Is it important to find cervical hypertrophy during gynecological examination?

gynecological examination shows that cervical hypertrophy is usually not a problem, and most of them are physiological changes. Cervical hypertrophy may be caused by chronic inflammatory stimulation, cervical glandular cysts, multiple childbirths, etc. If there are no accompanying abnormal symptoms, special treatment is generally not necessary. Cervical hypertrophy is common in women during their reproductive period, as the cervix is exposed to long-term estrogen stimulation or recurrent chronic inflammation, leading to glandular and stromal hyperplasia. This type of situation usually does not affect fertility or increase the risk of cervical cancer, and only requires regular cervical cancer screening. Some women may experience a slight increase in vaginal discharge or soreness in the lumbar and sacral regions due to an increase in cervical volume, but the symptoms can often resolve on their own. In rare cases, cervical hypertrophy may be accompanied by pathological changes, such as cervical intraepithelial neoplasia and high-risk human papillomavirus infection, which may result in symptoms such as contact bleeding and abnormal vaginal discharge. If gynecological examination reveals that the cervix is hard and brittle, with ulcers or growths on the surface, further vaginal colposcopy biopsy is required to rule out the lesions. New cervical hypertrophy in postmenopausal women should be particularly vigilant, as it may be related to cervical canal adhesions, fluid accumulation, or malignant tumors.

It is recommended to undergo gynecological examination and cervical TCT combined with HPV screening once a year, keep the external genitalia clean and dry, and avoid frequent vaginal flushing. When experiencing symptoms such as bleeding during sexual intercourse, watery vaginal discharge, or lower abdominal pain, it is necessary to seek medical attention promptly. If necessary, physical therapy such as laser or cryotherapy or cervical conization surgery should be performed under the guidance of a doctor.