Cervicitis and cervical erosion are two common gynecological diseases with many differences. Cervicitis occurs after childbirth, miscarriage or surgery that damages the cervix; cervical erosion is caused by mechanical stimulation or injury, such as sexual intercourse, miscarriage and childbirth lacerations. 1. The difference between cervicitis and cervical erosion Cervicitis: Cervicitis is a common disease among women of childbearing age. It can be acute or chronic. Chronic cervicitis is the most common type in clinical practice. Cervical erosion: Due to different degrees of inflammatory stimulation, the columnar epithelium of the cervical mucosa grows slowly, the epithelium is flat, and the surface is smooth, 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 with columnar epithelium, forming papillary erosion. The above types can often occur in combination. Cervical erosion is the most common gynecological disease. Causes of cervicitis: Occurs after childbirth, abortion or surgery that damages the cervix. The main pathogens are Staphylococcus, Streptococcus, Escherichia coli and anaerobic bacteria, followed by gonococci and tuberculosis. Among the protozoa, there are Trichomonas and Ameba. In special cases, it is caused by chemical substances and radiation. Causes of cervical erosion: The causes include mechanical stimulation or injury, such as sexual intercourse, abortion and delivery lacerations and bacterial invasion causing cervicitis; pathogen invasion, commonly general pyogenic bacteria such as Staphylococcus aureus, Streptococcus aureus, Gonorrhea, Mycobacterium tuberculosis, viruses, actinomycetes, Trichomonas, and Ameba can all cause cervicitis. 2. The difference between cervicitis and cervical erosion Cervicitis [Clinical manifestations] Increased leucorrhea. Due to different pathogens, scope and degree of inflammation, leucorrhea may be milky white mucus, or light yellow purulent, sometimes bloody or bleeding after sexual intercourse. When the inflammation spreads to the pelvic cavity, back pain and lower abdominal pain may occur. During gynecological examination, different degrees of cervical erosion, hypertrophy, glandular cysts or polyps can be seen. Cervical erosion is one of the most common lesions in uterine inflammation. Clinically, it is divided into three degrees according to the size of the cervical erosion area: mild, the erosion area does not exceed 1/3 of the entire cervical area; moderate, the erosion area accounts for 1/3-2/3 of the entire cervical area; severe, the erosion area accounts for more than 2/3 of the entire cervical area. According to the depth of erosion, it can be divided into three types: simple type, granular type and papillary type. Cervical erosion and early cervical cancer are difficult to distinguish from the appearance, and cervical smear examination and biopsy are required to confirm the diagnosis if necessary. The main symptom of cervical erosion is increased leucorrhea, which is often purulent. There may be pain in the lower abdomen and lumbosacral region and bladder irritation. Patients with more severe erosion may have varying degrees of pale bloody secretions. Typically, there is bloody secretion after sexual intercourse. The cervical viscous purulent secretion is not conducive to the passage of sperm and causes infertility. |
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