Cervical Erosion and Abnormal Discharge: Key Questions Answered

Secretions issues

Hello Doctor, I have been consistently taking the contraceptive pill for about 10 months now.
Recently, I have experienced some spotting.
I visited a gynecologist, who performed an internal examination and mentioned that I have cervical erosion due to a discharge infection.
The doctor prescribed a suppository for me, and after several follow-up visits, the doctor noted that my cervix has improved.
I also had an ultrasound previously, and the doctor said there were no significant issues.
However, after finishing the suppository, I still occasionally notice a small amount of blood.
For example, this morning I had some abdominal pain, and when I went to the bathroom, I noticed blood in my discharge.
But when I used a cotton swab to check inside my vagina, there was no blood.

I have a few questions:
1.
Should I go back to the gynecologist, or should I wait a few days to see if the spotting continues before making another appointment?
2.
Is cervical erosion a serious issue?
3.
Could this be related to insufficient hormones from the contraceptive pill? I have been taking it for a while, and I didn't have this problem when I first started.
Thank you, Doctor.

Peiyu, 20~29 year old female. Ask Date: 2022/02/13

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, let's observe for a few more days.
If there is still bleeding, please consult a gynecologist.
If the abnormal bleeding persists in the next cycle, you may consider trying a different type of contraceptive pill.
As for whether it is cervical erosion, we will need to monitor the situation.
Wishing you good health.

Reply Date: 2022/02/13

More Info

Understanding cervical erosion and abnormal discharge can be quite concerning, especially when accompanied by symptoms such as spotting or unusual discharge. Let's address your questions one by one, while also providing some context about cervical erosion and its implications.

1. Should you return to the gynecologist?
Given that you are experiencing intermittent spotting and abdominal discomfort, it would be prudent to consult your gynecologist again. While it may be tempting to wait and see if the symptoms resolve, any new or persistent bleeding should be evaluated to rule out any underlying issues. Your doctor can perform a thorough examination, possibly including a Pap smear or ultrasound, to ensure that everything is progressing well. It’s always better to err on the side of caution when it comes to changes in your reproductive health.

2. Is cervical erosion a significant issue?
Cervical erosion, or cervical ectropion, is a condition where the cells from the inside of the cervical canal (glandular cells) are present on the outside of the cervix (ectocervix). This condition is often benign and can occur due to hormonal changes, particularly during pregnancy or when taking hormonal contraceptives. While cervical erosion itself is usually not a serious problem, it can lead to increased sensitivity and irritation, which may cause abnormal discharge or bleeding. In some cases, it can be associated with infections, which may require treatment. Your gynecologist will be able to assess the severity of your condition and recommend appropriate management.

3. Could the spotting be related to hormonal contraceptives?
It is possible that the spotting you are experiencing is related to the hormonal contraceptive you are taking. Breakthrough bleeding can occur, especially in the initial months of starting a new contraceptive method or if there are fluctuations in hormone levels. If you have been on the contraceptive for a while and this is a new symptom, it might be worth discussing with your doctor. They may consider adjusting your dosage or switching to a different method if the spotting continues to be a concern.

In addition to these points, it’s important to consider the following:
- Infection and Cervical Health: If your discharge is abnormal, it could indicate an infection, such as cervicitis, which can be caused by sexually transmitted infections (STIs) or other pathogens. Your doctor may perform tests to check for infections and provide appropriate treatment if necessary.

- Monitoring Symptoms: Keep track of your symptoms, including the frequency and amount of spotting, any changes in discharge, and any associated pain. This information can be very helpful for your doctor in diagnosing and managing your condition.

- Regular Check-ups: Regular gynecological exams are essential for monitoring cervical health, especially if you have had previous issues. These exams can help catch any potential problems early.

In conclusion, while cervical erosion is often not a significant health concern, any new or persistent symptoms should be evaluated by a healthcare professional. It’s always best to communicate openly with your gynecologist about your symptoms and concerns to ensure you receive the best care possible.

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