• Sao Paulo Med J · Mar 2008

    Review

    Evidence for benefits from treating cervical ectopy: literature review.

    • Luís Carlos Machado Junior, Ana Sílvia Whitaker Dalmaso, and CarvalhoHeráclito Barbosa deHB.
    • Centro de Saúde Escola Samuel Barnsley Pessoa, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. csesbp@usp.br
    • Sao Paulo Med J. 2008 Mar 6; 126 (2): 132139132-9.

    Context And PurposeUterine cervical ectopy (cervical erosion) is today considered to be a physiological condition, but there still seems to be a strong tendency towards treating it. The purpose of this study was to review the medical literature for evidence regarding benefits from treating cervical ectopy.MethodsThe following databases were reviewed: Medical Literature Analysis and Retrieval System Online (Medline), Excerpta Medica Database (Embase), Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) and Cochrane Library databases. In addition, six medical textbooks were consulted.ResultsThe review showed that: 1) there is probably an association between ectopy and higher risk of Chlamydia trachomatis, human papillomavirus and human immunodeficiency virus infection; 4) there is probably an association between ectopy and cervical intraepithelial neoplasia; 5) there is an association between ectopy and mucous discharge and nocturia; and 6) there is no evidence of an association between ectopy and cervical cancer, or of protection against cervical cancer associated with ectopy treatment.Conclusions1) No data were found in the medical literature to support routine treatment for ectopy; 2) Treatment could be recommended for symptom relief, but more symptoms are attributed to ectopy than could be demonstrated in a controlled study; 3) Further studies to test the hypothesis of protection against cervical cancer associated with treatment are necessary.

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