Cervicitis

Background

• Inflammation of the cervix most commonly caused by Chlamydia (about 40%) and Gonorrhea
  • Less commonly caused by Trichomonas and HSV

Clinical Features

• Mucopurulent endocervical discharge
• May see endocervical bleeding easily induced by cotton swab
• Frequently asymptomatic
  • Women may complain of abnormal vaginal d/c or post-coital vaginal bleeding

Workup

• Endocervical swab (for GC, Chlamydia)
• Wet mount
• Urine pregnancy test

Management

Cefixime 400mg PO once

OR

Azithromycin 1g PO once

ADD

Flagyl 2g PO once if concern for trichomoniasis

Sources

• http://www.cdc.gov/std/treatment/2010/urethritis-and-cervicitis.htm