Is severe cervicitis serious?

Cervicitis is a common gynecological disease among women, especially those between the ages of 25 and 30. If their sex life is chaotic and they often change sexual partners, the acidity and alkalinity of the vagina will be destroyed, the cervix will be eroded, and it is very likely to cause infertility. The inner wall of the uterus will become thinner, and it will be difficult for sperm to implant after entering. The eroded part should be removed in time to avoid causing a larger area of ​​infection.

Cervicitis is one of the common gynecological diseases, which is more common in women of childbearing age. It is caused by damage to the cervix and invasion of pathogens, including inflammation of the cervicovaginal part and inflammation of the cervical canal mucosa. The cervix is ​​an important line of defense to prevent pathogens from the lower reproductive tract from entering the upper reproductive tract, but the single-layer columnar epithelium of the cervical canal itself has poor resistance to infection. If it is damaged by mechanical stimulation such as sexual intercourse, childbirth, abortion, and surgery, it is more susceptible to infection. Clinically, cervicitis is divided into acute and chronic types, with chronic inflammation being the most common. The main symptoms of acute cervicitis are redness and swelling of the cervix and edema of the cervical mucosa, often accompanied by acute vaginitis or acute endometritis. Chronic cervicitis has many manifestations such as cervical erosion, cervical hypertrophy, cervical polyps, cervical glandular cysts and cervical eversion. Chronic cervicitis has a certain relationship with cervical cancer, so it should be actively prevented and treated. Women over 30 with cervicitis should have regular cervical smears to check for cancer cells.

1. Acute cervicitis

(1) Gynecological examination may reveal cervical congestion, redness and swelling, accompanied by cervical mucosal edema and ectropion. The cervix is ​​obviously tender. There is purulent discharge from the cervix.

(2) White blood cell test: Check the white blood cells in the endocervical secretions or vaginal secretions. In patients with acute cervicitis, the neutrophil count in the endocervical 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: Perform cervical secretion smear or bacterial culture to find 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 may reveal that the cervix is ​​eroded and bleeds easily when touched. 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: When cervicitis persists, there is contact bleeding, or 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.