Moderate ectopia of cervical columnar epithelium
Release time : 06/10/2025 09:30:02
For the cervical columnar epithelial hyperplasia, which is commonly unfamiliar, it essentially refers to what is commonly known as cervical erosion.
In the 2008 edition of medical textbooks, cervical erosion was reclassified as cervical columnar epithelial hyperplasia.
What causes cervical columnar epithelial hyperplasia, and how should it be treated? Let's delve into this in detail.
Cervical squamous metaplasia is moderate. In essence, it is a mild form of cervical erosion.
This is not merely a minor condition; it presents with numerous serious symptoms.
1. When the cervical columnar epithelium exhibits moderate hyperplasia in females, it is typically accompanied by symptoms such as increased vaginal discharge, yellowish coloration, and a sticky, foul-smelling odor.
It may also cause patients to experience vulvar itching, bleeding during sexual intercourse, and irregular vaginal bleeding.
2. Pain: Patients with mild cervical columnar epithelial hyperplasia generally do not experience cervical pain, but this condition is likely to spread to surrounding tissues, resulting in lower back and pelvic pain as well as dysmenorrhea.
If the main ligament is also affected, the patient will experience pain during sexual intercourse.
3. Vaginal Discharge: The primary symptom of cervical columnar epithelial hyperplasia is an increase in vaginal discharge, sometimes accompanied by the presence of a small amount of blood-streaked discharge, which can also cause bleeding during sexual intercourse.
4. Bladder Symptoms: If inflammation of the cervix affects the bladder, it will lead to frequent urination and pain during urination, and may also cause urinary tract infection.
When the cervical columnar epithelial hyperplasia is moderate, it is necessary to undergo treatment. If it continues to develop, it may cause serious consequences.
What does columnar epithelial hyperplasia mean? Columnar epithelial hyperplasia is also known as cervical erosion, which is the most common gynecological condition in women.
However, female friends still lack a comprehensive understanding of this disease.
1. The cervix of a female is divided into an internal orifice and an external orifice.
The epithelial lining of the uterus is highly susceptible to infection. If chronic inflammation persists over a long period, a red area will appear, with a distinct boundary between it and the adjacent tissue, which is known as endometrial hyperplasia or endometriosis.
2. In medical practice, uterine endometriosis is currently categorized into mild, moderate, and severe based on the severity of the condition.
3. The term "uterine columnar epithelial hyperplasia" is a new name. The reason for the removal of the previous term "cervical erosion" is that there was a misunderstanding in medical understanding of this disease. The change in the name not only better fits the disease but also represents further deepening of understanding of this type of disease by the medical community. It corrects the past misunderstanding.
Currently, medical science recognizes that the previous understanding and treatment of cervical erosion were incorrect. The presence of columnar epithelial cells outside the uterine cavity is considered normal, and there is no need for treatment.
The treatment required is inflammation on the cervix.
The cause of cervical columnar epithelial hyperplasia is not considered a disease in modern medicine, but it is likely to be caused by underlying conditions.
Let's take a look at the causes of cervical columnar epithelial hyperplasia.
1. Excessive sexual activity and having multiple sexual partners can cause uterine endometrial hyperplasia.
Some women have excessive sexual activity, which can also cause ectopic endometrium.
2. If one does not pay attention to hygiene during sexual intercourse, there is a significant likelihood of experiencing uterine columnar epithelial hyperplasia.
3. There are many women who do not want children, but without taking effective contraceptive measures, they have unexpected pregnancies and may easily induce uterine columnar epithelial hyperplasia during abortion surgery.
Especially women who have undergone multiple abortions, there are almost always cases of columnar epithelial hyperplasia.
4. At present, many women have purchased special vaginal cleaning products. However, improper use may lead to undesired results.
It can damage the environment in the vagina.
The above is the cause of uterine columnar epithelial hyperplasia. If it is caused by inflammation, it must be treated for verification. Otherwise, it may affect the surrounding tissues.
Cervical ectropion at grade 2 is a serious condition. It often presents with symptoms and significantly affects patients' daily lives.
1. If the inflammation is not effectively and promptly treated, it can become chronic, affecting other organs, potentially leading to cervicitis, and the inflammation can even spread through ligaments to cause chronic pelvic inflammatory disease.
2. Following prolonged irritation from inflammation, the cervix of a female is likely to develop polyps, lacerations, external protrusions, and cysts.
And, it is 10 times higher than a normal woman's cancer risk.
Particularly, inflammation can stimulate columnar epithelium, causing it to undergo hyperplasia. If not treated promptly, it is very likely to progress to cancerous cells.
3. When the cervical epithelium is at stage 2 dysplasia, if there is inflammation, patient's secretion will increase and it is very viscous which affects sperm mobility and quality.
Cause women to have difficulty getting pregnant, or even infertility.
Additionally, there is a certain risk of miscarriage after pregnancy.
Women should not wait until they reach cervical ectropion grade 2 to begin treatment. Measures should be taken as soon as inflammation appears, as it is relatively easier to cure at that stage.
Treatment of Columnar Epithelial Dysplasia in Women: In cases where columnar epithelial dysplasia is accompanied by inflammation, immediate action should be taken.
There are many treatment methods available that have good therapeutic outcomes.
The medical treatment for columnar epithelial ectopia includes both traditional Chinese medicine and Western medicine. Drug therapy is most suitable for women who have not given birth.
After ruling out malignant lesions and confirming the diagnosis, the doctor is likely to prescribe topical medications for treatment, along with some oral anti-inflammatory drugs to assist in the therapy.
2. Sometimes, doctors use electrocautery as a treatment method, which can cause the affected tissue to coagulate.
However, this therapy is not suitable for patients with severe inflammation and may cause some discomfort to the patient. Many patients do not wish to use this method for treatment.
3. For the treatment of cystic columnar epithelial hyperplasia, cryotherapy is a commonly used method. It involves rapidly freezing the affected tissue to cause necrosis and detachment.
In the treatment of uterine endometriosis, the most commonly used method is the above-mentioned one.
Doctors usually choose treatment methods based on the patient's condition and preferences.
This text contains medical content solely for reference purposes.
In case of discomfort, it is recommended to seek medical attention immediately. For accurate diagnosis and treatment, consult a medical practitioner in person.