Can cervical ectopic columnar epithelium of degree two heal on its own?

Nov 12, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, whether second-degree cervical erosion can heal on its own depends on the severity of the condition. It may resolve spontaneously if caused by high estrogen levels or mild inflammation. However, if severe discomfort symptoms occur, it is unlikely to heal without treatment. In daily life, patients should maintain cleanliness and dryness of the external genitalia and reduce sexual activity. Regular cervical cancer screening is also recommended.

In general, whether cervical ectropion can heal on its own depends on the severity of the condition. If symptoms are mild, spontaneous recovery is usually possible. However, if severe discomfort occurs, it typically will not resolve without treatment. The details are as follows:

Most cases of cervical erosion are physiological phenomena, primarily caused by high estrogen levels. In such cases, when estrogen levels decrease in women—such as during menopause with aging—the cervical erosion naturally improves. Additionally, some cases of cervical erosion are caused by inflammation. If the inflammation is mild, symptoms may gradually subside as the body's immune function strengthens or when local inflammation is brought under control.

Moreover, if a patient experiences cervical erosion accompanied by increased vaginal discharge, abnormal discharge color, lower abdominal pain, or similar symptoms, this indicates the presence of other serious complications. In such cases, waiting for spontaneous recovery is not recommended, as it may delay proper diagnosis and treatment.

In daily life, patients should maintain cleanliness and dryness of the external genital area and reduce sexual activity. Regular cervical cancer screening is also advised to detect any underlying conditions early.

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What are the risks of laser treatment for cervical erosion?

Cervical erosion, also known as cervical columnar epithelial displacement, carries certain risks when treated with laser therapy, including postoperative bleeding, cervical stenosis, infection, impaired fertility, and cervical adhesion. At the same time, women should maintain good lifestyle habits and personal hygiene, and undergo regular gynecological examinations, which help in the early detection and management of related issues.

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Is it good to use LEEP for cervical erosion?

Cervical erosion refers to cervical columnar epithelial displacement. If cervical columnar epithelial displacement is accompanied by abnormal symptoms, a loop electrosurgical excision procedure (LEEP) might be preferable; for patients with mild cervical columnar epithelial displacement, surgical treatment generally is not required. When deciding whether surgery is necessary, patients should fully understand the advantages and disadvantages of the procedure, its indications, and precautions, and undergo individualized treatment under the guidance of a physician.

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Why is there no menstruation after laser treatment for cervical erosion?

No menstruation after laser treatment for cervical erosion may be caused by surgical stress response, excessive mental stress, endocrine disorders, intrauterine adhesions, or polycystic ovary syndrome. This condition can be improved through psychological adjustment, careful observation and nursing care, or medication. If menstruation is delayed for more than two weeks or accompanied by abdominal pain, prompt medical attention is necessary. Laser surgery may trigger a temporary stress response in the body.

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Can cervical erosion of degree two be cured with gel?

If second-degree cervical erosion is pathological and treated with appropriate therapeutic gel, symptoms may be alleviated or even cured. When second-degree cervical erosion is caused by inflammation (such as bacterial or fungal cervicitis), and the gel used contains anti-inflammatory and mucosal-repairing ingredients, persistent treatment according to the prescribed course can lead to resolution of inflammation and gradual healing of the eroded area. In some cases, complete recovery may be achieved, after which regular follow-up examinations are sufficient to maintain cervical health.