2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43
Symptoms and treatment of bacterial cervicitis
A fairly common complaint with which the patient's gynecologist is referred is bacterial cervicitis. The disease is infectious in nature, the inflammatory process in this case is localized in the cervical canal itself or in the vagina in the area bordering the cervix. In the first case, the diagnosis is called endocervicitis, in the second - exocervicitis.
Among the causes of infectious endocervicitis are: ureaplasmosis, chlamydia, mycoplasmosis, gonococcal infection, adenovirus and cytomegalovirus infection.
Bacterial cervicitis, flowing exogenously, develops against the background of damage to the mucous membranes by the herpes virus, trichomoniasis, papillomavirus, syphilis, actinomycetes. In addition, urinary tuberculosis can be the cause of exogenous bacterial cervicitis.
Bacterial cervicitis symptoms
The most common symptoms of bacterial cervicitis are dysuria, drawing dull pains in the lower abdomen, pain during intercourse. In addition, patients are worried about vaginal discharge, which can have a different consistency, be scanty or abundant, with an admixture of pus or mucus.
As part of the diagnosis, the doctor examines the cervix using a mirror or colposcope. The physical signs of cervicitis, visible only to a specialist, include redness, severe swelling of the tissues around the opening of the cervical canal. On the mucous membrane of the walls of the vagina and in the area of the cervix, the gynecologist may see some bloody discharge. With herpetic cervicitis, the cervix has a bright red color, its surface becomes loose and ulcerated. Petechial hemorrhages or "strawberry cervix" are considered a characteristic sign of trichomoniasis cervicitis. The lesion of the cervix by actinomycetes, which is characterized by the syndrome of "granular yellow spot", has its own specificity.
The PCR method helps to determine the exact type of causative agent of cervicitis. For it, a smear is taken from the surface of the cervix. A similar study allows you to identify herpetic lesions, trichomoniasis, gonorrhea, chlamydosis. The presence of bacterial vaginosis can be confirmed using the Amsel criteria, as well as Nugent scores.
Such methods help to quickly diagnose bacterial cervicitis and find an effective treatment in a short time.
Bacterial cervicitis treatment
Treatment of bacterial cervicitis is carried out with sulfa drugs, antibiotics. For chlamydial cervicitis, doxycycline, Tarivid or tetracycline are prescribed.
Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".
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