a. Transvaginal US
b. Cervical smear
c. Punch biopsy
d. Serum estradiol
e. Colposcopy
answer: B
Cervical cytology should be assessed as a precautionary measure though it is normal for ectropions to bleed on touch, an endocervical swab may also be taken for the purposes of detecting 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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