Many patients are confused about “celiac disease” when they visit the clinic! So, is cervical erosion a disease or not? Does the cervix rot away? In fact, this is a misconception of normal physiological phenomenon in the past. To understand celiac disease, we must start with the composition of the cervical epithelium. The cervical epithelium is divided into two components: the seemingly “rotten” columnar epithelium in the cervical canal and the smooth squamous epithelium on the surface of the cervix. During a normal gynecological examination, the doctor can only see the squamous epithelium, but not the columnar epithelium. In women of childbearing age, under the action of estrogen, the columnar epithelium grows outward, so that the area originally belonging to the squamous epithelium becomes the columnar epithelial area, and the so-called “cervical erosion” becomes visible to the naked eye. In fact, this is only the result of the ectopia of the columnar epithelium in the cervical canal, which is a normal physiological phenomenon. The fact is that after menopause, the level of estrogen in the female body decreases, the ectopic columnar epithelium returns to the cervical canal and a smooth cervix can be seen again during gynecological examination. 1, celiac disease is really not an inflammatory manifestation? When there is inflammation, it can also be manifested as cervical erosion, especially in acute cervicitis, where the cervix is not only visible as a reddish, fine-grained erosion zone on physical examination, but also bleeds easily. However, cervical inflammation can also have symptoms such as abnormally increased leucorrhea, odor or combined vulvovaginal itching. If there are no such symptoms, merely what is seen on physical examination cannot be diagnosed as cervicitis and does not require treatment. 2.Is cervical erosion precancerous or cancerous? Of course it cannot be equated! The diagnosis of cervical precancer or cancer is based on cervical cytology (TCT), human papillomavirus (HPV), colposcopic biopsy and other auxiliary examinations, not on physical examination, smooth cervical does not mean no precancerous lesions, so “celiac disease” and precancerous lesions are two different things and cannot be confused. 3.What about celiac disease with bleeding after intercourse? Vaginal bleeding after intercourse requires high alert and prompt medical attention. It is best to perform cervical fluid-based cytology test (TCT) and HPV test for early detection of cervical cancer. When cervical cancer and other conditions are ruled out, symptomatic treatment is sufficient. 4.Does severe cervical erosion need to be treated? At one time, obstetrics and gynecology textbooks were graded according to the extent of cervical erosion: an area of less than 1/3 is mild, 1/3-2/3 is moderate, and more than 2/3 is severe, and it was thought to be related to the degree of inflammation. It has been found that this is just a different degree of columnar epithelial ectropion, all of which are normal physiological phenomena and do not need to be treated.