A Family Doctor's Tale - CERVICITIS

DOC I HAVE CERVICITIS

Cervicitis is non-specific infection of the cervix.
It is most common on the posterior cervix but may be anterior or concentric.

1.Congeital cervical erosions or cervicitis can occur in virgins.

2.sexually active females

3.dilatation in labour or during abortion

There are

1.Simple:
Erosion surface is smooth

2.Paippilary:
Erosion surface is rough

3.Follicular:
Erosion surface is cystic

Bacterial infections:

1.Gonorrhea

2.Chlamydia

3.staphylococcus aureus

4.Streptococcus

5.Mycobacterium tuberculosis.

6.E.coli

Viral infections:

1.Genital herpes

2..Human Papilloma Virus

Other causes:
1.Cervical cap

2.Device to support the uterus (pessary)

3.Diaphragm

4.allergy to spermicides

5.Exposure to a chemical

danger
1.Pelvic inflammatory disease

2.Urethritis and cystitis

3.rarely malignant changes in cervix

4.inguinal lymphadenitis

5.Cervical cancer

1.Mucopurulent vaginal discharge (Gray, white, or yellow color) with odor

2.Blood in the vaginal discharge
  a.After intercourse
  b.After menopause
  c.Between periods

3.Urinary infection symptoms - frequency and pain

3.hematuria (blood in the urine)

4.Pelvic pain

5.Backache

6.Painful sexual intercourse

7.Pain in the vagina

8.Pressure or heaviness in the pelvis

Signs:

1.reddened area of cervix

2.erosion of cervical wall

3.Vaginal surface of cervix may be affected

4.pus discharge from the cervix

5.Swelling (inflammation) of the walls of the vagina

6.Vaginal examination with Pap's smear of cervical cells

7.Cervical swab for culture and sensitivity to antibiotics

8.Blood tests( white cell count , blood culture, chlamydia, gonorrhea)

Acute Cervicitis

1. Antibiotics is given according to the sensitivity of bacteria in the culture.

2.Pelvic pain and backache may be treated with paracetamol

3.Local application of sulphonamide,tetracycline or other antibiotic cream

4.Cauterisation of the affected cervical area

5.Cryosurgery

6.Cone biopsy if necessary.

7.Hormonal therapy (especially in postmenopausal women)

8.Laser therapy

Prognosis with appropriate treatment and antibiotics is generally good.

Recurrence is common.

Cervicitis may last for months to years.

Cervicitis may lead to pain with intercourse (dyspareunia).

Avoid sexual intercourse with multiple partners.

Use condoms during sexual intercourse.

Vaccination against human papilloma virus

Avoid chemical irritants such as douches and deodorant tampons.

Avoid using spermicidal contraceptives

Make sure that any foreign objects that you insert into your vagina is clean or sterile.