Symptoms of cervical ulcer

In daily life, female friends must pay attention to the care of their private parts, especially women who have had sexual life. If you do not pay attention to care during sexual intercourse, you can easily get infected with gynecological diseases, and some serious gynecological diseases can cause uterine diseases. Cervical erosion is a female disease that has become more and more common in women in recent years. So what are the symptoms of cervical erosion?

Symptoms of cervical erosion:

In mild cases, there are generally no obvious clinical manifestations. Increased vaginal discharge may be the only symptom of cervical erosion. From mild to severe, milky white mucus, yellow purulent, and bloody discharge may appear. Contact bleeding or bleeding after sexual intercourse is likely to occur. Severe erosions can cause pain and a feeling of heaviness in the lower abdomen or lumbosacral region, which worsens during menstruation, bowel movements or sexual intercourse. They can stimulate the bladder and cause symptoms of frequent urination and painful urination.

The classification of cervical erosion varies according to different situations. Generally, there are the following classification methods:

1. According to the different degrees of lesions, cervical erosion is divided into three types: mild, moderate and severe.

Mild: The erosion area is less than 1/3 of the entire cervical area; patients generally do not have any discomfort symptoms, and may only have increased vaginal discharge, which can be easily overlooked.

Moderate: The area of ​​erosion accounts for 1/3-2/3 of the entire cervical area; the main symptom is increased vaginal secretions, which are milky white mucus or light yellow purulent fluid. When accompanied by cervical polyps, there is a high risk of bloody leucorrhea or bleeding after sexual intercourse.

Severe: The erosion area reaches more than 2/3 of the entire cervical area. It causes pain in the lower abdomen or lumbosacral area, accompanied by a feeling of falling. When the inflammation is severe, it can spread along the uterosacral ligament and cardinal ligament and cause pelvic connective tissue inflammation.

2. According to the different pathological processes, cervical erosion is divided into the following two types.

Pseudoerosion: Due to the stimulation of high estrogen in the bodies of young girls and unmarried women, the columnar epithelium of the cervical canal moves outward, and the cervix appears red and granular, similar to erosion, but there is no obvious inflammation. .

True erosion: Because the surface of the cervix is ​​often covered with a lot of mucus or purulent secretions, these secretions have long-term irritation and soaking of the squamous epithelium around the external os of the cervix. Coupled with the inflammatory infiltration of the deep tissues of the cervix, the squamous epithelium covering the surface of the cervix loses its vitality and falls off, forming ulcers. This is true erosion.

3. According to the manifestations of cervical erosion, cervical erosion can be divided into three types:

Simple cervical erosion: more common in the early stage of inflammation, the erosion surface is covered by a single layer of columnar epithelium, and the epidermis is relatively flat and smooth;

Granular cervical erosion: The inflammation continues, causing excessive proliferation of the cervical epithelium, and the erosion surface is uneven and granular in appearance.

Papillary cervical erosion: If the glandular epithelium and stroma proliferate significantly, the unevenness becomes more obvious and becomes papillary-shaped, which is called papillary erosion.

4. According to the cause, cervical erosion can be divided into two types: specific and non-specific.

Specific: refers to infection caused by pathogens. Neisseria gonorrhoeae and Chlamydia trachomatis are the most common pathogens of cervical infection.

Nonspecific: Most are caused by an imbalance in estrogen secretion. For example, there are many unmarried and childless people.

5. Excluding mechanical damage, infection and other causes, it is divided into congenital erosion and acquired erosion.

Congenital erosion: In the late pregnancy, the columnar epithelium is affected by the maternal estrogen, and the columnar epithelium of the cervical mucosa proliferates and begins to grow outward from the cervical os and beyond the external os of the cervix. 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 erosion in newborn girls also subsides on its own.

Acquired erosion: Acquired erosion is in contrast to congenital erosion. It often occurs in women of childbearing age with strong ovarian function. The columnar epithelium of the cervical canal is overproliferated due to the influence of estrogen produced by the ovaries, exceeding the external os of the cervix, causing the external os of the cervix to become eroded.