Is it normal to find mild cervical erosion during postpartum physical examination?

The discovery of mild cervical erosion during postpartum physical examination is usually a normal physiological phenomenon. Cervical erosion is often caused by changes in estrogen levels leading to the outward migration of cervical columnar epithelium. Postpartum hormone fluctuations may exacerbate this manifestation, and if there are no abnormal symptoms, special treatment is generally not necessary. Mild cervical erosion is more common in postpartum women, mainly related to mechanical damage to the cervix during delivery and changes in postpartum estrogen levels. Cervical dilation during childbirth may cause slight damage to the local mucosa, and low levels of estrogen during postpartum lactation can lead to the outward extension of columnar epithelium in the cervical canal, forming a erosive appearance. This condition usually does not cause significant discomfort, and some women may experience a small amount of pale yellow discharge without itching or odor. Pay attention to keeping the perineum clean in daily life, avoid frequent use of washing solution to rinse the vagina, and reduce local irritation. If cervical erosion is accompanied by abnormal symptoms, it is necessary to be alert to pathological changes. Symptoms such as bleeding, purulent or bloody discharge, and lower abdominal pain after sexual intercourse may be related to cervicitis, human papillomavirus infection, or cervical intraepithelial neoplasia. This type of situation requires further investigation through cervical TCT and HPV testing, and if necessary, vaginal colposcopy examination. When postpartum immunity is low, bacteria or viruses are prone to infection, and long-term lack of intervention may increase the risk of cervical lesions.

During postpartum recovery, premature sexual intercourse should be avoided to reduce cervical friction stimulation. Regular gynecological examinations should be conducted, especially during the 42 day postpartum follow-up to evaluate cervical recovery. Choose breathable cotton underwear for daily use to avoid prolonged sitting in damp environments. If there is abnormal bleeding or continuous increase in secretions, it is recommended to seek medical attention promptly to clarify the cause and rule out other cervical diseases.