Cervical Erosion/Cervical Ectopy

Cervical Erosion is a condition where squamous epithelium of the ectocervix is replaced by columnar epithelium which is continuous with the endocervix.
Cause-
1)Oral contraceptives pill 
2)Congenital
3)Hormonal changes: fluctuations in hormones levels during reproductive age.
4)Pregnancy: Being pregnant may also cause cervical ectropion due to the change in hormones levels.
5)Chronic cervicitis.
Pathology-
Cervix has different type of cell on the outside (vagina portion) than it done on the inside (the cervical canal).
Normally, columnar epithelium cell (soft cell) are present inside of cervix whereas squamous epithelium cell (hard cell ) outside the cervix.When these columnar epithelium cell appear on the outside the cervix,they get contact with squamous epithelium cell and from a transformation zone or the stratified squamous epithelium.
Cervical Erosion is not a harmful conditions and don't usually have any medical complications.It is not related to cancer and is not harm the foetus as well mother in pregnancy.
Symptoms-
1)Dyspareunia.
2)Bleeding during coitus or post coital bleeding.
3)Light discharge of mucus.
4)Spotting between periods.
Diagnosis-
1)Routine pelvic examination
2)Pap smear test
3)Test for human papilloma virus
4)Colposcopy
5)Biopsy
Differential diagnosis-
1)Cervical cancer
2)Chlamydia infection
Treatment-
 It is not a harmful conditions and don't usually require treatment.
Cryotherapy
Cauterization-if pain or bleeding-
  Types of cauterization-
   Diathermy
   Cryotherapy
   
Silver nitrate

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