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Cervicite

Last reviewed: 14 Jul 2025
Last updated: 29 Apr 2025

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • corrimento vaginal ou cervical purulento
  • sangramento intermenstrual/pós-coito
  • disúria e polaciúria
  • sangramento cervical facilmente induzido
Full details

Other diagnostic factors

  • dispareunia
  • inflamação da vulva e/ou da vagina
  • colo uterino em morango
Full details

Risk factors

  • idade entre 15 e 24 anos
  • uso inconsistente de preservativo
  • múltiplas relações sexuais
  • ISTs prévias
  • vaginose bacteriana (VB)
  • profissional do sexo
  • ausência de lactobacilos produtores de peróxido de hidrogênio
  • infertilidade
  • grau de escolaridade <12 anos
Full details

Diagnostic tests

1st tests to order

  • teste de gravidez
  • exame do corrimento cervical em câmara úmida
  • teste de amplificação de ácido nucleico (NAAT)
  • testes rápidos (OSOM Trichomonas, AFFIRM VPIII)
  • cultura cervical em placas de ágar Thayer-Martin
  • coloração de Gram de secreção cervical
Full details

Tests to consider

  • Citologia cervical
  • sorologia para o vírus do herpes simples (HSV)
  • sorologia do HIV
  • sorologias de hepatites B e C
  • teste de reagina plasmática rápida
Full details

Treatment algorithm

INITIAL

mulheres de alto risco não gestantes

ACUTE

mulheres não gestantes

gestantes

ONGOING

infecções recorrentes/resistentes

Contributors

Authors

M. Jonathon Solnik, MD, FACOG, FACS
M. Jonathon Solnik

Associate Professor of Obstetrics & Gynaecology

Head of Gynaecology & Minimally Invasive Surgery

University of Toronto Faculty of Medicine

Mount Sinai Hospital

Toronto

Canada

Disclosures

MJS serves as a consultant for Medtronic, Olympus, and Hologic, and on the advisory board for Abbvie. He holds stocks in Felix and Field Trip Inc.

Acknowledgements

Dr M. Jonathon Solnik would like to gratefully acknowledge Dr Sharon Jakus, a previous contributor to this topic.

Disclosures

SJ declares that she has no competing interests.

Peer reviewers

Sandra R. Valaitis, MD

Associate Professor and Chief

Gynecology and Reconstructive Pelvic Surgery

University of Chicago

Chicago

IL

Disclosures

SRV declares that she has no competing interests.

Justin C. Chura, MD

Associate Division Director

Gynecologic Oncology

Crozer Chester Medical Center

Upland

PA

Disclosures

JCC declares that he has no competing interests.

Eva Jungmann, FRCP, MSc

Consultant Physician

GUM/HIV Camden Primary Care Trust

Archway Sexual Health Clinic

London

UK

Disclosures

EJ declares that she has no competing interests.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Workowski KA, Bachmann LH, Chan PA, et al. Sexually transmitted infections treatment guidelines, 2021. MMWR Recomm Rep. 2021 Jul 23;70(4):1-187.Full text  Abstract

Boyer CB, Shafer MB, Pollack LM, et al. Sociodemographic markers and behavioral correlates of STIs in a nonclinical sample of adolescent and young adult women. J Infect Dis. 2006 Aug 1;194(3):307-15. Abstract

Marrazzo JM, Weisenfeld HC, Murray PJ, et al. Risk factors for cervicitis among women with bacterial vaginosis. J Infect Dis. 2006 Mar 1;193(5):617-24.Full text  Abstract

Scholes D, Grothaus L, McClure J, et al. A randomized trial of strategies to increase Chlamydia screening in young women. Prev Med. 2006 Oct;43(4):343-50. Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Cervicite images
  • Differentials

    • Ectrópio cervical
    • Displasia cervical
    • Câncer cervical
    More Differentials
  • Guidelines

    • British Association for Sexual Health and HIV (BASHH) United Kingdom national guideline on the management of Trichomonas vaginalis 2021
    • European guideline on the management of Mycoplasma genitalium infections
    More Guidelines
  • Patient information

    Clamídia

    Doença inflamatória pélvica (DIP)

    More Patient information
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