When faced with cervical lesions, many women have panic and doubts. I often meet women who ask how cervical erosion needs to be treated? I often meet women who ask how to treat celiac disease? There are two types of cervical erosion: pseudo-erosion and true erosion. The congenital ectopic cervical columnar epithelium under the influence of estrogen, forming the clinically seen “erosion” is a normal physiological phenomenon, called columnar epithelial ectopic or cervical columnar epithelial ectopic (cervical pseudo-erosion). The pathological “cervical erosion” refers to the shedding of epithelium due to pathogenic infections (herpes simplex virus, syphilis, Chlamydia trachomatis, Neisseria gonorrhoeae, etc.), which is commonly referred to as true erosion. For “cervical erosion” observed by the naked eye or colposcopy, the physician should distinguish between physiological and pathological based on the presence or absence of clinical symptoms and the results of discharge and pathogen testing. For pathological celiac disease, treatment should be actively carried out, mainly for the cause of the celiac disease, while for columnar epithelial ectoplasia, if the cervical cytology (or HPV) test is normal and there are no symptoms such as increased discharge or contact bleeding, no treatment is needed; if the cervical columnar epithelial ectoplasia is symptomatic or co-infected, appropriate local treatment (medication or physical therapy) can be carried out, but the use of leep circumcision. Emphasis is placed on routine cytologic examination before treatment, HPV examination and colposcopy if necessary. For physiologic cervical erosion no treatment is required. There are two major misconceptions about the treatment of cervical erosion: on the one hand, overtreatment by ignoring its physiological nature and pathogen detection, and on the other hand, there is an incorrect concept that cervical erosion is a chronic inflammatory disease, ignoring its similarity to cervical precancerous lesions and delaying the diagnosis and treatment of the disease by not performing cytological screening. In the face of cervical lesions, one principle needs to be maintained: neither negligence nor overtreatment is necessary.
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