What are the symptoms, causes and treatment of mucopurulent cervicitis?

Mucopurulent cervicitis is a relatively common gynecological disease. For the majority of female friends, it is very necessary to understand the relevant knowledge about mucopurulent cervicitis. So what are the symptoms, causes and treatments of mucopurulent cervicitis? Next, this article will start from these three aspects and give you a detailed introduction to the relevant knowledge of mucopurulent cervicitis. Friends who want to know more about this knowledge can take a look together!

1. Symptoms of mucopurulent cervicitis

Most patients have no typical symptoms. The main symptoms for those with symptoms are increased vaginal discharge, which is mucopurulent, as well as intermenstrual bleeding and bleeding after sexual intercourse. Gynecological examination revealed cervical congestion, edema, and mucosal eversion, with mucopurulent secretions attached to and even flowing out of the cervical canal, accompanied by contact bleeding. Microscopically, vascular congestion, massive neutrophil infiltration in the cervical mucosa, submucosal tissue, and around the glands were observed, and purulent secretions were seen in the glandular cavity.

2. Causes of mucopurulent cervicitis

Acute cervicitis was rare in the past and was mainly seen in infectious abortion, puerperal infection, cervical injury and vaginal foreign body infection. The pathogens were general purulent bacteria such as Staphylococcus, Streptococcus and Enterococcus. With the increase of sexual diseases in recent years, acute cervicitis has become a common disease. Currently, the most common acute cervicitis in clinical practice is mucopurulent cervicitis.

The characteristic of mucopurulent cervicitis is that purulent or mucopurulent secretions can be seen with the naked eye on the cervical canal or cervical canal cotton swab specimens. When the cervical canal is wiped with a cotton swab, it is easy to induce intracervical bleeding. The pathogens of mucopurulent cervicitis are mainly Neisseria gonorrhoeae and Chlamydia trachomatis.

The pathogen of some mucopurulent cervicitis is unclear. Both Chlamydia trachomatis and Neisseria gonorrhoeae infect the columnar epithelium of the endocervical canal, spreading along the mucosal surface to cause superficial infection, with lesions being most obvious in the endocervical canal. In addition to the columnar epithelium of the endocervical canal, Neisseria gonorrhoeae often invades the transitional epithelium of the urethra, paraurethral glands and Bartholin's glands. Staphylococci and Streptococci are more likely to affect the cervical lymphatic vessels and invade the deep cervical stroma.

Treatment of mucopurulent cervicitis

The main treatment is antibiotics. For those who have acquired pathogens, antibiotics are selected against the pathogens. Empirical antibiotic treatment can be selected in the following situations: For patients with high risk factors for sexually transmitted diseases, especially women under 25 years old, with new or multiple sexual partners, and who do not use condoms, empirical antibiotic treatment against Chlamydia trachomatis should be used; for young people and those who are susceptible to gonorrhea, empirical antibiotic treatment against Neisseria gonorrhoeae should be used; for patients whose pathogens are unclear, broad-spectrum empirical antibiotic treatment can be used, including aerobic bacteria, anaerobic bacteria, Chlamydia and (or) Neisseria gonorrhoeae, mycoplasma, etc.

The above is an introduction to the symptoms, causes and treatments of mucopurulent cervicitis. I believe that after reading the above introduction, you will have a clearer understanding of the symptoms, causes and treatments of mucopurulent cervicitis. This knowledge can help female friends better understand the disease of mucopurulent cervicitis, and it will be helpful for the prevention and treatment of mucopurulent cervicitis.