Cervicitis screening

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]


Overview

Screening

Screening for the infectious causes of cervicitis is recommended.

Chlamydia cervicitis

According to the 2015 Sexually Transmitted Diseases Treatment Guidelines by the CDC, screening for chlamydia is recommended as follows:[1][2]

  • Sexually active women under 25 years of age.
  • Sexually active women aged 25 years and older if at increased risk.
  • Retest approximately 3 months after treatment.

Pregnant Women

  • All pregnant women under 25 years of age.
  • Pregnant women, aged 25 and older if at increased risk.
  • Retest during the 3rd trimester for women under 25 years of age or at risk.

Individuals with HIV

  • For sexually active individuals, screen at first HIV evaluation, and at least annually thereafter.
  • More frequent screening might be appropriate depending on individual risk behaviors and the local epidemiology.

Gonococcal cervicitis

Screening is recommendated in high risk people as follows:

Sexually active women under 25 years of age All pregnant women under 25 years of age and older women if at increased risk Sexually active women age 25 years and older if at increased risk as follows:

  • Prior history of sexually transmitted infection
  • A new sex partner
  • More than one sex partner

A sex partner with concurrent partners

  • A sex partner who has a sexually transmitted infection

HIV infected women as follows:

  • For sexually active individuals, screen at first HIV evaluation, and at least annually
  • More frequent screening for might be appropriate depending on individual risk behaviors and the local epidemiology


Other nongonococcal infections

There is no specific screening modality.


References

  1. Screening Recommendations Referenced in Treatment Guidelines and Original Recommendation Sources. CDC. http://www.cdc.gov/std/tg2015/screening-recommendations.htm. Accessed on January 6th, 2016
  2. Screening recommendation for chlamydia. UPSTF. http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/chlamydia-and-gonorrhea-screening?ds=1&s=chlamydia(2014). Acessed on September 8, 2016


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