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Intermediate Technical IVT

cervical ectropion

Pronunciation: SER-vi-kal ek-TRO-pee-on

A benign condition where the columnar epithelium from inside the cervical canal extends onto the visible cervix.

Full Definition

Cervical ectropion, also known as cervical erosion, occurs when the columnar epithelium that normally lines the endocervical canal extends outward onto the ectocervix, the part of the cervix visible during speculum examination. This condition is common in young women, especially those on hormonal contraception or during pregnancy, due to high estrogen levels. The affected area appears red and granular because the columnar epithelium is more vascular than the normal squamous epithelium of the ectocervix. Despite its alarming appearance, cervical ectropion is benign and often asymptomatic, though it may cause increased vaginal discharge or postcoital bleeding. Treatment is usually unnecessary unless symptoms are bothersome, in which case cryotherapy or electrocautery may be considered.

Usage

Usage note: Preferred term over 'cervical erosion' as no actual erosion occurs; the term 'ectropion' more accurately describes the condition.

In Context

  • "Speculum examination revealed extensive cervical ectropion, explaining the patient's complaint of increased vaginal discharge." — physical examination note
  • "The cervical ectropion noted on examination is likely related to the patient's current use of combined oral contraceptives." — consultation note

Also known as

cervical erosion ectopy

Don't confuse with

cervical dysplasia cervicitis cervical cancer

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