What is the best treatment for Cervicitis?
Cervicitis is inflammation of the endocervix or ectocervix. Both are common problems among adolescents, but neither is common in prepubertal girls. Under the influence of estrogens after puberty, the vaginal epithelium and ectocervix become cornified and relatively resistant to infection with
number of pathogens, including N. Gonorrhea and C. trachomatis.7 In contrast, the endocervix continues to be lined with columnar epithelium and remains susceptible to infection with these organisms. In adolescents and adult women, these organisms usually cause endocervicitis in the absence of vaginitis.
The photo above shows the different types of cervicitis
Cervicitis is a clinical syndrome characterized by the presence of a purulent or mucopurulent discharge that is visible in the endocervical canal or that can be detected with an endocervical smear. Additionally, other clinical signs of inflammation, such as persistent endocervical bleeding (intermenstrual or post-coital vaginal bleeding) which can be induced by the gentle passing of a cotton swab through the endocervix, can indicate cervicitis
Cervicitis represents an infection of the cervix. It may produce discharge from the cervix and can be confused with vaginitis. Mucopurulent cervicitis is characterized by a mucopurulent discharge from the cervix. Chlamydia and gonorrhea are the most common causative organisms for mucopurulent cervicitis, but often the organisms cannot be identified. Other causative agents include herpes simplex, Trichomonas vaginalis, and Candida albicans.
When a growth is noted on the cervix in association with cervicitis and discharge, obtain a cervical biopsy specimen from the leading edge of the lesion to exclude endophytic cervical neoplasia. More commonly, a whitish exophytic lesion is associated with genital warts or HPV. These lesions by themselves usually represent an infectious process involving HPV serotypes 6 and 11. The HPV serotypes (16, 18, 31, 33, and 35) are recognized for their contribution to the neoplastic transformation that can promote cervical cancer. Application of 3% acetic acid to the cervix, along with colposcopically directed biopsies, enables distinction between infectious and neoplastic lesions. This distinction influences the choice of treatment. In rare instances tuberculous cervicitis manifests as a mucopurulent discharge or fungating mass. Diagnosis is made by cervical biopsy demonstrating caseating granulomas or acid-fast bacilli stain or culture.
Treatment aims to reduce symptoms and prevent spread of infection.There’s no standard treatment for cervicitis. Your doctor will determine the best course for you based on factors including:
- Your overall health
- Your medical history
- Severity of your symptoms
- Extent of the inflammation
Determining the cause of cervicitis is important. If an infection is the problem, it can spread beyond the cervix to the uterus and fallopian tubes and into the pelvic and abdominal cavity and cause life-threatening infection. This may cause problems with fertility --the ability to become pregnant. Or it may cause problems with your unborn baby if you are already pregnant.
Here's what you need to know about symptoms, causes, risk factors, tests, diagnosis, and treatment of cervicitis. If the cervicitis is due to irritation from a foreign body (a retained tampon or pessary) or use of certain products (a cervical cap or contraceptive sponge), treatment would involve discontinuing use for a short time to allow healing. If you have cervical inflammation due to cervical cancer or pre cancer, you doctor may perform cryosurgery, freezing abnormal cells in the cervix, which destroys them. Silver nitrate can also destroy abnormal cells.
Your doctor can treat your cervicitis after they know its cause. Without treatment, cervicitis can last for years, causing painful intercourse and worsening symptoms.
Regarding cervicitis treatment management strategies, evidence from one randomized controlled trial favoured using a test-and-wait approach over presumptive treatment in non-pregnant women with cervicitis of unknown etiology.
Note: Abstain from sexual activity. You cannot cure cervicitis without medical care, especially if the cervicitis is infectious. However, you can take steps at home to make yourself more comfortable and help the prescribed treatments to work effectively. It’s important that you abstain from sexual activity until your doctor confirms you have healed from the infection.Treatment is important to help prevent the spread of the infection to other parts of your body and to your sex partner.
If a sexually transmitted disease caused the infection, your partner must also be treated. Don't worry! Heng Kang Diagnostics And Medical Clinic are willing observe our patients while in the stage of recovering.