Cervical Ectropion Flashcards

1
Q

What causes cervical ectropion?

A
  • the columnar epithelium of the endocervix extends out to the ectocervix
  • the lining of the endocervix becomes visible on speculum examination

also called erosion

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2
Q

What is the main presentation of ectropion?

A

postcoital bleeding

  • the columnar epithelial cells are more fragile
  • they are more likely to bleed with sexual intercourse
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3
Q

In which group of people is ectropion more common?

A
  • it is associated with higher oestrogen levels
  • it is more common in younger women, pregnancy and COCP use
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4
Q

What is the transformation zone?

A
  • the border between the columnar epithelium of the endocervix
  • and the stratified squamous epithelium of the ectocervix

in ectropion, this becomes visible on speculum examination

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5
Q

What is the most common presentation of ectropion?

A

asymptomatic

  • most are found incidentally during speculum examination for other reasons (usually smear tests)
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6
Q

What symptoms may ectropion present with?

A
  • increased vaginal discharge
  • vaginal bleeding (particularly PCB)
  • dyspareunia
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7
Q

What is the treatment for asymptomatic ectropion?

A
  • there is no treatment
  • it will resolve as the patient gets older, stops the pill or is no longer pregnant

ectropion is NOT a contraindication for the COCP

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