Cervical Ectropion

Question 1

What cells line the endocervix?

Answer 1

Columnar epithelium.

Question 2

What is the transformation zone?

Answer 2

The border between the columnar epithelium of the endocervix and the stratified squamous epithelium of the ectocervix.

Transformation zone located on ectocervix and is visible during speculum examination.

Question 3

How might ectropion present?

Answer 3

1. Increased vaginal discharge
2. Vaginal bleeding (esp. postcoital)
3. Dyspareunia

Question 4

Is ectropion associated with cervical cancer in any way?

Answer 4

No

Question 5

What women are prone to cervical ectropion?

Answer 5

Those with higher oestrogen levels (younger women, those on COCP and pregnant women)

Question 6

How is problematic bleeding from cervical ectropion managed?

Answer 6

Cauterisation of ectropion using silver nitrate or cold coagulation during colposcopy.