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DISORDERS OF THE CERVIX: CERVICITIS (Assessment Findings & Symptoms:,…
DISORDERS OF THE CERVIX: CERVICITIS
Definition:
Cervicitis is the infection and inflammation of the cervix caused by the a variety of organisms that can be introduced into the vagina.
Risk Factors:
Had sexual intercourse without a condom.
Recently had multiple sexual partners.
Had cervicitis before.
Causes:
Sexually transmitted diseases
Allergies such as the latex used in condoms.
Injury or irritation caused by tampons or other forms of birth control.
Bacterial imbalance
Hormonal Imbalance
Pathophysiology:
The pathophysiology of cervicitis depends on the etiological agent and the physiological state of the patient. Under the influence of estrogen, the normal vaginal epithelium cornifies, making it somewhat resistant to infectious agents. The endocervix is lined by columnar epithelium which is susceptible to infectious agents leading to cervicitis.
Gonococcal cervicitis results after the exposure of the cervix to N. gonorrhea in seminal fluid during sexual intercourse.
Assessment Findings & Symptoms:
Lower abdominal pain with backache
Pruritus may occur if vaginitis occurs,
Cervix will be red and oedematous.
On Examination with a speculum, a mucopurulent discharge with or without bubbles may be seen.
Greyish or pale yellow vaginal discharge.
Pain during sexual intercourse.
Medical Management:
The medical management includes antibiotics, anti-fungal medication and antiviral medication. The types of medication will depend on the the causative organism.
Nursing Management:
Cervical Pap smear done and analysed.
The sexual partner must be contacted and put on treatment.
Prescribed medication must be administered and antibiotic cycle must be completed.
Patient must be assisted with self care and personal hygiene.
Health Education:
Advice the patient to always use condoms during sexual intercourse.
Limit the number of people you have sexual intercourse with.
If you suspect you have a sexually transmitted disease visit your nearest health facility.
Do not use feminine products as they may cause irritation.
References:
(Health, 2018) (Mogotlane, 2013, p.505)