Clinical Information on Chronic Cervicitis

Definition

  • State that lacks good definition
  • Cervicitissymptomer and negative bacteriology

occurrence

  • Usually from 30 years of age
  • Increasing frequency against menopause

Etiology and pathogenesis

  • Unknown

ICPC 2

  • X85 Cervical disease IKA

ICD-10

  • N86 Wounds and ektropi on the cervix

Diagnosis

Diagnostic criteria

  • Chronic changes of portio (lacerations, mucosal versions)
  • Ample and persistent vaginal discharge, where cultivation of chlamydia, mycoplasma genital, gonorrhea and herpes are negative

Differential

  • Sexually transmissible infection, for example. Chlamydia

Medical history

  • Ample and persistent vaginal discharge
  • Often slimy discharge with periods of pus
  • Udflådet can also be bloody

Clinical findings

  • Portio hypertrophic / uneven surface
  • Red portio, ectopic mucosa
  • Often slimy and purulent discharge

Additional studies in general practice

  • cytological examination
  • chlamydia test
  • Genital mycoplasma test 1
  • Possibly. microscopy of vaginal discharge will show normal flora and inflammatory cells

other studies

  • Important to exclude malignancy, initially by cytology

When to refer the patient?

  • Refer to colposcopy if cytology findings dictate

Treatment

Treatment goals

  • Reduce the mucus producing Ectopic

Generally about the treatment

  • antibiotics
  • Cryosurgery
  • silver nitrate
  • Depot medroxyprogesterone

Course, complications and prognosis

Forecast

  • The prognosis is good, safe condition
  • Tendency to relapse after treatment

patient Information

What you should inform the patient

  • Chronic cervicitis is a disorder that occurs with increasing frequency with age
  • The woman plagued by mucus discharge with pus, possibly. blood admixture
  • No bacterial infection
  • Featuring mucus producing lining of the womb to the cervix
  • Treatment is aimed at stopping mucus production
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