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. The squamous epithelium is multi-layered, some have seven or eight layers, and some have more than ten layers, and it looks very smooth; the columnar epithelium is single-layered and relatively thin, and the 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. " |
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