Cervical Erosion
Cervical Erosion


Erosion is defined as wearing away of tissue. The cervix is lined by two types of cells- outer part by flat squamous cells and the inner part by glandular cells that secrete mucus (columnar). Thus the term cervical erosion is something of a misnomer as the squamous lining of the cervix is not lost but replaced by the columnar epithelium of the inner cervix (endocervix). Therefore the term ectropion is now more prevalent. As the time elapses, squamous metaplasia may occur in this columnar epithelium.

It is one of the commonest gynecological conditions seen in day to day practice. About 85% of women suffers from cervical erosion and can also show malignant changes in chronic stage.

Direct reference of Cervical erosion is not found in Ayurveda literature, yet going through the pathology,signs and symptoms of erosion, it can be termed as‘Garbhashaya griva gata vrana’.


Though cervical erosion is a common finding during fertile years, its significance is variable. Causes of erosion can be trauma, chemicals, infections or carcinoma. Trauma of multiple childbirths, tampon use or an intrauterine contraceptive device especially if used for a long period can cause erosion. Cervical erosion is commonly related to the effect of hormones and is seen in young women taking oral contraceptive pills.

Acute and chronic infections are common causes of erosion. The duration of infection is more important than the type. The most serious concern with cervical erosion is its likely predisposition to cause cervical cancer. Cervical erosions are more common in women of lower socioeconomic groups, women with poor general hygiene, with early marriage and multiple pregnancies. These are also the risk groups for cervical dysplasia which are precancerous lesions.

The nidana can be Nija/Agantuja, with Kapha Pitta Dosha dominance and it is a Twak Mamsaja type of vrana occurring at Garbahshaya griva. As it is a twak – mamsagata vranaaccording to Sushrut the treatment of such vrana is Agnikarma. (Su.Su.12/10)

Sign and Symptoms

Cervical erosion is mostly an incidental finding on routine gynecological examination in women. Commonly it is present in asymptomatic females. The common symptoms associated with cervical erosion are – vaginal discharge or leucorrhoea, pain, difficulty in passing urine, post coital bleeding.

Garbhashaya Grivagata Vrana (Cervical Erosion) is one among the vimshati yoni vyapats. This common ailment may present with symptoms like vaginal discharge to worst manifestations like female infertility and thus gain importance in the gynecological practice. This condition with its signs and symptoms can be correlated with cervical erosion.

  • Practice sexual abstinence or use condoms during sexual intercourse
  • Use barrier methods of birth control (condoms, diaphragms, or cervical caps) when having sex. Such methods offer some protection against sexually transmitted diseases, which can lead to cervical problems.
  • To help prevent cervicitis, eat plenty of fresh vegetables and fruits. These foods are rich in vitamin C, beta carotene, Folic acid, and other nutrients that strengthen the immune system and help fight off some infections.
  • Stop smoking
Ayurvedic Treatment for Cervical Erosions

Mostly cervical erosion is present in women who do not have any symptoms and thus no specific treatment is advised. A few treatments include taking specific medications, cervical cautery or laser cauterization.

Usually a spontaneous regression takes place after the squamous metaplasia, but treatment can speed up this process. It is only if the patient with cervical erosion presents with a specific complaint e.g. excessive vaginal discharge or post coital bleeding then treatment is advised for the underlying cause like infection.

As per ayurvedic point of view, this disease is caused by vitiation of three doshas with a clear predominance of Vata and Kapha Doshas. So the selection of Drug should be done according to the nature of the disease and doshika predominance.

Pichudharan is considered the best and the most specific procedure in all Vranas especially in yonigata rogas as mentioned in classical texts by Acharya Charak, Vagbhatta, Bhava Prakash and Yogratnakar. Kampilakadi Grita is the foremost and a unique formulations mentioned in the classic of Ayurveda in Vrana management as it is having Vrana Shodak and Vranaropak property. Yoniprakshalan is also useful in the treatment of Vrana. Nimba Patra Kwath yoni praksalan also have Vranashodhak, Vranaropak and Vatakaphashamak property.

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