Simple cervical erosion is physiologic, i.e., physiologic cervical columnar epithelial outgrowth, and is most often seen in adolescents, those of childbearing age with high estrogen secretion, those taking oral contraceptives, or during pregnancy. Inflammatory celiac disease is mostly chronic inflammation formed by untreated or incompletely treated acute cervicitis. Simple cervical erosion does not require treatment, but those with symptoms need to be treated. Pathological cervical erosion, or chronic cervicitis, needs to be treated. But how can you tell if it is physiological or pathological cervical erosion? Physiologic cervical columnar epithelial outgrowth shows celiac-like changes, while pathologic cervical intraepithelial neoplasia and early cervical cancer can also cause cervical celiac-like changes. Therefore, for these patients, it is impossible to determine which condition is present with the naked eye alone, 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 prevention is possible without treatment. For symptomatic cervicitis that requires treatment, there are physical therapy, drug therapy and surgical therapy. In women of childbearing age with mild cervical erosion and no symptoms, this condition can be left untreated with regular gynecologic examinations and periodic rechecking for TCT or HPV. In case of moderate to severe cervical erosion, if there is no significant discomfort, it can also be reviewed regularly. If, as a result, there are persistent abnormalities in the leucorrhoea, cervical lesions or infertility, then cervical cancer can be treated after first ruling out cervical cancer. Drug treatment: It is suitable for patients with small erosion surface, shallow inflammation infiltration or limited by conditions. Drug treatment has less side effects, but the course of treatment is longer and more costly. The treatment effect is not always ideal. Physical therapy: It is suitable for patients with moderate cervical erosion and severe cervical erosion. Commonly used methods are microwave, electric ironing, laser therapy, cryotherapy. The disadvantage is that the side effects are large and may cause a decrease in the sensitivity of the nerves in the vaginal lining and have an impact on the quality of sexual life. In addition, it is easy to relapse after treatment. Surgical treatment: If the above treatment is not effective, or if there is cervical hypertrophy, or if the erosion is deep and extensive and involves the cervical canal, cervical conization can be considered. However, surgical treatment is rarely used nowadays. The most undesirable consequence of surgery is that it can lead to female infertility, and women with fertility needs need to proceed with caution. Scarring of the cervix or adhesions to the cervical canal may occur after physical or surgical treatment and may affect conception. So how should women with celiac disease who have not had children be treated? First, it still depends on the degree and nature of the celiac disease. If it is mild and superficial celiac disease, even if the celiac surface is large, it can be left untreated for a while if the depth of the celiac disease is shallow and the leucorrhea is not excessive. In the case of moderate or above papillary erosion, the doctor diagnoses infertility due to cervical factors after ruling out other causes of infertility, treatment of the cervix must be done after cancer prevention tests. As long as future fertility is taken into consideration during physical therapy and care is taken that the treatment does not reach inside the cervical canal, not only does it not affect conception, but it also removes the infertility factor. The advantage of using a sharp knife for cervical treatment compared to a Leep knife is that it does not change the original physiological structure of the cervix, the scope of removal is small, and there is no effect on subsequent fertility. This article should help you to know how to treat celiac disease properly. Don’t worry about cervical erosion, go to a regular hospital and tell your doctor if you have any fertility needs, the doctor will give you the best plan according to your situation and we will do our best to relieve the patient’s pain.