<unk>  means inflammation of the tissues of the cervix.<unk>  may be classified according to the etiology, anatomical location and disease duration, such as infectious, non-infectious, acute, subacute and chronic<unk> . C. trachomatis or N. gonorrhea is the most common etiology of<unk> .<unk>  must be differentiated from other diseases that cause vaginal discharge and/or pelvic pain, such as endometritis, salpingitis, vaginitis and vulvovaginitis. Mucopurulent<unk>  is often asymptomatic, however, some patients may present with abnormal vaginal discharge, painful sexual intercourse, and intermenstrual vaginal bleeding. Common risk factors in the development of<unk>  include high-risk sexual behavior, history of sexually transmitted diseases, sexual intercourse at an early age, sexual partners who have engaged in high-risk sexual behavior or have a previous history of STDs, single marital status, urban residence, low socioeconomic status, smoking, alcohol or drug use, multiple sex partners, and bacterial vaginosis. There is no single diagnostic study of choice for the diagnosis of<unk> . There are two major diagnostic signs that characterize<unk> , Purulent or mucopurulent endocervical exudate visible in the endocervical canal or on an endocervical swab specimen (commonly referred to as mucopurulent<unk>  and sustained endocervical bleeding is easily induced by gentle passage of a cotton swab through the cervical os.<unk>  is usually asymptomatic, symptoms observed include, abnormal vaginal discharge, and/or intermenstrual vaginal bleeding (e.g., especially after sexual intercourse). Diagnosis of<unk>  is mostly clinical however, a finding of >10 WBC in vaginal fluid, in the absence of trichomoniasis, may indicate endocervical inflammation caused specifically by C. trachomatis or N. gonorrhea although culture is more accurate for gonococcal<unk> . If left untreated,<unk>  may progress to PID with associated infertility especially in chronic<unk> . Untreated active HSV infections in the perinatal and neonatal period may lead to neonatal morbidity. Complications that can develop as a result of infectious<unk>  include, pelvic inflammatory disease, infertility, chronic pelvic pain, ectopic pregnancy, spontaneous abortion, premature rupture of membranes and preterm delivery. Antimicrobial therapy with adequate coverage against C. trachomatis should be provided for women at increased risk for C. trachomatis or if follow-up cannot be ensured and if a relatively insensitive diagnostic test is used in place of NAAT. Recommended regimen for<unk> , doxycycline 100 mg PO bid for 7 days. The alternative regimen includes azithromycin 1 g PO in a single dose. Patients may also require concomitant therapy against N. gonorrhea. Medical therapies include either azithromycin, doxycycline, or a fluoroquinolone. Treatment of sexual partners is also indicated. Follow-up after completion of antimicrobial therapy regimen is required to evaluate for microbial resistance.
Cervicitis
Appendicitis
Vaginitis
Leukorrhea
Chondritis
Oophoritis
Gonorrhea
Urethritis