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[Applause] [Music] hi this is tom from zero2finals.com in this video im going to be going through cervical ectropion and you can find written notes on this topic at zero definers dot com slash ectropion or in the gynecology section of the zero to finals obstetrics and gynae book so lets jump straight in cervical ectropion can also be called cervical ectopy and cervical erosion cervical ectropion occurs when the columnar epithelium of the endocervix which is the canal of the cervix has extended out to the ectocervix which is the outer area of the cervix that you can see on a speculum examination this means the lining of the endocervix becomes visible on examination of the cervix using a speculum this lining has a slightly different appearance to the normal ectocervix the cells of the endocervix which are columnar epithelial cells are more fragile and prone to trauma theyre more likely to bleed with sexual intercourse this means cervical ectropion often present with post-coital bleed