Cervical Ectropion

Question 1

Cervical Ectropion

Answer 1

Columnar epithelium of the endocervix has extended out to the ectocervix

Question 2

Speculum examination findings for a cervical ectropion

Answer 2

Transformation zone becomes visible

• well-demarcated border between the redder, velvety columnar epithelium extending from the os (opening), and the pale pink squamous epithelium of the endocervix

Question 3

Presentation of cervical ectropion

Answer 3

Postcoital bleeding

Increased vaginal discharge

Dyspareunia

Question 4

Risk factors for cervical ectropion

Answer 4

Higher oestrogen levels:

• Younger women
• COCP
• Pregnancy

Question 5

Transformation Zone of the cervix

Answer 5

Border between the columnar epithelium of the endocervix and the stratified squamous epithelium of the ectocervix

Question 6

Investigations for post coital bleeding

Answer 6

Speculum exam

Swab for STI if indicated

Question 7

Management of cervical ectropion

Answer 7

Asymptomatic - no treatment

Problematic bleeding - cauterisation of the ectropion using silver nitrate or cold coagulation during colposcopy