Cervical erosion can be divided into pseudo-erosion, true erosion, congenital erosion and acquired erosion. Congenital cervical erosion often occurs in infants. It means that in the late pregnancy, the columnar epithelium of the fetal cervix is affected by the maternal estrogen, proliferates and grows outward from the cervical os, beyond the external os of the cervix. After birth, about 1/3 of the cervix of baby girls appears similar to adult cervical erosion. Acquired cervical erosion refers to congenital cervical erosion, which mostly occurs in women of childbearing age with vigorous ovarian function. At this time, the columnar epithelium of the cervical canal is affected by estrogen, and excessive proliferation occurs, exceeding the external cervical os, making the external cervical os eroded. The appearance of acquired cervical erosion is no different from that of erosion caused by inflammation, but the causes are different. Due to different causes, the clinical manifestations will also be different. Women with cervical erosion often show increased leucorrhea, stickiness, yellow color, odor, and even blood in the leucorrhea. Although patients with acquired cervical erosion also show increased leucorrhea, it is clear and mucous, tightly attached to the surface of the cervix, and not easy to wipe off. During pathological examination, there is no inflammatory cell infiltration under the columnar epithelium, but glandular and interstitial hyperplasia occurs. The above situation indicates that acquired cervical erosion may not be directly related to inflammation, but has a certain relationship with endocrine levels. This disease is more common in pregnant women, and most of them can disappear on their own after delivery. |
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