Cervicitis (patient information)

(Condition)
Overview
What are the symptoms?
What are the causes?
Who is at highest risk?
Diagnosis
When to seek urgent medical care?
Treatment options
Where to find medical care for (Condition)?
Prevention
What to expect (Outlook/Prognosis)?
Possible complications
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S.

Overview

Cervicitis is swelling (inflammation) of the end of the uterus (cervix).

What are the symptoms of Cervicitis?

• Abnormal vaginal bleeding
• After intercourse
• After menopause
• Between periods
• Unusual vaginal discharge
• Does not go away
• Gray, white, or yellow color
• May have an odor
• Painful sexual intercourse
• Pain in the vagina
• Pressure or heaviness in the pelvis

Note: There may be no symptoms, so it is recommended that certain women be tested for chlamydia, even if they do not have symptoms.

What causes ?

Cervicitis is most often caused by an infection, usually caught during sexual activity. Sexually transmitted diseases (STDs) that can cause cervicitis include:

• Chlamydia
• Gonorrhea
• Herpes virus (genital herpes)
• Human papilloma virus (genital warts)
• Trichomoniasis

However, in a few cases it may be due to:

• A device inserted into the pelvic area such as:
  • Cervical cap
  • Device to support the uterus (pessary)
  • Diaphragm
• An allergy to spermicides used for birth control or to latex in condoms
• Exposure to a chemical

Who is at highest risk?

Cervicitis is very common, affecting more than half of all women at some point during their adult life. Risks include:

High-risk sexual behavior History of STDs Many sexual partners Sex (intercourse) at an early age Sexual partners who have engaged in high-risk sexual behavior or have had an STD Bacteria (such as staphylococcus and streptococcus) and too much growth of normal bacteria in the vagina (bacterial vaginosis) can also cause cervicitis.

When to seek urgent medical care?

Call your health care provider if you have symptoms of cervicitis.

Diagnosis

A pelvic examination may show:

• Discharge from the cervix
• Redness of the cervix
• Swelling (inflammation) of the walls of the vagina

Tests:

• Inspection of the discharge under a microscope (may show candidiasis, trichomoniasis, or bacterial vaginosis)
• Pap smear
• Tests for gonorrhea or chlamydia

Rarely, colposcopy and biopsy of the cervix is necessary.

Treatment options

Antibiotics are used to treat bacterial infections, such as chlamydia, gonorrhea, and others. Drugs called antivirals may be used to treat herpes infections.

Hormonal therapy (with estrogen or progesterone) may be used in women who have reached menopause (postmenopausal).

When these treatments have not worked or when cervicitis has been present for a long time, treatment may include:

• Cryosurgery (freezing)
• Electrocauterization
• Laser therapy

Where to find medical care for Cervicitis?

Directions to Hospitals Treating Cervicitis

What to expect (Outlook/Prognosis)?

Simple cervicitis usually heals with treatment if the cause is found and there is a treatment for that cause.

Possible complications

Cervicitis may last for months to years. Cervicitis may lead to pain with intercourse (dyspareunia).

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/001495.htm