Impact of Cervical Erosion on Pregnancy and Fetal Health - Obstetrics and Gynecology

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Cervical erosion


I had pelvic inflammation and cervical erosion for the past 1-2 months, and my Pap smear results were normal.
I have been continuously taking medication and using suppositories for treatment.
However, I still notice yellowish discharge, and I recently found out that I am pregnant.
Will this affect the health of the fetus or cause any abnormalities?

Mimi, 20~29 year old female. Ask Date: 2012/12/19

Dr. Dong Yuhong reply Obstetrics and Gynecology


Hello: If you have been taking medication and using suppositories for pelvic inflammatory disease and cervical erosion in the past 1-2 months, and now you are in early pregnancy, it is important to be aware of the possibility of an ectopic pregnancy.
The likelihood of previous medications affecting this is low.
It would also be helpful to inform your obstetrician about the names of the medications you took and the duration of use, as this information combined with your prenatal check-up findings will provide better insight.
Thank you~

Reply Date: 2012/12/19

More Info


Cervical erosion, also known 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 occur during pregnancy due to hormonal changes. While cervical erosion itself is generally not harmful, it can lead to some concerns during pregnancy, especially if there are accompanying conditions such as pelvic inflammatory disease (PID) or other infections.

In your case, you mentioned having pelvic inflammatory disease and cervical erosion, and you are currently pregnant. It is understandable to be concerned about the potential impact on fetal health. However, it is important to note that cervical erosion alone is not typically associated with significant risks to the fetus. The primary concern would be if there is an underlying infection that could affect both maternal and fetal health.

Pelvic inflammatory disease can lead to complications such as ectopic pregnancy, infertility, or chronic pelvic pain if left untreated. If PID is present during pregnancy, it may increase the risk of preterm labor or low birth weight. Therefore, it is crucial to ensure that any infections are properly managed and treated during pregnancy.

Regarding the yellowish discharge you are experiencing, it is essential to differentiate between normal physiological changes during pregnancy and potential signs of infection. Increased vaginal discharge is common during pregnancy due to hormonal changes, but if the discharge has an unusual color, odor, or is accompanied by itching or irritation, it may indicate an infection that needs to be evaluated by your healthcare provider.

As for the concern about fetal health and potential congenital anomalies, there is no direct evidence linking cervical erosion or mild infections to fetal malformations. However, certain infections, particularly if they are severe or untreated, can pose risks to the developing fetus. It is crucial to maintain regular prenatal care and communicate any concerns with your obstetrician, who can monitor your situation closely.

In summary, while cervical erosion itself is not typically a cause for alarm during pregnancy, it is essential to address any underlying infections and maintain regular prenatal care. If you have any concerns about your symptoms or the health of your pregnancy, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. They can provide personalized advice based on your medical history and current condition, ensuring both your health and the health of your baby are prioritized.

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