What is ectropion of the cervix?

Mothers should have a full understanding of childbirth and some production knowledge. Cervical eversion is actually quite common, but its formation often brings some gynecological diseases to women. So what exactly is going on?

The cervix may be torn unilaterally, bilaterally, or in a stellate shape during childbirth, with severity ranging from mild to tearing to the dome. If not repaired promptly by surgery, scar tissue contracture may cause the cervical canal to evert, exposing the cervical mucosa to the outside, forming cervical ectropion.

1. During delivery, the cervical laceration is large and cannot be repaired in time. The cervical mucosa heals on its own, forming a generally firm fibrous scar. The external opening is loose and often infected, causing edema and congestion. The cervix becomes enlarged and thickened, and the cervical endometrium protrudes outside the cervical canal.

2. Scar contracture caused by failure to repair the laceration in time exposes the cervical mucosa and causes endocervical eversion.

The symptoms of mild cervical ectropion are not obvious, but there may be a slight increase in mucous leucorrhea. However, when combined with infection and chronic cervicitis occurs, the discharge turns into mucopurulent secretions, the amount also increases, and there may be contact bleeding. Other symptoms of chronic cervicitis may also be present.

The cervix is ​​transversely fissured or star-shaped, the anterior and posterior lips of the cervix are far apart, and the mucosal folds at the lower end of the cervical canal are visible. If cervicitis coexists, due to long-term congestion, edema and connective tissue hyperplasia, the anterior and posterior lips of the cervix will be significantly enlarged, the mucosa will be red and swollen, and the surface will be covered with mucous secretions.

Cervical ectropion is more common in multiparous women with cervical lacerations. Because the laceration is wide, the columnar epithelium in the cervical canal is everted, which is most likely to cause bacterial invasion and infection. If not treated in time, the inflammation can ascend along the cervical canal, causing endometritis and salpingitis, and can also spread along the uterine ligaments and cardinal ligaments to cause pelvic inflammatory disease, etc. Therefore, it is very important to deal with cervical lacerations in a timely manner and actively treat cervical ectropion. Mild cervical ectropion without clinical symptoms may not require treatment. However, patients with concurrent symptoms of chronic cervicitis should be treated according to the principles for the treatment of chronic cervicitis.