Hello everyone, I am your old friend Dr. Li Shan.
As an obstetrician and gynecologist, I hope every woman can better understand her body, know more reliable health knowledge and better protect herself.
So I began to write, writing hundreds of answers on Zhihu, with nearly 140,000 followers and 630,000 approval. At the same time, I read nearly 1 billion popular science on other platforms and won nearly 2 million approval. At the same time, I also helped tens of thousands of women to answer their doubts.
At noon today, my husband received a phone call and told me that his good brother called to borrow 10,000 yuan. It is said that his girlfriend is very ill. The girl is quite good, and the two of them work hard on their own.
A few days ago, I saw the two of them. How did they get so sick in an instant? Only after asking did I know that I had received the free medical examination card issued on the street.
Results Cervical erosion was found, and what hyperbaric oxygen chamber and traditional Chinese medicine soaking were required.
Wait, why do I sound so wrong?
[Cervical Erosion] Not a Disease
The name [cervical erosion] itself is unscientific, and the correct statement should be [ectopic cervical columnar epithelium]. Cervical erosion, in the end, is a wrong understanding of a normal manifestation of the cervix in the past.
In our cervix, there are two different types of cells, of which [squamous epithelial cells] are located near the vagina and [columnar epithelial cells] are located near the uterus. The two cells are not the same, one is tall and thin, and the other is round and round.
The area where these two kinds of cells meet is called the “scale column junction area”, which is also the area where cervical cancer occurs. However, there is no inevitable connection between the so-called cervical erosion and cervical cancer, and the real culprit leading to cervical cancer should be HPV virus.
The junction area of scales and columns is easily affected by the estrogen level in women’s bodies: when the estrogen level is low, the columnar epithelial cells will honestly stay inside the cervical canal. When puberty comes, when the estrogen level in women’s bodies is high, the columnar epithelium will poke its head and run out.
Because the columnar epithelium looks thin, red and rotten, it is mistakenly called “cervical erosion”. But in fact, it is not really rotten, but the columnar epithelium is ectopic.
[Cervical Erosion]
Do you need treatment?
If you:
- The body is twice as good as before, and there is no abnormal situation. Leucorrhea is normal, without peculiar smell and itching. After the crash, there was no contact hemorrhage. Cervical scraper or TCT examination is normal; HPV was not found positive either.
Then just go home happily and eat and drink. This is just a simple physiological [columnar epithelium ectopic] that looks erosive but has no other problems, and does not need any treatment at all.
Therefore, I called my husband’s brother and asked him to send his girlfriend’s check list on WeChat.
Sure enough, leucorrhea routine and TCT are normal, colposcopy and biopsy what have also been done, and there is no problem at all.
A young girl, of course, has a high estrogen level in her body, and it is not surprising that she has ectopic columnar epithelium. Under the condition that everything is normal and there is no discomfort, she spent more than 10,000 yuan in hospital and almost borrowed money to continue to be trapped, which makes people feel sorry and angry.
Remember a word: free is the most expensive.
As a medical staff, I feel very uncomfortable when I see someone saying on the Internet that [doctors are all from cheat people and are too dirty].
However, I do not deny that there are some people who, in order to make money, can hide their conscience and smear the image of most medical personnel who insist on kindness and bottom line!
That’s why we need to arm our minds with knowledge. Mobile phones can not only be used to play games and take selfies, but also learn that knowledge will not be trapped. What we save is real money and silver.
If you want to know more, know what is IQ tax to avoid stepping on the pit, welcome to pay attention to my personal public number medical woman’s true story. Here not only have a lot of women’s health knowledge to share, but also will teach you how to correctly protect yourself, how to be cheated less and be cheated less, hurry with me, pay less IQ tax, save money and be healthy!
-References-
1. Le Jie, Obstetrics and Gynecology (7th Edition) [M], People’s Health Publishing House, 2008. He Guoli, Wang Shilang. Progress in Understanding Cervical Erosion [J]. Progress in Modern Obstetrics and Gynecology, 2011, 20 (5): 407-408.