Identifying acute cervicitis in an era of less-frequent routine gynecologic examinations. Issue 2 (February 2018)

• Record Type: Journal Article
• Authors: Allen, Margaret
• Is Part Of: JAAPA. Volume 31:Issue 2(2018)
• Publication Date: 2018-02
• Subjects: acute cervicitis -- pelvic inflammatory disease -- sexually transmitted infections -- Mycoplasma genitalium -- gynecologic examination -- mucopurulent; Medicine -- Periodicals; Physicians' assistants -- Periodicals; Medicine -- Periodicals; Physician Assistants -- Periodicals; Medicine; Physicians' assistants; Periodicals; 610.7372069
• DOI: 10.1097/01.JAA.0000530277.12517.69
• Languages: English
• ISSNs: 0893-7400

Abstract

Abstract : ABSTRACT: Acute inflammation of the uterine cervix can lead to serious problems such as pelvic inflammatory disease (PID), endometritis, and complications of pregnancy and childbirth. As intervals for routine gynecologic screening examinations lengthen, cervical infections, especially if asymptomatic, may be missed. Annual wellness examinations and other patient visits outside routine gynecologic cancer screening visits should include brief evaluation with sexual risk assessment and a gynecologic examination if indicated. If cervicitis persists after standard treatment for sexually transmitted infections (STIs), consider Mycoplasma genitalium . Clinicians should be sensitive to the fact that the unexpected presence of infection may cause distress.