Can cervical erosion heal on its own?

Cervical erosion, also known as cervical ectopia, is generally a normal physiological phenomenon usually caused by changes in estrogen levels and may resolve spontaneously.

During puberty and the reproductive years, when estrogen levels are high, the columnar epithelium of the cervical canal may move outward to the vaginal portion of the cervix, creating an appearance similar to erosion. With natural fluctuations in estrogen levels in women, such as the decline in estrogen after menopause, this columnar epithelium may gradually move back into the cervical canal, restoring the cervix to its normal appearance and achieving spontaneous healing. Additionally, if cervical ectopia is caused by mild irritation or inflammation, the cervical tissue may also potentially return to normal through its own repair mechanisms once the irritants are removed. However, when cervical ectopia is accompanied by severe inflammation, infection, or other lesions, spontaneous recovery is less likely. In such cases, appropriate treatment is usually required. Especially in cases of severe cervical ectopia, spontaneous healing generally does not occur, and symptoms such as contact bleeding and increased vaginal discharge may be present. At this stage, appropriate treatment options, such as cryotherapy, microwave therapy, or surgical intervention if necessary, should be selected after excluding epithelial lesions and cervical cancer.

Severe cervical erosion can be treated with medications such as Baofukang suppository, Sophora root gel, and Xioami vaginal effervescent tablets under a doctor's guidance.