Is Severe Cervical Erosion with Bleeding a Very Critical Condition?

Severe cervical erosion bleeding may indicate a serious condition and requires medical attention as soon as possible to identify the cause and adopt correct treatment measures. The causes of bleeding may include inflammation, cervical lesions, or precancerous cervical lesions. Depending on the specific cause, treatment options may include medication, physical therapy, or surgery.

1. Possible Causes:

• ① Inflammatory Stimulation: Severe cervical erosion may be accompanied by chronic inflammation in the cervical area, such as cervical tissue infected by pathogens (e.g., HPV, Mycoplasma, or Chlamydia). Inflammatory stimulation may lead to abnormal bleeding in local tissues.
• ② Fragile Tissue: Cervical erosion is a manifestation of columnar epithelial ectropion. As the erosion intensifies, epithelial cells become thinner, and capillaries are exposed, making them highly susceptible to external stimuli and bleeding, especially after sexual intercourse or gynecological examinations.
• ③ Cervical Lesions or Precancerous Lesions: Some patients with severe cervical erosion may have atypical hyperplasia or lesions of the cervix. If not treated promptly, there may be a risk of transformation into cervical cancer, manifested as irregular vaginal bleeding.

2. Solutions:

• ① Medication: Antibiotics: Use broad-spectrum antibiotics or drugs targeting specific infectious bacteria (e.g., Metronidazole, Azithromycin) to eliminate inflammatory infections. Local repair medications: For example, drugs or suppositories that promote cervical tissue repair (e.g., Rehabilitation Gel or Xiaomi Suppository) can improve symptoms but require long-term adherence.
• ② Physical Therapy: Cryotherapy: Destroys lesion tissues through low-temperature action, reducing erosion and the frequency of bleeding. Laser Therapy: Uses laser to eliminate erosive tissues, suitable for patients with deeper lesions. Electrocoagulation: For patients with severe erosion, an electrocautery can be used to treat the eroded area and improve local tissue repair capabilities.
• ③ Surgical Treatment When Necessary: Conization: If there are signs of cervical cancer, cervical conization may be considered to promptly remove potentially malignant lesion tissues. Hysterectomy: For patients with extensive involvement or those uncontrollable by other means, further surgical intervention may need to be evaluated.

3. Health Management Recommendations: In addition to treatment, daily cervical health management is crucial, including maintaining genital cleanliness, avoiding frequent abortions, enhancing sexual protection, and undergoing regular HPV screening and cervical cytology tests (TCT) to detect potential lesions early. It is essential to promptly address irregular vaginal bleeding and receive standardized treatment, especially for patients with cervical erosion. It is advisable to consult a gynecologist as soon as possible for a definitive diagnosis and to minimize health risks associated with disease progression.