Cervicitis: Difference between revisions
No edit summary |
No edit summary |
||
Line 25: | Line 25: | ||
In many case cervicitis remains asymptomatic | In many case cervicitis remains asymptomatic | ||
*If symptomatic, person may experience vaginal discharge, dyspareunia, intermenstrual bleeding, or postcoital bleeding <ref name=" | *If symptomatic, person may experience vaginal discharge, dyspareunia, intermenstrual bleeding, or postcoital bleeding <ref name="Singh" /> | ||
*Occasionally will present in an abnormal fashion, such as a cervical growth or uterovaginal prolapse, but that is rare and usually due to delayed or no treatment <ref name=" | *Occasionally will present in an abnormal fashion, such as a cervical growth or uterovaginal prolapse, but that is rare and usually due to delayed or no treatment <ref name="Singh" /><br><br> | ||
== Associated Co-morbidities == | == Associated Co-morbidities == |
Revision as of 21:05, 4 April 2017
Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Top Contributors - Rachael Lewin, Victoria Loving, Lucinda hampton, Elaine Lonnemann, Kim Jackson, 127.0.0.1 and WikiSysop
Definition/Description[edit | edit source]
- Cervicitis is defined as the inflammatory response of the cervix to a particular stimuli[1]
- Can be acute or chronic; with chronic occurring due to inadequate treatment or recurrent inflammation[1]
- Non-specific cervicitis is the most common; meaning that it is unrelated to an STI like chlamydia or gonorrhea [2]
- A single instance or acute cervicitis is usually due to an infection like chlamydia or gonorrhea, while chronic is typically due to a non-infectious source[3]
- If left untreated cervicitis can lead to pelvic inflammatory disease[2]
Prevalence[edit | edit source]
Cervicitis is currently rarely reported to epidemiologists making true numbers for prevalence roughly estimated from about 8%-40% [1]
- About 61% of cervicitis cases are of unknown etiology [4]
Characteristics/Clinical Presentation[edit | edit source]
In many case cervicitis remains asymptomatic
- If symptomatic, person may experience vaginal discharge, dyspareunia, intermenstrual bleeding, or postcoital bleeding [1]
- Occasionally will present in an abnormal fashion, such as a cervical growth or uterovaginal prolapse, but that is rare and usually due to delayed or no treatment [1]
Associated Co-morbidities[edit | edit source]
In many cases, Mycoplasma Genitalium bacteria occurs simultaneously with cervicitis
- Gonorrhea and chlamydia is also commonly found in correlation with cervicitis
Medications[edit | edit source]
Antibiotics are frequently given once cervicitis is found
- No other medications are usually prescribed to help with this condition
Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
In order to diagnose a culture is taken to look for mucopurulent discharge
- A culture is taken to look for specific bacteria like chlamydia, gonorrhea, or mycoplasma genitalium
Etiology/Causes[edit | edit source]
- Cervicitis can be associated with preterm childbirth and pelvic inflammatory disease
- Chlamydia, gonorrhea, trichomonas, bacterial vaginosis and mycoplasma genitalium are all seen to contribute to acute, infectious cervicitis
- Decreased use of condoms with sexual activity are shown to increase the risk for acquiring cervicitis
- Lower education and multiple sexual partners were also seen to contribute to the condition
- Cytomegalovirus has recently been shown to lead to cervicitis as well
Systemic Involvement[edit | edit source]
Untreated, cervicitis can lead to pelvic inflammatory disease (PID)
- Postcoital bleeding is also a common occurrence when cervicitis in inadequately or not treated
Medical Management (current best evidence)[edit | edit source]
Best evidence, is currently antibiotic therapies
- Complementary and Alternative Medicine is now being introduced to treat this diagnosis
Physical Therapy Management (current best evidence)[edit | edit source]
- Electrotherapy
- Magnet therapy
- Heat therapy
- Light therapy
- External high frequency calorimetry
- Low frequency pulsed ultrasound therapy
- Iontophoresis
- Shortwave ultrasound combined with intermediate frequency electrical stimulation
- Ozone therapy
- Shortwave diathermy
Differential Diagnosis[edit | edit source]
- Cystic cervicitis
- Vaginosis
- Vulva vaginitis
- Herpes Simplex Virus
Case Reports/ Case Studies[edit | edit source]
Singh N, Arora A. An Extreme Case of Chronic Cervicitis Mimicking Cervical Cancer and Causing Third-Degree Prolapse. Journal Of Gynecologic Surgery [serial online]. December 2014;30(6):380-382. Available from: Academic Search Complete, Ipswich, MA. Accessed February 23, 2017.
(case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
https://www.plannedparenthood.org
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: addfeedhere|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.
- ↑ 1.0 1.1 1.2 1.3 1.4 Singh N, Arora A. An Extreme Case of Chronic Cervicitis Mimicking Cervical Cancer and Causing Third-Degree Prolapse. Journal Of Gynecologic Surgery [serial online]. December 2014;30(6):380-382. Available from: Academic Search Complete, Ipswich, MA. Accessed February 23, 2017.
- ↑ 2.0 2.1 Pollett S, Calderon M, Heitzinger K, Solari V, Montano S, Zunt J. Prevalence and predictors of cervicitis in female sex workers in Peru: an observational study. BMC Infectious Diseases [serial online]. April 30, 2013;13:195. Available from: MEDLINE, Ipswich, MA. Accessed February 23, 2017.
- ↑ Efosa O, Uwadiegwu A. Cytopathological Examination and Epidemiological Study of Cervicitis in Commercial Sex Workers (Csws) in Coal City (Enugu), Nigeria. Ethiopian Journal Of Health Sciences [serial online]. July 2015;25(3):225-230. Available from: Academic Search Complete, Ipswich, MA. Accessed April 4, 2017.
- ↑ Taylor S, Lensing S, Lee J, et al. Prevalence and treatment outcome of cervicitis of unknown etiology. Sexually Transmitted Diseases [serial online]. May 2013;40(5):379-385. Available from: CINAHL with Full Text, Ipswich, MA. Accessed February 23, 2017.