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Cervicitis (chronic)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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This may follow bacterial infection at delivery or abortion, or may be due to Chlamydia trachomatis. Rarely, it is due to tuberculosis.

Presentation is typically with:

  • pelvic pain
  • discharge
  • superficial dyspareunia

On examination, the cervix is enlarged by multiple Nabothian follicles - retention cysts of the cervical glands - which may become secondarily infected.

Management:

  • cervical smear for cytology
  • cervical and vaginal swabs for bacteriological culture
  • antibiotics if a specific organism is identifiable
  • superficial lesions - cervical cautery as an outpatient procedure without anaesthesia, either electocautery or cryosurgery
  • deep lesions - deeper cauterisation or conisation under general anaesthesia

The patient must be informed that cautery causes a marked discharge for 2-3 weeks and may be associated with secondary haemorrhage around the 10th day as the necrotic slough is shed.

Cervical stenosis rarely complicates cautery.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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