View source for Cervicitis

==Background==
*Inflammation of the cervix most commonly caused by [[Chlamydia]] (about 40%) and [[Gonorrhea]]
**Less commonly caused by [[Trichomonas]] and [[HSV-2]]

==Clinical Features==
[[File:PMC5345432 jphia-2013-2-e14-g003.png|thumb|Edematous and reddened cervix.]]
*Mucopurulent endocervical discharge
*May see endocervical bleeding easily induced by cotton swab
*Frequently asymptomatic
**Women may complain of abnormal [[vaginal discharge]] or post-coital [[vaginal bleeding]]
*Pelvic/Abdominal pain or tenderness to palpation should prompt a diagnosis of [[pelvic inflammatory disease]] rather than [[cervicitis]]

==Differential Diagnosis==
{{Pelvic pain DDX}}

==Evaluation==
*Swab (for [[GC]], [[Chlamydia]])
**Patient-obtained vaginal swabs are MORE sensitive than clinician-collected endocervical swabs for [[GC]]/[[Chlamydia]]<ref>Schoeman SA, Stewart CM, Booth RA, Smith SD, Wilcox MH, Wilson JD. Assessment of best single sample for finding chlamydia in women with and without symptoms: a diagnostic test study. BMJ. 2012;345:e8013.</ref><ref>Stewart CM, Schoeman SA, Booth RA, Smith SD, Wilcox MH, Wilson JD. Assessment of self taken swabs versus clinician taken swab cultures for diagnosing gonorrhoea in women: single centre, diagnostic accuracy study. BMJ. 2012;345:e8107.</ref>
*Wet mount
*Urine pregnancy test

==Management==
{{Cervicitis Urethritis Antibiotics}}

==Disposition==
*Discharge

==See Also==
*[[Sexually transmitted diseases]]

==External Links==
*http://www.cdc.gov/std/treatment/2010/urethritis-and-cervicitis.htm

==References==
<references/>
[[Category:ID]]
[[Category:OBGYN]]