What are the classifications of cervical erosion?

A squamous cell count greater than 5000 is a sign of cervical erosion. I believe most women are familiar with cervical erosion. It is a common gynecological disease among women. It is divided into many types, which I will introduce to you later. This disease is difficult to cure. It should be said that all gynecological diseases are difficult to cure. When your body's resistance is reduced, gynecological diseases are very easy to occur. If you find that your leucorrhea is abnormal, you should go to the hospital for a series of examinations. A result of more than 5,000 squamous cells in the examination eliminates the risk of cervical cancer.

Learn about the common classification of cervical erosion diseases.

Pseudoerosion

The pathological concept of erosion refers to "the shedding of the surface epithelium". The cervical erosion commonly seen in clinical work is mostly the red area around the external os of the cervix. During colposcopy, after 3% acetic acid is applied to the surface of the red area, it can be seen that the red area locally presents a "grape bunch" change, which is caused by columnar epithelial edema. If a biopsy is performed on the area, columnar epithelium can be seen under the microscope. Therefore, if we strictly follow the pathological definition of erosion, this does not constitute erosion, so some people suggest calling it pseudo-erosion. Most of the cervical erosion seen in clinical work is of this type.

True erosion

Because the surface of the cervix is ​​often covered with a lot of mucus or purulent secretions, these secretions long-term irritate and soak the squamous epithelium around the external os of the cervix. Coupled with the inflammatory infiltration of the deep cervical tissue, the squamous epithelium covering the surface of the cervix loses its vitality and falls off, forming ulcers. This is true erosion. However, this erosion surface is quickly covered by the surrounding columnar epithelium, forming a red area with a granular surface and a certain luster, which is called pseudoerosion. The cervical erosion found in daily work is mostly pseudo-erosion, while true erosion is only a stage in the process of this pathological change. Its prognosis will be that the surface will be covered by columnar epithelium and become pseudo-erosion.

The above classification method is based on the pathological concept of erosion. There are many reasons for cervical erosion. In addition to being related to trauma causing cervical mucosal tearing and secondary bacterial infection leading to epithelial shedding and erosion, it is also related to endocrine changes in the body. Therefore, some people divide this type of erosion into congenital erosion and acquired erosion.

Congenital erosion

During fetal development, except for the vaginal epithelium, other reproductive tract epithelia originate from the coelomic epithelium. When the embryo develops to the third or fourth month, the cylindrical epithelium in the cervical canal and the squamous epithelium on the surface of the cervical vagina can be clearly distinguished. At this time, the junction of the two types of epithelium is not the cervical os, but is located inside the cervical canal. When the embryo develops to the 67th month, the columnar epithelium of the cervix has acquired secretory function. In the late pregnancy, these columnar epithelia are affected by maternal estrogen, and the columnar epithelia of the cervical mucosa proliferate and begin to grow outward from the cervical os and beyond the external cervical os. Therefore, about 1/3 of the cervix of newborn girls has an appearance similar to cervical erosion in adults. Since there are no factors such as laceration and infection that can cause cervical erosion at this time, this type of erosion is called congenital erosion. After birth, the influence of estrogen from the mother gradually subsides, and this type of erosion in newborn girls also subsides on its own.

Acquired erosion

Acquired erosion is the opposite of congenital erosion. It often occurs in women of childbearing age with strong ovarian function. The columnar epithelium of the cervical canal is affected by the estrogen produced by the ovaries and proliferates excessively, exceeding the external os of the cervix, causing the external os of the cervix to become eroded. The appearance of this type of erosion is no different from that caused by inflammation, but the cause of the erosion is different. This type of erosion is more common during pregnancy, and most of them will disappear on their own after delivery. Due to different causes, the clinical manifestations are somewhat different. Such patients will also experience increased vaginal discharge, but the nature of the vaginal discharge is clear and mucous, tightly attached to the surface of the cervix, and difficult to wipe off. During pathological examination, there was no inflammatory cell infiltration under the columnar epithelial cells, but there was glandular and interstitial hyperplasia. This indicates that this type of erosion may be related to endocrine changes, but does not seem to have a direct relationship with inflammation. Of course, inflammatory infection is easy to occur on the basis of erosion, but this inflammatory manifestation is only the result, not the cause of erosion.

The symptoms of cervical erosion are divided into three degrees: mild, moderate and severe according to the size of the erosion area. When the erosion area is less than 1/3 of the entire cervical area, it is mild cervical erosion; when the erosion area is between 1/3 and 2/3 of the entire cervical area, it is moderate erosion; when the erosion area is more than 2/3 of the entire cervical area, it is severe erosion.

Today, the existence of cervical erosion has caused many families to bear a serious financial burden, and many people are always trembling when facing it. What we need to do in life is to reduce the incidence of this disease and keep it away from our lives from now on. Only in this way can everyone live happily.

Gynecological inflammation is not easy to cure, it always recurs and is very distressing, especially cervical erosion. If it is not treated properly, it can easily develop into cervical cancer. However, don't put too much psychological burden on yourself. You must actively seek treatment, pay more attention to hygiene, avoid eating spicy and irritating foods, etc.