The cervix feels uneven

The cervix feels uneven

The importance of the cervix to women is self-evident, but this place is also prone to problems, especially for some infertile women. If the situation is serious, it may even lead to infertility. Therefore, when you find that the cervical opening feels uneven, you will be anxious. In fact, this is most likely caused by cervical erosion, which was previously considered a gynecological disease, but has now been corrected and is a normal physiological phenomenon.

Cervical erosion was once a disease that troubled many women. If you go for a physical examination, you will almost certainly be diagnosed with cervical erosion. In 2008, the 7th edition of the undergraduate textbook "Obstetrics and Gynecology" cancelled the disease name "cervical erosion" and replaced it with the physiological phenomenon of "cervical columnar epithelium ectopia".

Cervical erosion, after all, is actually a misunderstanding of a normal manifestation of the cervix in the past.

In the past medical textbooks, there was a so-called graded diagnosis of cervical erosion, which was called mild, moderate and severe. It was believed that the size of the range was the severity of the inflammation. An area less than 1/3 was mild, 1/3-2/3 was moderate, and more than 2/3 was severe. If you understand the true mechanism of the so-called "cervical erosion" mentioned above, it is easy to understand that it is actually the different degrees of eversion of the columnar epithelium after the influence of estrogen, which is a normal physiological phenomenon.

Clinical manifestations

Cervical columnar epithelium ectopia is a normal physiological phenomenon and has no special clinical manifestations. Some people may experience contact bleeding, but this is just an individual difference in the cervix, just like some people will bleed from their teeth or mouth when they chew something hard.

If the amount of vaginal discharge increases, becomes yellow, and has an odor, it is a sign of cervical inflammation. The cyst and hypertrophy of the cervix are also the result of chronic cervical inflammation.

treat

Cervical columnar epithelium ectopia does not require any treatment, and many current methods of treating cervical erosion are wrong. But for symptomatic cervicitis, treatment is needed. Acute inflammation is treated with suppositories, while chronic inflammation can be treated with physical therapy such as laser or freezing.

prevention

Regular examination of the cervix is ​​necessary, not to prevent cervical erosion, but to prevent cervical cancer. The occurrence of cervical cancer is related to infection with human papillomavirus (HPV). Some patients infected with high-risk HPV are prone to precancerous lesions and cervical cancer when they are persistently infected at the squamous-columnar junction of the cervix. Since the advent of cervical smear testing, the mortality rate of cervical cancer has dropped significantly. The key is early prevention and treatment. It is currently recommended that women over the age of 21 should undergo a cervical smear test once a year. After the age of 30, an HPV test can be combined. If three consecutive HPV and cervical smear tests are negative, the interval can be extended to once every three years. Screening can be stopped after the age of 65.

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