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Cervical erosion

'Erosion' of the cervix refers to changes on the surface of the opening to the womb. These changes can occur from irritation, infection, trauma, or childbirth. In childhood, the surface of the cervix looks rough, because there is little female hormone to effect these cells. As periods begin, the female hormone called estrogen increases and starts to change this surface to a smoother, stronger one. By the time the woman reaches menopause, little of the original surface can be found.

Although sometimes erosion can cause a discharge or spotting with sex, there is usually no treatment. However, an exam must be done to evaluate these cervical changes for early signs of cancer. The exam may include the following tests:

• PAP smear, a procedure for obtaining cells from the cervix for evaluation

• Colposcopy, a closer look at the cervix with a special type of microscope

When treatment is needed it may include removal of the abnormal cells with:

• cryosurgery, which destroys abnormal cells by freezing

• laser, which destroys the abnormal cells with a special light or

• surgery

Check with your healthcare provider if you have any abnormal discharge or spotting. Remember the PAP smear is the best method to rule out cancer of the cervix as the cause of erosion.

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