A 25yo woman presented to her GP on a routine check up. Upon vaginal exam, she was fine
except for finding of cervical ectropion which was painless but mild contact bleeding on touch.
What is the next management?
except for finding of cervical ectropion which was painless but mild contact bleeding on touch.
What is the next management?
a. Endometrial ablation
b. Cervical smear (2nd line)
c. Colposcopy
d. Antibiotics (1st line)
e. Vaginal US
f. Pack with gauze and leave to dry
answer: B ....she is asymptomatic and with no signs of infection!
Cervical ectropion/erosion
There is a red ring around the os because the
endocervical epithelium has extended its territory over the paler epithelium of
the ectocervix. Ectropions extend temporarily under hormonal influence
during puberty, with the combined Pill, and during pregnancy.
As columnar epithelium is soft and glandular, ectropion
is prone to bleeding, to excess mucus production, and to infection.
Once a normal cervical smear has been confirmed, it is actively managed
only if there are symptoms. Over time, vaginal acidity promotes
metaplasia to squamous epithelium when the symptoms will disappear.
Treatment:
Cryocautery will treat these if they are a nuisance;
otherwise no treatment is required.
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