Cervical Erosion: Symptoms, Concerns, and Cancer Risks

Cervical cancer

Hello doctor, I was diagnosed with cervical erosion on December 24th.
After using five suppositories, I still experienced bleeding, although it was less than before.
During my follow-up appointment on January 3rd, the doctor mentioned that my erosion wound had improved, and I also had a Pap smear done.
However, that night, I noticed bright red blood, but it wasn't much.
Initially, I thought it was my period, but by the morning of January 4th, there was no blood on the pad, only brown discharge.
Could this be blood from the erosion wound? Additionally, I experienced bright red bleeding when having a bowel movement, but when I wiped the vaginal area, the blood was not as bright red and seemed lighter; after a quick wipe, there was almost no blood.
Given these symptoms, what is the likelihood that I have cervical cancer?

Niming, 10~19 year old female. Ask Date: 2019/01/04

Dr. Huang Jianzhong reply Obstetrics and Gynecology

On December 24th, I was diagnosed with cervical erosion.
After inserting five suppositories, I still experienced some bleeding, although it was less than before.
During my follow-up appointment on January 3rd, the doctor noted that my erosion had improved, and I also had a Pap smear done.
However, that evening, I noticed bright red blood, but it was minimal.
Initially, I thought it was the start of my menstrual period, but by the morning of January 4th, there was no blood on the pad, only brown discharge.
Could this be blood from the erosion site?
Answer: That blood is likely from the Pap smear, and I also experienced bleeding when having a bowel movement, which was bright red.
However, when I wiped the vaginal area, the blood was not as bright red and appeared somewhat lighter; after a wipe, there was almost no blood left.
Given this situation, what is the likelihood that I have cervical cancer?
Answer: The likelihood is very low.

Reply Date: 2019/01/04

More Info

Cervical erosion, often referred to as cervical ectropion, is a condition where the cells from the inside of the cervical canal grow on the outer surface of the cervix. This condition is relatively common and can be associated with various symptoms, including abnormal bleeding, discharge, and discomfort during intercourse. It is important to understand that while cervical erosion itself is not cancerous, it can sometimes be confused with more serious conditions, including precancerous changes or cervical cancer.

In your case, the bleeding you are experiencing could be attributed to the cervical erosion and the healing process following treatment. It is not uncommon for women with cervical erosion to experience light bleeding, especially after sexual intercourse, a pelvic exam, or during menstruation. The presence of fresh red blood could indicate that the erosion site is still healing, while the brown discharge you noticed may be old blood that is being expelled as your body continues to heal.

Regarding your concern about the risk of cervical cancer, it is essential to note that cervical erosion itself does not increase the likelihood of developing cervical cancer. However, it is crucial to monitor any abnormal symptoms and follow up with your healthcare provider for regular screenings, such as Pap smears and HPV testing. These tests are vital for detecting any precancerous changes in the cervical cells, known as cervical intraepithelial neoplasia (CIN), which can lead to cervical cancer if left untreated.

Your previous Pap smear results indicating dysplasia (CIN2-3) suggest that there were some abnormal changes in your cervical cells, which require careful monitoring and possibly further intervention, such as a cone biopsy, to ensure that any precancerous cells are adequately addressed. The fact that you have had treatment for cervical erosion and are experiencing some bleeding is not uncommon, but it is essential to keep your healthcare provider informed about your symptoms, especially if they change or worsen.

In summary, while cervical erosion itself is not a direct risk factor for cervical cancer, the presence of abnormal cervical cells (dysplasia) does warrant attention. Regular follow-ups and screenings are crucial in managing your cervical health. If you continue to experience unusual bleeding or have concerns about your symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide you with the necessary support and treatment options to ensure your health and well-being.

Similar Q&A

Understanding Cervical Erosion: Causes, Treatments, and Concerns

Hello, Doctor. I would like to ask you about the issue of cervical erosion. This term sounds quite alarming. During my Pap smear examinations last year and this year, the doctor mentioned that I have a slight erosion on my cervix. Last year, I underwent local medication and took ...

Dr. Zhan Deqin reply Obstetrics and Gynecology
This is not a major issue; most women experience this, especially those of reproductive age. There is no need for special treatment; an annual Pap smear is sufficient. In fact, most cases of cervical "erosion" are not true erosion but rather an eversion of the cervical ...

Understanding Cervical Erosion and Inflammation: What You Need to Know

Hello Doctor: On May 12th, I visited a doctor due to redness, swelling, and itching in the vulvar area, and I also had a Pap smear done. The doctor prescribed an ointment and vaginal suppositories. Later, on May 27th, I was informed that I had cervical inflammation and was advise...

Dr. Dong Yuhong reply Obstetrics and Gynecology
Hello: The Pap smear and HPV (human papillomavirus) screening are both part of cervical cancer screening. These tests can be performed after becoming sexually active. If you feel anxious, it may be difficult to fully understand the information provided by the doctor during the co...

Understanding Cervical Erosion and Recurring Vaginal Infections

Hello Doctor, at the end of last year, I visited a gynecologist due to pelvic inflammatory disease. I took medication for two weeks and paid attention to hygiene and care (I only started having sexual intercourse at the end of last year, so I haven't had a Pap smear). The ex...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the observation of cervical erosion is primarily based on the visible signs of redness and swelling on the surface of the cervix. The causes can range from simple cervical epithelial eversion and inflammation to cervical viral infections and lesions. Further examinations, ...

Understanding Cervical Erosion: Should You Be Concerned?

Hello, Dr. Hsu. I would like to ask if cervical erosion is a serious condition. I have heard that individuals with cervical erosion may experience spotting during their menstrual period. Is this true? I noticed some spotting during my last period, so I am a bit concerned. Thank y...

Dr. Xu Junzheng reply Obstetrics and Gynecology
Cervical erosion, if not severe, usually does not present any symptoms and is typically discovered during a physician's examination. However, if it is severe, the symptoms generally include post-coital bleeding or blood-tinged discharge. Therefore, it is advisable to consult...