The doctor teaches you how to accurately distinguish between "true and false cervical erosion"!

Ever since the name of cervical erosion was corrected in the "Obstetrics and Gynecology" textbook in 2008 and replaced with the physiological phenomenon of "cervical columnar epithelium ectopia", many young ladies think that this is not a disease. If someone finds out that the doctor wants to treat it, they think he is a scam. In fact, it is not so absolute. Not all cervical erosion phenomena are normal. Cervical erosion can be divided into physiological and pathological ones. Everyone should learn to distinguish them so as not to be cheated.

The doctor teaches you how to accurately distinguish between "true and false cervical erosion"!

1. Pseudo-erosion

Common cervical erosions are mostly red areas around the external opening of the cervix. During colposcopy, after applying 3% acetic acid on the surface of the red area, it can be seen that the red area has a "grape cluster" change, which is caused by columnar epithelial edema. If a biopsy is performed on this area, columnar epithelium can be seen on the surface under a microscope. Therefore, if strictly based on the pathological definition of erosion, this area does not belong to erosion, so some people suggest calling it pseudo-erosion. Most cervical erosions seen in clinical work belong to this type.

2. True erosion

The surface of the cervix is ​​often covered with a lot of mucus or purulent secretions. These secretions stimulate the squamous epithelium around the cervix for a long time. Coupled with the inflammatory infiltration of the deep cervical tissue, the squamous epithelium covering the surface of the cervix loses its vitality and forms ulcers. This is true erosion.

This erosion surface is quickly covered by the surrounding columnar epithelium, forming a granular, shiny red area, which is called pseudo-erosion. Most of the cervical erosions we find in our daily work are pseudo-erosions, while true erosions are only a short stage in the process of this disease, and the outcome will be that the surface is covered by columnar epithelium and becomes pseudo-erosion.

You should know that cervical erosion can cause increased vaginal discharge, blood in vaginal discharge or bleeding after sexual intercourse, as well as back pain, menstrual disorders, infertility, etc. It is recommended that cervical erosion with these symptoms must be treated as soon as possible.

Warm reminder: From the above content, we can see that cervical erosion without other symptoms is usually physiological cervical erosion and does not require special treatment, but if there are other symptoms, it may be pathological cervical erosion. If you feel unwell, you should go to the hospital for treatment in time.