2.26 Cervical Ectropion

Question 1

Two other names for cervical ectropion?

Answer 1

cervical ectopy or

cervical erosion

Question 2

What has happened for cervical ectropion to occur?

Answer 2

columnar epithelium of the endocervix has extended out to the ectocervix

Question 3

What is cervical ectropion associated with?

Answer 3

higher oestrogen levels ie:

• younger women
• COCP
• pregnancy

Question 4

What cells meet at the transformation zone?

Answer 4

columnar epithelium of the endocervix meets
stratified squamous epithelium of ectocervix

(visible on speculum exam)

Question 5

How might a cervical ectropion present?

Answer 5

many are asymptomatic and incidental finding on speculum.

present:

• increased vaginal discharge
• vaginal bleeding
• dyspareunia
• postcoital bleeding

Question 6

Management of cervical ectropion?

Answer 6

asymptomatic - require no treatment

problematic bleeding?
- cauterisation using silver nitrate or cold coagulation during colposcopy

(not associated with cancer at all)