Cervicitis (patient information): Difference between revisions
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{{Cervicitis (patient information)}} | {{Cervicitis (patient information)}} | ||
'''For the WikiDoc page for this topic, click [[Cervicitis|here]]''' | '''For the WikiDoc page for this topic, click [[Cervicitis|here]]''' | ||
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==Overview== | ==Overview== | ||
Cervicitis is swelling (inflammation) of the end of the uterus (cervix). | Cervicitis is swelling (inflammation) of the end of the [[uterus]] ([[cervix]]). | ||
==What are the symptoms of Cervicitis?== | ==What are the symptoms of Cervicitis?== | ||
* Abnormal vaginal bleeding | * Abnormal [[vaginal bleeding]] | ||
* After intercourse | ** After [[intercourse]] | ||
* After menopause | ** After [[menopause]] | ||
* Between periods | ** Between periods | ||
* Unusual vaginal discharge | * Unusual vaginal discharge | ||
* Does not go away | ** Does not go away | ||
* Gray, white, or yellow color | ** Gray, white, or yellow color | ||
* May have an odor | ** May have an odor | ||
* Painful sexual intercourse | * Painful sexual intercourse | ||
* Pain in the vagina | * Pain in the [[vagina]] | ||
* Pressure or heaviness in the pelvis | * 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. | 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 ?== | ==What causes Cervicitis?== | ||
Cervicitis is most often caused by an infection, usually caught during sexual activity. Sexually transmitted diseases (STDs) that can cause cervicitis include: | Cervicitis is most often caused by an infection, usually caught during sexual activity. Sexually transmitted diseases (STDs) that can cause cervicitis include: | ||
*[[Chlamydia]] | * [[Chlamydia]] | ||
*[[Gonorrhea]] | * [[Gonorrhea]] | ||
*Herpes virus (genital herpes) | * Herpes virus ([[genital herpes]]) | ||
*[[Human papilloma virus]] (genital warts) | * [[Human papilloma virus]] ([[genital warts]]) | ||
*[[Trichomoniasis]] | * [[Trichomoniasis]] | ||
However, in a few cases it may be due to: | However, in a few cases it may be due to: | ||
*A device inserted into the pelvic area such as: | * A device inserted into the pelvic area such as: | ||
**Cervical cap | ** Cervical cap | ||
**Device to support the uterus (pessary) | ** Device to support the uterus ([[pessary]]) | ||
**Diaphragm | ** Diaphragm | ||
*An allergy to spermicides used for birth control or to latex in condoms | * An allergy to spermicides used for birth control or to latex in condoms | ||
*Exposure to a chemical | * Exposure to a chemical | ||
==Who is at highest risk?== | ==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: | Cervicitis is very common, affecting more than half of all women at some point during their adult life. Risks include: | ||
High-risk sexual behavior | * High-risk sexual behavior | ||
History of [[STD]]s | * History of [[STD]]s | ||
Many sexual partners | * Many sexual partners | ||
Sex (intercourse) at an early age | * Sex (intercourse) at an early age | ||
Sexual partners who have engaged in high-risk sexual behavior or have had an STD | * 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. | * 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?== | ==When to seek urgent medical care?== | ||
Call your health care provider if you have symptoms of cervicitis. | Call your health care provider if you have symptoms of [[cervicitis]]. | ||
==Diagnosis== | ==Diagnosis== | ||
A pelvic examination may show: | A pelvic examination may show: | ||
* Discharge from the cervix | |||
*Discharge from the cervix | * Redness of the cervix | ||
*Redness of the cervix | * Swelling ([[inflammation]]) of the walls of the vagina | ||
*Swelling (inflammation) of the walls of the vagina | |||
Tests: | Tests: | ||
* Inspection of the discharge under a microscope (may show [[candidiasis]], [[trichomoniasis]], or [[bacterial vaginosis]]) | |||
*Inspection of the discharge under a microscope (may show [[candidiasis]], [[trichomoniasis]], or [[bacterial vaginosis]]) | * [[Pap smear]] | ||
*[[Pap smear]] | * Tests for gonorrhea or [[chlamydia]] | ||
*Tests for gonorrhea or [[chlamydia]] | |||
Rarely, colposcopy and biopsy of the cervix is necessary. | Rarely, colposcopy and biopsy of the cervix is necessary. | ||
==Treatment options== | ==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. | 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). | [[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: | When these treatments have not worked or when cervicitis has been present for a long time, treatment may include: | ||
*Cryosurgery (freezing) | * [[Cryosurgery]] (freezing) | ||
*Electrocauterization | * Electrocauterization | ||
*Laser therapy | * Laser therapy | ||
==Where to find medical care for Cervicitis?== | ==Where to find medical care for Cervicitis?== | ||
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==Prevention== | ==Prevention== | ||
Ways to reduce the risk of cervicitis include: | Ways to reduce the risk of cervicitis include: | ||
* Avoid chemical irritants such as douches and deodorant tampons. | * Avoid chemical irritants such as douches and deodorant tampons. | ||
* Make sure that any foreign objects you insert into your vagina (such as tampons) are placed properly. Be sure to follow the guidelines on how long to leave the object inside, how often to change it, or how often to clean it. | * Make sure that any foreign objects you insert into your vagina (such as tampons) are placed properly. Be sure to follow the guidelines on how long to leave the object inside, how often to change it, or how often to clean it. | ||
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http://www.nlm.nih.gov/medlineplus/ency/article/001495.htm | http://www.nlm.nih.gov/medlineplus/ency/article/001495.htm | ||
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{{WS}} | |||
[[Category:Sexually transmitted diseases]] | |||
[[Category:Patient information]] | |||
[[Category:Disease]] | |||
[[Category:Inflammations]] | |||
[[Category:Gynecology]] | [[Category:Gynecology]] | ||
[[Category: | [[Category:Emergency medicine]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 20:51, 29 July 2020
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Cervicitis |
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Cervicitis On the Web |
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For the WikiDoc page for this topic, click here
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?
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).
Prevention
Ways to reduce the risk of cervicitis include:
- Avoid chemical irritants such as douches and deodorant tampons.
- Make sure that any foreign objects you insert into your vagina (such as tampons) are placed properly. Be sure to follow the guidelines on how long to leave the object inside, how often to change it, or how often to clean it.
- Not having sexual intercourse (abstinence) is the only absolute method of preventing sexually transmitted cervicitis. A monogamous sexual relationship with someone who is known to be free of any STD can reduce the risk. Monogamous means you and your partner do not have sex with any other people.
- You can greatly lower your risk of catching an STD by using a condom every time you have sex. Condoms are available for both men and women, but are most commonly worn by the man. A condom must be used properly every time.