Cervical erosion, also called cervical ectropion or cervical ulceration, occurs when the squamous cells at the cervical opening become columnar cells. The cervix appears inflamed and red and irritated. This condition is often not distinguishable from early cervical cancer. Possible causes of cervical erosion include increased estrogen levels, trauma, chronic infections, and improper pH balance of the vagina. Symptoms include bleeding, increased discharge, backache, and in severe cases, infertility.
Treatment
This condition usually does not require treatment, and the treatment depends on the cause of the erosion. Infections should be treated with antibiotics, and the erosion generally will reverse upon healing from the infection. Another option is hormone therapy, if excess estrogen is determined to be the cause. More severe cases can be treated with cauterization (diathermy), laser therapy, or freezing (cryotherapy). Diathermy, laser therapy and cryotherapy are done on an out-patient basis and require only a few weeks healing time. It is important that the condition is verified via colposcopy and biopsy before proceeding with either treatment, in order not to mistreat a potential case of cervical pre-cancer or cancer.
Recovery
After treatment, tampons, intercourse, spermicidal lubricants, and other chemicals should be avoided for the next three weeks to allow the cervix to heal. Antibiotics are sometimes prescribed to help prevent infection. The day of surgery, the woman is advised to take it easy for the remainder of the day to help promote healing. Return to work and other activity may be undertaken as tolerated, usually within one to three days.
Exercise
No special restrictions regarding activity or exercise are required. Light to moderate activity may be undertaken as soon as the woman feels able. Exercises that improve circulation and promote relaxation and healing, such as yoga, Pilates, and tai chi are good activities post-surgery. Some light spotting might occur. Overly exerting oneself immediately following surgery is not recommended.
Caution
If you develop a fever, bleeding or spotting that lasts longer than a week, increasing pain, foul-smelling vaginal discharge, or bleeding that is heavier than a normal period, call your doctor immediately. Douches should never be used because they upset the pH balance of the vagina and can cause injury or damage.
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