Cervicitis: Difference between revisions

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'''Definition/Description'''
 
*Cervicitis is defined as the inflammatory response of the cervix to a particular stimuli
*Can be acute or chronic; with chronic occurring due to inadequate treatment or recurrent inflammation
*Non-specific cervicitis is the most common; meaning that it is unrelated to an STI like chlamydia or gonnorhea
*A single instance or acute cervicitis is usually due to an infection like chlamydia or gonnorhea, while chronic is typically due to a non-infectious source
*If left untreated cervicitis can lead to pelvic inflammatory disease&nbsp;
 
'''Prevalence'''
 
Cervicitis is currently rarely reported to epidemiologists making true numbers for prevalence roughly estimated from about 8%-40%
 
*About 61% of cervicitis cases are of unknown etiology
 
'''Characteristics/Clinical Presentation'''
 
In many case cervicitis remains asymptomatic
 
*If symptomatic, person may experience vaginal discharge, dyspereunia, intermenstrual bleeding, or postcoital bleeding
*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
 
'''Associated Comorbidities'''
 
In many cases, Mycoplasma Gentialium bacteria occurs simultaneously with cervicitis
 
*Gonnorhea and chlamydia is also commonly found in correlation with cervicitis
 
'''Medications'''
 
Antibiotics are frequently given once cervicitis is found
 
*No other medications are usually prescribed to help with this condition
 
'''Diagnostic Tests/ Lab Values/ Lab Tests'''
 
In order to diagnose a culture is taken to look for mucopurulent discharge&nbsp;
 
*Culture taken to look for specific bacteria like chlamydia, gonnorhea, or mycoplasma genitalium
 
'''Etiology/Causes'''
 
Cervicitis can be associated with preterm childbirth and pelvic inflammatory disease&nbsp;
 
*Chlamydia, gonnorhea, trichomonas, bacterial vaginosis and mycoplasma genitalium are all seen to contribute to acture, 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'''
 
Untreated, cervicitis can lea to pelvic inflammatory disease (PID)
 
*Postcoital bleeding is also a common occurence when cervicitis in inadequately or not treated
 
'''Medical Management'''
 
Best evidence, is currently antibiotic therapies
 
*Complementary and Alternative Medicine is now being introduced to treat this diagnosis
 
'''Physical Therapy Management'''
 
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'''
 
Cystic cervicitis
 
*Vaginosis
*Vulva vaginitis
*Herpes Simplex Virus
 
'''Case Reports/Studies'''
 
&nbsp;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.<br>  
 
'''Resources'''
 
https://www.plannedparenthood.org
 
'''References'''

Revision as of 23:24, 27 March 2017