Cervicitis: More than 50% of adult female suffer from cervicitis in their life.Cervicitis is an irritation of the cervix of Uterus caused by a number of different organisms. It is often confused with vaginitis. Cervicitis is classified as
- acute (while onset of symptoms are sudden and severe)
- chronic ( lasting for a period more than a monther)
Cervicitis can develop from noninfectious causes like injury, use of chemical contraceptives, unhygienic pads during periods, it can also be caused from sexually transmitted Infections like C. Trachomaties (CT), N.Gonorrhoeae (NG), Trichomoniasis (TV), Bacterial Vaginosis (BV), M.Genitalium and HSV-2.
Sign & Symptoms of Cervicitis: It may be asymptomatic (possible to have cervicitis and not experience any signs or symptoms), common signs and symptoms of cervicits are
- Itching in Vulva
- Pelvic pain or back pain
- Bleeding between menstrual periods
- Changes in Vaginal Discharge
- Pain during sexual intercourse
- Bleeding during or after sexual intercourse
- Leukorrea developed in menstruation pathway (release massive smelly pus and subs)
Effects of Cervicitis:
- Sometimes long terms Pain may affect to female conception.
- It’s not only the obstacle to inject sperm towards uterus, it also boost the pain of uterus, fallopian Tube by its up pulling transmision ability.
- In case of Cervicitis in pregnant woman it may cause (Abortion/Miscarriage/Premature Delivery),different newborn diseases like pneumonia, infection in eyes etc.
Diagnosis: In addition to physical & pelvic examination cervicitis can be diagnosed by any one of the following procedure.
- Colposcopic Examination: Direct visualization of cervix & cervical canal with colposcopy Machine.
- Pap Test: Pap smear Test involves microscopic examination of cells collected from the cervix.
- Biopsy: A procedure in which tissue samples are removed from the body of the uterus for microscopic examination to determine if cancer or other abnormal cells are present.
Culture of cervical discharge.
Treatment : Treatment is aimed to reducing symptoms and preventing spreading of infection:
- Antibiotics (to eliminate infecting organisms)
- Treatment of sexual partners
- When repeated use of antibiotic is not effective then Laser Mucosectomy /Laser Vaporization of cervix is indicated to enhance growth of normal mucosa over the cervix.