What lesion does acetowhite epithelium of the cervix represent?

Aug 24, 2022 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Acetic acid-induced white epithelium of the cervix typically indicates the presence of either low-grade or high-grade lesions. Based on the thickness of the acetowhite change: if the acetowhite epithelium is thick and coarse, the likelihood of a high-grade lesion is relatively higher; if the acetowhite epithelium is relatively thin, the likelihood of a low-grade lesion—or even inflammation—is relatively higher. This acetowhite epithelium disappears upon application of iodine or, in some cases, methylene blue.

  In fact, women have long been highly concerned about gynecological conditions. Cervical squamous epithelial lesions undoubtedly compromise cervical health, causing a variety of symptoms that interfere with women’s daily lives. This warrants close attention. So, what kind of lesion does “acetowhite epithelium of the cervix” indicate?

  What Lesion Does Acetowhite Epithelium of the Cervix Represent?

  Acetowhite epithelium of the cervix typically indicates either a low-grade or high-grade lesion. The thickness of the acetowhite change provides diagnostic clues: if the whitening is thick and coarse, a high-grade lesion is more likely; if the whitening is thin and faint, a low-grade lesion—or even simple inflammation—is more probable. Moreover, if the acetowhite epithelium fails to stain with iodine or Lugol’s solution (a common iodine-based dye), the likelihood of a high-grade lesion increases significantly—thus warranting biopsy for definitive histopathological confirmation.

  If cervical inflammation or cervical epithelial lesions are detected, standardized pharmacological treatment is required—for example, vaginal suppositories such as Baofukang Suppositories or Xiaomi Suppositories. During treatment, sexual intercourse should be avoided, as it may irritate and exacerbate cervical pathology. Additionally, women diagnosed with cervical disease are advised to enhance their immune function by engaging in outdoor recreational activities and regular physical exercise, maintaining an optimistic and stable mental state, wearing cotton undergarments, keeping the external genitalia clean and dry, and avoiding raw, cold, or spicy foods in their diet.

  In daily life, maintain a regular, balanced diet—avoid spicy, stimulating, or excessively rich foods, refrain from binge eating, and ensure adequate sleep to prevent chronic fatigue. We hope this information proves helpful to you.