Examination of cervicitis in women

Before treating a disease, in order to ensure that the doctor can better understand the patient's condition and develop a reasonable treatment plan based on the patient's specific situation, the patient generally needs to undergo certain examinations first, and the same is true for patients with cervicitis. For women with cervicitis, different examinations are needed based on different symptoms. Below, we will introduce in detail the examination methods for cervicitis in women.

1. Acute cervicitis

1. Gynecological examination

The cervix may be congested, red and swollen, with edema of the endocervical mucosa and eversion of the cervical mucosa. The cervix is ​​obviously tender. There is purulent discharge from the cervix.

2. White blood cell test

Check the white blood cells in the cervical secretions or vaginal secretions. In patients with acute cervicitis, the neutrophil count in the cervical purulent secretions is greater than 30/high-power field of view, and the white blood cell count in the vaginal secretions is greater than 10/high-power field of view.

3. Pathogen Detection

Do a cervical smear or bacterial culture to look for pathogenic bacteria. When chlamydial infection is suspected, an enzyme-linked immunosorbent assay (ELISA) can be performed to detect Chlamydia trachomatis antigen.

2. Chronic cervicitis

1. Gynecological examination

The cervix may be found to be eroded and bleed easily upon touch. There may be yellow discharge covering the cervical opening or flowing out of the cervical opening, and there may be cervical tenderness. It may also manifest as cervical polyps, cervical gland cysts or cervical hypertrophy.

2. Colposcopy

If cervicitis is not cured for a long time, there is contact bleeding, and the Pap smear is grade 2 or above, a colposcopy can be performed to detect possible precancerous lesions (such as cervical intraepithelial neoplasia) or early cervical cancer as early as possible.

3. Pathogen Detection

Cervical secretion smear or bacterial culture can detect pathogenic bacteria. Cervical cell smear can also detect gonococci, Trichomonas, and fungi. If necessary, chlamydia, mycoplasma, and human papillomavirus tests should be performed.

4. Cervical smear and cervical biopsy

Chronic cervicitis should be routinely examined by cervical smear cytology to differentiate it from other diseases such as cervical precancerous lesions, cervical cancer, and cervical tuberculosis. The most accurate examination method is to take tissue from more obvious cervical erosion ulcers or deeper lesions for pathological examination. In case of acute inflammation of the vulva and vagina, or during menstruation or pregnancy, the procedure should be postponed.