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Management

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A cervical smear is mandatory. It should be followed by colposcopy and cervical biopsy if the result is unsatisfactory.

Cervical ectropion (erosion) requires no treatment unless the symptoms are affecting the patient's daily life.

First-line treatment is discontinuing hormonal contraceptives like oral contraceptive pills, depot medroxyprogesterone acetate, and switching to nonhormonal contraception methods.

A troublesome erosion may be treated by a number of treatments including:

  • thermal cautery with diathermy
  • cryosurgery (1)
  • laser treatment. In this procedure, a carbon dioxide laser beam is used to destroy the abnormal cervical epithelium seen on magnification by a colposcope.

There is a cure rate of 92 percent with treatment with cautery or microwave tissue coagulation therapy. A cure rate of 79 percent has been seen with laser treatment (2).

 

References

  1. Gay C, Riehl C, Ramanah R, Desmoulin G, Violaine B. [Cryotherapy in the management of symptomatic cervical ectopy]. Gynecol Obstet Fertil. 2006 Mar;34(3):214-23.
  2. Aggarwal P. Cervical Ectropion. Treasure Island (FL): StatPearls Publishing. 2024 Jan

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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