Women must know what is cervical erosion degree 3? What are the symptoms of cervical erosion in women?

What are the symptoms of cervical erosion? The term cervical erosion has been abolished in foreign countries. Therefore, cervical erosion is just a normal physiological phenomenon, not a disease, so there is no need to care about it. However, when doing a gynecological examination, you need to pay attention to cervicitis, which has nothing to do with cervical erosion.

The term cervical erosion has been used in the diagnosis and treatment of domestic hospitals. During gynecological examinations, cervical erosion will be treated as a disease, and other gynecological inflammations caused by cervical erosion should be taken seriously.

Detailed explanation of the symptoms of cervical erosion

Cervical erosion is not actually a true erosion. When the epidermis of the cervical os is shed and replaced by another epithelial tissue of the cervical os, the new epithelium covering the surface is thin and even precious. You can see the blood vessels and red tissue below, which looks like real erosion, so it is called cervical erosion.

In chronic cervical erosion, the squamous epithelium covering the surface of the vaginal part of the cervix necrotizes and detaches, forming a superficial defect, which is called true erosion, which is rare. The common cervical erosion in clinical practice actually refers to the proliferation of the columnar epithelium of the cervical canal mucosa after the previous epithelial injury, and extends to the defect of the leucocyte epithelium of the vaginal part of the uterus, covering the wound surface and replacing the original leucocyte epithelium defect area. Because the columnar epithelium is thin, the congested capillaries under the mucosa are obvious, so the lesion mucosa of the external cervical opening appears as a bright red erosion-like area to the naked eye.

In the United States, cervical erosion has long ceased to be a disease, and the term has been deleted from textbooks. In China, earlier textbooks still listed "cervical erosion" as one of the symptoms of chronic cervicitis, and the diagnosis method remained at the stage of naked eye observation, but in recent years, domestic textbooks have also been revised. The 7th edition of the textbook "Obstetrics and Gynecology" (published in 2008) began to talk about this issue, canceling the name of the disease "cervical erosion" and replacing it with the physiological phenomenon of "cervical columnar epithelium ectopia".

"Cervical columnar epithelium ectopia": There are two types of epithelium on the surface of the female cervix during the embryogenesis period, primitive squamous epithelium and columnar epithelium. Squamous epithelium is multi-layered, some have seven or eight layers, some have more than ten layers, and looks very smooth; columnar epithelium is single-layered, relatively thin, and blood vessels under the epithelium can be seen through the epithelium. They are like strawberries squeezed together, which is also a physiological structure.

Normally, the columnar epithelium is located in the cervical canal and cannot be seen by the naked eye. Under the action of estrogen, such as during puberty, the volume of the cervix grows rapidly and greatly exceeds the uterine body, exposing the cervical columnar epithelium to the external cervical opening, which appears red and rough. This is not true "erosion", but a normal "stress" reaction that occurs when hormones surge in women's bodies. "

What is cervical erosion degree 3?

Grade 3 cervical erosion is the most serious degree of cervical erosion, and the erosion area has exceeded 2/3 of the surface of the cervix; Grade 3 cervical erosion causes infertility and greatly increases the risk of cancer.

Cervical erosion is caused by the stimulation of inflammatory secretions, which causes the squamous epithelial cells of the mucosa of the external opening of the cervical canal to fall off and be covered by proliferating columnar epithelium. The surface is bright red and smooth or uneven. This change is called "cervical erosion".

Due to different degrees of inflammatory stimulation, the columnar epithelium of the cervical mucosa grows slowly, and the epithelium is flat and smooth on the surface, which is simple erosion; the columnar epithelium grows quickly, and when glandular hyperplasia is formed, it is adenoid erosion. If the glands expand, it can be follicular erosion accompanied by stromal hyperplasia, forming small protrusions, and unevenly covered columnar epithelium, forming papillary erosion. Cervical erosion is the most common gynecological disease.

Classification

1. Mild erosion: The erosion area accounts for less than 1/3 of the entire cervical area;

2. Moderate erosion: The erosion area accounts for 1/3 to 2/3 of the entire cervical area;

3. Severe erosion (cervical erosion degree 3): The erosion area occupies more than 2/3 of the entire cervical area.

Causes of cervical erosion 3rd degree

In chronic cervical erosion, the squamous epithelium covering the surface of the vaginal part of the cervix necrotizes and detaches, forming a superficial defect, which is called true erosion, which is rare. The common cervical erosion in clinical practice actually refers to the proliferation of the columnar epithelium of the cervical canal mucosa after the previous epithelial injury, and extends to the defect of the leucocyte epithelium of the vaginal part of the uterus, covering the wound surface and replacing the original leucocyte epithelium defect area. Because the columnar epithelium is thin, the congested capillaries under the mucosa are obvious, so the lesion mucosa of the external cervical opening appears as a bright red erosion-like area to the naked eye.

In the United States, cervical erosion has long ceased to be a disease, and the term has been deleted from textbooks. In China, earlier textbooks still listed "cervical erosion" as one of the symptoms of chronic cervicitis, and the diagnosis method remained at the stage of naked eye observation, but in recent years, domestic textbooks have also been revised. The 7th edition of the textbook "Obstetrics and Gynecology" (published in 2008) began to talk about this issue, canceling the name of the disease "cervical erosion" and replacing it with the physiological phenomenon of "cervical columnar epithelium ectopia".

"Cervical columnar epithelium ectopia": There are two types of epithelium on the surface of the female cervix during the embryogenesis period, primitive squamous epithelium and columnar epithelium. Squamous epithelium is multi-layered, some have seven or eight layers, some have more than ten layers, and looks very smooth; columnar epithelium is single-layered, relatively thin, and blood vessels under the epithelium can be seen through the epithelium. They are like strawberries squeezed together, which is also a physiological structure.

Normally, the columnar epithelium is located in the cervical canal and cannot be seen by the naked eye. Under the action of estrogen, such as during puberty, the volume of the cervix grows rapidly and greatly exceeds the uterine body, exposing the cervical columnar epithelium to the external cervical opening, which appears red and rough. This is not true "erosion", but a normal "stress" reaction that occurs when hormones surge in women's bodies. "

What to do if you have moderate cervical erosion?

Cervical erosion is the most common gynecological disease, and about 20% of women will suffer from this disease. So, what should we do if we have moderate cervical erosion?

Gynecological experts said that in recent years, the number of patients with cervical erosion has increased, and its treatment has become the most troublesome problem for many women. Cervical erosion is a manifestation of chronic cervicitis, which can be divided into mild, moderate and severe cervical erosion. Moderate cervical erosion means that the erosion area accounts for 1/3-2/3 of the entire cervical tissue. For the treatment of moderate cervical erosion, the cause of the disease must be clarified first, so that targeted treatment can be carried out.

Causes of moderate cervical erosion

1. Endogenous pathogens: Some pathogens of cervicitis are related to bacterial vaginosis and Mycoplasma genitalium infection;

2. Pathogens of sexually transmitted diseases: Neisseria gonorrhoeae and Chlamydia trachomatis, mainly found in high-risk groups of sexually transmitted diseases;

3. Chlamydia trachomatis and Neisseria gonorrhoeae: Both infect the endocervical epithelium, spreading along the mucosal surface to cause superficial infection, with the lesions being most obvious in the endocervical canal. In addition to the endocervical columnar epithelium, Neisseria gonorrhoeae also frequently invades the urethral transitional epithelium, paraurethral glands, and Bartholin's glands.

What should I do about moderate cervical erosion? Experts point out that there are many kinds of local drugs for treating cervical erosion in both first-degree and second-degree cervical erosion, but local drugs can only work on the surface of the erosion. The surface seems to heal in the short term, but because the basic lesions have not been resolved, they will soon relapse. As for vulvar and vaginal washing, it can only improve the symptoms of leucorrhea, but it cannot play a fundamental role in the healing of erosion.

At the same time, unnecessary vaginal douching or medication will destroy the normal defense mechanism of the vagina and may cause infection. Those who need treatment for cervical erosion should not think that "medication and douching" are cheaper than physical therapy and do not hurt the skin and flesh. Inappropriate treatment will only prolong the course of the disease, aggravate the condition, and cost more money.