Does cervical erosion affect pregnancy? Do women with cervical erosion need to be treated?

Does cervical erosion affect pregnancy? Cervical erosion is actually a misunderstanding of a normal cervical manifestation in the past. Now it is replaced by the physiological phenomenon of "cervical columnar epithelium ectopia" in academia. So can you get pregnant with cervical erosion? Let's learn about it today.

What is cervical erosion?

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

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 to the outside. Therefore, more columnar epithelium similar to "erosion" is found during cervical examination. After menopause, women's estrogen levels drop, and the columnar epithelium begins to retreat to the inside. At this time, the "erosion" is no longer visible during examination. Therefore, in essence, the so-called cervical erosion is actually the eversion of the columnar epithelium.

Does cervical erosion affect pregnancy?

Understanding that cervical erosion is a physiological phenomenon means that it will not affect fertility.

Is cervical erosion serious?

The so-called first-degree, second-degree, and third-degree cervical erosion in medical textbooks in the past are easy to understand if you look at the real mechanism of "cervical erosion" mentioned above. This is actually the different degrees of eversion of the columnar epithelium after being affected by estrogen, which is a normal physiological phenomenon.

Does cervical erosion need to be treated?

Cervical columnar epithelial ectopia does not require any treatment. In the past, various treatments were used for different degrees of cervical erosion, such as drug therapy, physical therapy, traditional surgical treatment, high-frequency LEEp, BBT ablation, etc. However, these methods of treating cervical erosion are actually wrong. However, symptomatic cervicitis needs to be treated. Acute inflammation is treated with suppositories, and chronic inflammation can be treated with physical therapy methods such as laser or freezing.

Why should cervical erosion be checked regularly?

Regular cervical examination is necessary, not to prevent cervical erosion, but to prevent cervical cancer.