Patients often ask: “How is celiac disease treated? Should I have surgery? I’m worried about whether it will become cancerous.” Many women get nervous when they hear that they have celiac disease, worrying that it is a sign of pre-cancer. Is celiac disease a disease? Can it become cancerous? Does it require treatment? The name “celiac disease” is not appropriate In fact, everyone thinks of “cervical erosion”, “cervical hypertrophy”, “cervical gland cysts In fact, the so-called “cervical erosion”, “cervical hypertrophy”, “cervical gland cysts”, are not a disease, but a manifestation of chronic cervicitis. The so-called “celiac disease” is not what we understand as broken or rotten skin, but actually a complete single layer of columnar epithelium covering the cervical canal. Due to the thin columnar epithelium, the mesenchyme underneath is red, and it looks like erosion to the naked eye, but it is not a true erosion of epithelial detachment and ulceration, but belongs to the physiological changes of the cervix. Once a woman has sex, her cervix is susceptible to human papillomavirus (HPV) infection, which leads to proliferation of the squamous epithelium, causing abnormal tissue or cellular changes. These early abnormal changes can not be distinguished by the naked eye, so whether the cervix has lesions can not rely on visual observation alone to make a diagnosis, but should rely on testing methods, such as cervical cancer screening, colposcopy, etc. to confirm. There is no need to worry, but regular checkups are necessary. It is currently recommended that women after the age of 21 should undergo cervical scraping once a year, and after the age of 30, combined with HPV, if three consecutive HPV and cervical scraping tests are negative, the interval can be extended to once every three years, and screening can be discontinued after the age of 65. It should be reminded that the claim of some private hospitals that “celiac disease can lead to an increase in the probability of developing cervical cancer” is unfounded. Over-exaggerating the hazards of celiac disease often causes great psychological pressure on women, who are obviously normal but mistakenly think they are sick and unhealthy, and try every possible means to get treatment, which also adds to their financial burden. Therefore, women with celiac disease should pay attention to whether the infection is combined, with or without symptoms. Those who are asymptomatic and do not have co-infections do not need to be treated and only need regular gynecological examinations and cervical cancer screening. For those with symptoms and co-infections, cervicitis-related pathogen tests and cervical cancer screening can be done, and according to the results, medication or physical therapy can be given. Cervicitis is a common disease in women, in addition to active treatment, it is more important to focus on prevention in daily life. For example: avoid unclean sex, avoid excessive intercourse; men with genitourinary inflammation to avoid sex, or use condoms; acute cervicitis should be timely and thorough treatment; attention to family planning, to avoid unwanted pregnancies that lead to abortion; cervicitis in the acute phase of the thorough treatment, to prevent the transformation into chronic cervicitis. Some women who love cleanliness are especially reminded not to use medication to douche the vagina for a long time, which not only can’t play a preventive role, but on the contrary, it may destroy the pH and normal balance of bacteria in the vagina, which is more likely to cause cervicitis. Whether to treat or not to treat cervical erosion should be considered with reference to the degree of erosion, whether the person has already given birth or not, and the time of planned pregnancy for those who have not given birth. Mild simple, granular and papillary celiac disease do not need treatment, only need to do TCT regularly every year, if there is no problem, it is OK; 2, moderate celiac disease, no matter what type, generally do not need treatment. But those who do have symptoms, such as leukorrhea, yellowish color, and repeated vaginitis, can consider treatment, and the treatment method should be different from person to person. 3. Those with severe erosion should be treated. 4, those who have given birth, moderate and severe celiac disease tend to be treated. 5, infertile people with severe celiac disease, and recurrent vaginitis tend to be treated; infertile people, although it is severe celiac disease, short-term intends to get pregnant, can not be treated, or symptomatic treatment of vaginitis, and then treated after childbearing. The infertile person with severe celiac disease, repeated episodes of vaginitis, and long-term (e.g., 2-3 years) do not intend to have children, should be given treatment. Treatment of celiac disease: 1, expectant therapy Observation without treatment, suitable for most cases. 2.Drug therapy: suitable for people with simple celiac disease. The more effective medication is Aibao Therapy Pessary or Aibao Therapy Liquid Post Overlay. The latter is better than the former, but the latter needs to go to the hospital for treatment. Medication is mildly effective for granular types and ineffective for papillary ones. The overall effect of medication is very limited, requiring 2-3 months of treatment, and is prone to recurrence. Strict contraception is needed during drug treatment, and it is better not to have different rooms. Physical therapy: There are three main methods: electrocautery, laser and freezing. The choice of treatment method should be based on the patient’s specific situation and the conditions of the hospital. Physical therapy generally takes 2-3 months to heal, during this period can not have intercourse. (1) Laser treatment is to use the laser to make the eroded tissue charcoal and scab, about 3 weeks after the operation, the scabs fall off, and new squamous epithelium grows on the surface of the wound. There is also a large amount of vaginal discharge after laser treatment. (2) Cryotherapy uses liquid nitrogen as the refrigeration source and a rapid cooling device to freeze, necrolyze and detach the eroded tissue. Postoperative bleeding is rare, but vaginal discharge is more, usually lasts 2~3 weeks. 6 weeks necrotic tissue shedding, 8 weeks wound healing. (3) High-frequency electrocautery treatment: Generally treated by LEEP instrument. It has clear effect and few side effects.