What is cervicitis?
Cervicitis is inflammation of the cervix. The cervix is the
lower part of the uterus that opens into the vagina. Babies
develop in the uterus, and menstrual blood comes from the
uterus.
How does it occur?
Infections by bacteria or viruses are common causes of
cervicitis. Usually the infections are transmitted by
sexual contact. Examples of such infections are gonorrhea,
genital herpes, chlamydia, and genital warts.
Sexual intercourse, injury during childbirth, or surgery may
cause the cervix to become inflamed or infected.
What are the symptoms?
Symptoms of cervicitis may include:
- a vaginal discharge with an odor or a discharge that is
not normal for you
- discomfort or pain in the lower abdomen, especially
during sexual intercourse
- bleeding or spotting from the vagina after intercourse
- bleeding or spotting from the vagina between menstrual
periods.
- itching, burning, or painful urination.
Cervicitis often has no symptoms. You may not know you have
cervicitis until you have a pelvic exam. During the exam
your health care provider may see redness or swelling, a
discharge from the cervix, or other signs of cervicitis.
How is it diagnosed?
If you think you may have cervicitis, see your health care
provider when you are not having a menstrual period. Also:
- For 5 days before you see your provider, do not use any
vaginal medicine.
- For 2 days before you see your provider, do not use a
tampon or diaphragm.
When you see your provider, he or she will ask about your
symptoms. You will have a physical exam, including a pelvic
exam. Your provider will use swabs to get a sample of
discharge and cells from your cervix for lab tests.
Your provider may also:
- Do a Pap test.
- Do a biopsy of the cervix (cutting tiny pieces of tissue
from the cervix for lab tests).
- Test samples of your blood to check for hepatitis B virus
and human immunodeficiency virus (HIV).
If the Pap test or biopsied tissue is abnormal, your
provider may do a colposcopy (looking at the cervix with a
magnifying instrument).
How is it treated?
Cervicitis caused by bacteria or a virus is treated with
antibiotics or antiviral medicines.
If medicines do not cure the cervicitis, the tissue in the
inflamed area may be destroyed or removed with:
- electrocautery (burning with an electric current)
- cryotherapy (freezing)
- LEEP (loop electrosurgical excision procedure)
- laser treatment
- a surgical knife.
You can have these procedures as an outpatient. They have
few complications or side effects.
Treatment is important to help prevent the spread of the
infection to other organs and to your sex partner. If a
sexually transmitted disease caused the cervicitis, your
partner must also take medicine.
How long will the effects last?
Mild cervicitis usually is gone by the time you have taken
all the medicine. The symptoms of more severe cervicitis
may last a month or two, even with treatment.
Rarely, the infection may spread to the lining of the uterus
or to the fallopian tubes. These infections could cause
pelvic inflammatory disease (PID) or infertility. They
usually result from infections of gonorrhea or chlamydia.
How can I take care of myself?
- Take all of your prescribed medicine, even if you have
no symptoms. Cervicitis can become a more severe,
long-term problem if it is not treated long enough to heal
completely.
- Keep your genital area clean but do not douche unless
your health care provider says you should.
- Do not have intercourse until your provider tells you it
is OK.
- Use sanitary pads instead of tampons when you have
menstrual periods during your treatment.
- Keep your follow-up appointments with your health care
provider.
What can be done to help prevent cervicitis?
Always use a latex or polyurethane condom during
intercourse, especially if you or your partner have sex with
others.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File WOM5215F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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