Cervical Ectropion

Question 1

Describe the ectocervix, the transformation zone, columnar and squamous epithelium.

Answer 1

On the ectocervix there is a transformation zone where the stratified squamous epithelium meets the columnar epithelium of the cervical canal.

Question 2

What does excess estrogen (Ovulatory phase, pregnancy, COCP) do to the ectocervix & what can this lead to?

Answer 2

It results in a larger area of columnar epithelium being present on the ectocervix.

This can then lead to cervical erosion (less used now) but basically non-purulent vaginal discharge and post-coital bleeding.

Question 3

What is used to treat it and when would it be appropriate?

Answer 3

Ablative treatment can be used but only if troublesome.