Menstruation and Menstrual Disorders - Cervical Ectropion

Question 1

What is Cervical Ectropion also known as?

Answer 1

Cervical ectopy or erosion.

Question 2

Risk Factors for Cervical Ectropion (3).

Answer 2

Anything associated with higher Oestrogen levels :-

1. Younger Women.
2. Women on COCP.
3. Pregnant Women.

Question 3

Clinical Features of Cervical Ectropion (4).

Answer 3

1. Asymptomatic.
2. Postcoital Vaginal Bleeding (intercourse - minor trauma).
3. Increased Vagina Discharge.
4. Dyspareunia.

Question 4

Pathophysiology of Cervical Ectropion.

Answer 4

1. Columnar epithelium of endocervix extends out to the ectocervix (outer area of cervix).
2. Transformation Zone is located on Ectocervix.

Question 5

What is the Transformation Zone?

Answer 5

Border between the Columnar Epithelium of Endocervix and Stratified Squamous Epithelium of Ectocervix.

Question 6

Why does Cervical Ectropion present with postcoital bleeding?

Answer 6

Columnar epithelial cells are more fragile and prone to trauma.

Question 7

Examination Findings of Cervical Ectropion.

Answer 7

Well-Demarcated Border between Redder Velvety Columnar Epithelium from Os and Pale Pink Squamous Epithelium of Endocervix = Transformation Zone.

Question 8

Management of Cervical Ectropion (3).

Answer 8

1. Asymptomatic - No treatment.
2. Resolves with reversal of risk factors.
3. Symptomatic - Cauterisation of Ectropion using Silver Nitrate or Cold Coagulation during Colposcopy.