Atypical hyperplasia of cervical epithelium

I have a friend who has been suffering from gynecological diseases. Some people may wonder why gynecological diseases are so difficult to treat? My friend suffers from atypical cervical epithelial hyperplasia and asked if it is necessary to have her uterus removed. The doctor suggested so, saying that in order to prevent future uterine lesions, it is recommended to have her uterus removed. However, it seems that the lesions are only limited to the cervix. I heard that there are other inconveniences after having her uterus removed, so I would like to ask if it is necessary to have her uterus removed?

Definition: Atypical hyperplasia of the cervical epithelium

Epithelial dysplasia is a precancerous lesion that occurs in the cervical epithelium.

Pathological changes: The cervical epithelial cells show varying degrees of atypia, manifested as different cell sizes and shapes, enlarged and darkly stained nuclei, increased nuclear-cytoplasmic ratio, increased nuclear division figures, and disordered cell polarity.

Pathological grading: The lesions gradually develop from the basal layer to the surface layer. It is divided into three grades according to the severity of the lesion: Grade I, atypical cells are limited to the lower 1/3 of the epithelium; Grade II, atypical cells involve the lower 1/3 to 2/3 of the epithelium; Grade III, the proliferating atypical cells exceed 2/3 of the entire layer, but have not yet involved the entire layer of the epithelium.

Condition Analysis: Atypical hyperplasia of the cervix is ​​the replacement of squamous epithelium by columnar epithelium, which is called cervical erosion (chronic cervicitis). There are many causes of cervical erosion, which can be mechanical stimulation such as sexual intercourse, cervical injury or bacterial or viral infection, as well as chemical drug stimulation, etc. A small number of unmarried women have congenital cervical erosion. Generally, women who have had sexual experience will suffer from cervical erosion (without the protection of the natural barrier of the hymen, the cervix is ​​susceptible to bacterial infection), especially women who have had childbirth and miscarriage have a higher chance of getting this disease.

Suggestions: If the condition is mild, some topical medications can be used for treatment.

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