What is Cervicitis?

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Cervicitis

Cervicitis is an inflammatory condition of the cervix, the neck of the womb. The inflammation can be infectious, most often caused by bacteria or viruses, or non-infectious, caused by physical or chemical irritation, injury to the cervix, or allergies.

Sexually transmitted infections (STIs), including chlamydia and gonorrhea, are the most common cause of cervicitis.

Some women don’t experience any symptoms at all as a result of cervicitis, while others may experience symptoms such as vaginal discharge, lower abdominal (stomach) pain or pain, and bleeding after sexual activity. Antibiotics or antiviral medications may be necessary to treat infectious cervicitis, however, most people recover fully from the condition.

Cervicitis symptoms

Cervicitis may cause no symptoms at all, or symptoms such as:^[1]

• Grayish or yellowish vaginal discharge
• Vaginal bleeding or spotting; either after sexual intercourse or between periods
• Pain during sexual intercourse
• A burning sensation when urinating; usually the result of the condition spreading to the urethra

If cervicitis spreads to the uterus, fallopian tubes or ovaries, this is a condition called pelvic inflammatory disease” data-wpil-keyword-link=”linked”>pelvic inflammatory disease (PID). People with PID may experience symptoms such as abdominal pain and fever.

Read more about Pelvic Inflammatory Disease (PID)

People who are experiencing symptoms that may be linked to cervicitis or PID should seek medical attention as a matter of urgency. List of Doctors can also be used to carry out a symptom assessment.

Causes of cervicitis

Cervicitis is typically caused by infection, most commonly by sexually transmitted infections (STIs).

STIs that may cause cervicitis include:^[2]

• Chlamydia
• Gonorrhea
• Genital herpes
• Trichomoniasis – an infection with a microscopic parasite

Less commonly, cervicitis may be caused by factors such as:^[3]

• Bacterial vaginosis, an imbalance of normal bacteria in the vagina
• An allergy to the chemicals found in condoms, spermicides or douches
• Injury or irritation caused by things such as diaphragms, tampons or pessaries
• A hormonal imbalance
• Cancer or cancer treatment

Diagnosing cervicitis

Women displaying the symptoms of cervicitis should see a doctor for a diagnosis. Doctors will be able to identify the condition, as well as any other conditions that involve similar symptoms.

Diagnosing cervicitis will usually involve tests including:^[4]

A speculum exam

In this test, a device called a speculum is inserted into the vagina. The speculum is gently opened to widen the vagina so that the vagina interior and cervix can be seen. The doctor will be looking for signs of redness, discharge, and inflammation of the vaginal walls.

A pap smear

Also known as a pap test, this exam involves swabbing cells from the vagina and cervix and testing these cells for abnormalities. This can be performed during the speculum exam.

A bimanual pelvic exam

This test involves the doctor inserting a gloved finger into the vagina to examine for abnormalities.

Tests for STIs

STIs screened for usually include chlamydia, gonorrhea, trichomoniasis, and herpes.^[5]

Cervicitis treatment

There is no specific treatment for cervicitis. Instead, a doctor will recommend a treatment method based on the root cause of the condition, as well as the affected person’s symptoms, age, overall health, and medical history.

Cervicitis treatment: antibiotics and antivirals

In cases where cervicitis is caused by a bacterial infection, antibiotics will generally be prescribed. A certain kind of antibiotic is also commonly prescribed if an infection with the microscopic parasite trichomonas is suspected or confirmed. Antibiotics should be taken according to the instructions of the doctor, as well as the instruction pamphlet enclosed within the packaging. It is important to take antibiotics for the entirety of the prescribed course, even if the problem clears before this time.

If caused by a virus, such as the herpes virus, an antiviral medication will normally be prescribed. This medication may be topical, i.e. applied directly to the affected area or administered orally, or both.

Treatment should always involve both the affected person and their sexual partner. Without this, the risk of re-infecting each other is very high. Moreover, all sexual activity should be halted until seven days after each partner has completed treatment or as long as specified by the doctor.^[6]

Cervicitis treatment: other methods

If the condition is a result of irritation from condoms or tampons, for example, treatment may involve ceasing to use these products to allow time for healing.

If the symptoms of cervicitis are particularly severe or have developed into pelvic inflammatory disease, the person is pregnant or their immune system is weak, the affected person may be admitted to the hospital for specialized care and support.^[7]

Cervicitis in pregnancy

Newly pregnant women or those attempting to become pregnant should be screened for cervicitis as soon as possible. When caused by an STI, cervicitis can lead to negative outcomes during pregnancy, including premature labor and miscarriage.^[8]

People who are sexually active with multiple partners during pregnancy should also be tested after each encounter. Doctors are able to effectively treat cervicitis during pregnancy, but it is important that this treatment is received as early as possible.

Prevention of cervicitis

Using condoms during sexual intercourse can help prevent bacterial and viral infections of the cervix. Condoms, however, cannot guarantee full protection. Avoiding causes of non-infectious cervicitis, such as things that cause allergies, may help prevent some episodes of cervicitis.

Complications of cervicitis: pelvic inflammatory disease (PID)

If cervicitis is caused by chlamydia or gonorrhea and it spreads to the uterus or fallopian tubes, this can result in a condition known as a pelvic inflammatory disease (PID). Symptoms of PID include abdominal pain and fever, and can in some cases lead to fertility problems.

PID can typically be treated using antibiotics. People experiencing symptoms that may be linked to PID should visit a doctor as soon as possible. A list of Doctors can also be used to carry out a symptom assessment.

Read more about Pelvic Inflammatory Disease (PID)

Cervicitis FAQs

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1. Harvard Health Publishing. “Cervicitis.” January, 2013. ↩

2. Healthline. “Inflammation of the Cervix (Cervicitis).” May 4, 2018. Accessed May 14, 2018.
   Accessed May 14, 2018. ↩

3. NCBI. “Risk factors for cervicitis among women with bacterial vaginosis.” March 1, 2006. Accessed October 9, 2018. ↩

4. Cleveland Clinic. “Cervicitis: Diagnosis and Tests.” September 4, 2014. Accessed May 14, 2018. ↩

5. CDC. “Trichomoniasis – CDC Fact Sheet.” Accessed October 9, 2018. ↩

6. Medscape. “Cervicitis Treatment & Management.” February 9, 2017. Accessed October 9, 2018. ↩

7. Emedicine. “Cervicitis: Cervix Infection or Inflammation.” Accessed September 20, 2018.
   [^5] UpToDate. “Acute cervicitis.” May 10, 2017. Accessed September 20, 2018. ↩

8. Healthery. “Cervicitis and Pregnancy.” Accessed September 20, 2018. ↩

9. NCBI “Pathogenesis of fallopian tube damage caused by Chlamydia trachomatis infections.” August, 2015. Accessed October 9, 2018. ↩

10. ResearchGate. “Trichomonas vaginalis: pathogenicity and potential role in human reproductive failure.” November 6, 2015. Accessed October 12, 2018. ↩

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**What ‌is⁢ Cervicitis?**



Cervicitis refers to the inflammation of the cervix, the narrow, lower part of the uterus that connects to ⁢the vagina. [[2]] ⁣It can result from infections, irritants, or injuries and may cause​ various symptoms or remain asymptomatic. [[3]]



**Causes of Cervicitis**



Cervicitis can have‍ several potential causes:



– **Infectious:** Infections ⁢caused ‌by bacteria, viruses, or parasites, such ‌as chlamydia, gonorrhea, trichomonas, or herpes simplex virus (HSV). [[2]]

– **Irritants:** Exposure to irritants such as spermicides, douches, or ​harsh soaps. [[2]]

– **Injuries:** Trauma during childbirth, abortion, or certain medical procedures. [[1]]



**Symptoms of Cervicitis**



Cervicitis may⁤ not always ⁤present⁣ with symptoms. However, potential symptoms​ include:



– Abnormal vaginal discharge [[3]]

– Painful intercourse (dyspareunia) ​ [[3]]

– Vulvar or vaginal irritation [[3]]

-‌ Pelvic pain [[2]]

– Bleeding after intercourse or between periods⁣ [[2]]



**Diagnosis of Cervicitis**



To⁤ diagnose cervicitis, a healthcare professional typically performs⁢ a pelvic exam, including⁢ a speculum exam ⁣to visualize the cervix. They ‍may also​ collect⁣ a sample of ⁣cervical discharge for testing to determine the ‌underlying cause. [[2]]



**Treatment of Cervicitis**



Treatment​ for cervicitis depends on the ⁢underlying cause:



– ⁢**Infections:** Antibiotics to clear the ⁣infection [[3]]

-‍ **Irritants:** Avoidance ‌of the irritant‌ and ⁢soothing measures [[2]]

-‌ **Injuries:** Time for healing and pain⁢ management ​if necessary [[1]]



**Prevention ‌of Cervicitis**



Preventive measures ​for cervicitis include:



– Safe sex practices, including condom use‍ [[2]]

– Regular Pap tests​ to screen for cervical cancer and detect infections [[2]]

– Avoidance of harsh soaps and other ⁤vaginal irritants [[2]]