What are the symptoms of cervical erosion in women? Common manifestations of cervical erosion in women

After cervical erosion occurs in women, the vulva may develop vulvitis or vaginitis due to the irritation of increased leucorrhea, causing itching and pain; when the inflammation is severe, it may spread along the uterosacral ligament and cardinal ligament to cause pelvic connective tissue inflammation, causing pain in the lower abdomen or lumbosacral region, accompanied by a feeling of falling; when the inflammation spreads to the bladder triangle or around the bladder, frequent urination or difficulty urinating may occur, and sexual intercourse may also cause contact bleeding or odor

Cervical erosion is not true erosion, but a pseudo-erosion compared to the normal smooth cervix. It has three manifestations: at the beginning of inflammation, the erosion surface is only covered by columnar epithelium and the surface is flat, which is simple erosion; later, the erosion surface becomes uneven and granules appear on the surface, which is granular erosion; later, the erosion surface becomes more uneven and papillae appear on the surface, which is papillary erosion.

There is a clear boundary between the eroded surface of the cervix and the surrounding normal squamous epithelium. Clinically, it is often divided into three categories according to the area of ​​erosion: mild (Ⅰ°), moderate (Ⅱ°), and severe (Ⅲ°). If the erosion area accounts for 1/3 of the total area of ​​the cervix, it is mild cervical erosion. If the erosion area accounts for 1/2 of the total area of ​​the cervix, it is moderate cervical erosion. If the erosion area exceeds 1/2 of the total area of ​​the cervix, it is severe cervical erosion. It is not difficult to diagnose based on clinical manifestations, but it should be noted that cervical erosion is difficult to distinguish from cervical intraepithelial neoplasia or early cervical cancer in appearance. Routine cervical scraping and endocervical canal suction should be performed, and colposcopy and biopsy should be performed when necessary to confirm the diagnosis.

You should know the causes of cervical erosion

There are two different types of cells in the cervix, the ones near the vagina are squamous epithelial cells, and the ones near the uterus are columnar epithelial cells, and the two types of epithelial cells have different appearances. The central part, which looks a bit like "eroded" cervix, is the appearance covered by columnar epithelium, while the relatively smooth cervix on the outside is the part of the cervix covered by squamous epithelial cells.

Columnar epithelial cells and squamous epithelial cells are in a dynamic equilibrium state. The junction area of ​​the two cells is medically named the "squamocolumnar junction". The squamosal junction is easily affected by estrogen. Before puberty, women's ovarian function is not perfect, estrogen is low, and the columnar epithelium is closer to the inside. After menstruation, the columnar epithelium is affected by estrogen and develops more toward the outside, so there are more symptoms similar to "erosion".

After menopause, the estrogen level in women decreases, and the columnar epithelium begins to retreat inwards. During examination, it is found that the "erosion" disappears. Therefore, in essence, cervical erosion is actually the eversion of the columnar epithelium.

Cervical erosion-like changes may also be pathological, such as congestion and edema of the cervical columnar epithelium during inflammation; or cervical intraepithelial neoplasia and early manifestations of cervical cancer.