During gynecological examinations in gynecology clinics, patients often ask, “Is the cervix smooth or celiac?” Many women mistakenly believe that a smooth cervix is healthy, and when they hear that they have “celiac disease”, they immediately get nervous and worry that it is a sign of “precancerous lesions”. Does a smooth cervix mean that there is no problem? Is “celiac disease” a disease? Is it cancerous? Does it need to be treated? The name “celiac disease” is inappropriate In fact, what people think of as “celiac disease”, “cervical hypertrophy” and “cervical glandular cyst” are not diseases. In fact, the so-called “cervical erosion”, “cervical hypertrophy” and “cervical glandular cyst” are not a disease but a manifestation of chronic cervicitis. The so-called “erosion surface” is not a broken or rotten skin as we understand it, but actually a single layer of columnar epithelium covering the intact cervical canal. The thin columnar epithelium and red interstitium underneath make it look like erosion to the naked eye, but it is not a true erosion where the epithelium is shed and ulcerated, but a physiological change of the cervix. Once a woman has had sex, her cervix is susceptible to human papillomavirus (HPV) infection, which causes the squamous epithelium to proliferate, resulting in abnormal tissue or cellular changes. These early abnormal changes cannot be distinguished by the naked eye, so the diagnosis of cervical lesions should not be made by visual observation alone, but by tests, such as cervical cancer screening and colposcopy. Adult women should keep in mind the saying, “A smooth cervix does not mean there is no problem, and cervical erosion does not prove there is a problem.” There is no need to worry, but regular check-ups are needed. It is important to note that some private hospitals make unfounded claims that “cervical erosion can lead to an increased risk of cervical cancer. The over exaggeration of the dangers of celiac disease often causes a lot of psychological pressure on women, who are obviously normal people but mistakenly believe that they are sick and unhealthy, and try to get treatment by all means, which also increases the financial burden. Therefore, women with celiac disease should pay attention to whether they have co-infection and whether they have symptoms. If there are no symptoms and no co-infection, they do not need treatment and only need to have regular gynecological examination and cervical cancer screening. For those with symptoms and co-infection, cervicitis-related pathogen tests and cervical cancer screening may be performed and, depending on the results, targeted medication or physical therapy may be given. Cervicitis is a common disease among women. In addition to active treatment, it is more important to focus on prevention in daily life. For example: avoid unclean sex and excessive intercourse; avoid sex or use condoms when the man has inflammation of the genitourinary system; treat acute cervicitis promptly and thoroughly; pay attention to family planning and avoid unwanted pregnancies leading to abortions; and treat the acute phase of cervicitis thoroughly to prevent its transformation into chronic cervicitis. It is important to remind women who love cleanliness not to douche their vaginas with drugs for a long time, as this will not only fail to prevent the problem, but may also destroy the pH and normal balance of the vaginal flora, which may cause cervicitis.