is a high-risk HPV infection in the cervical area and the infection persists in the squamous junction area of the cervix, the risk of cervical cancer becomes higher. Therefore, celiac disease is the “root of the problem” and regular screening for celiac disease is necessary. The common screening methods are TCT and HPV testing, which are not for the prevention of celiac disease, but for the early detection of cervical precancerous lesions and prevention of cervical cancer.