WOMENS-HEALTH Messages for September, 2007: Re: GYNECOLOGIC: Vaginal discharge and cervicitis

Re: GYNECOLOGIC: Vaginal discharge and cervicitis

From: D. Ashley Hill (anonymous@obgyn.net)
Thu, 27 Sep 2007 21:42:17 -0500 (CDT)

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In reply to: kulala: "Re: GYNECOLOGIC: Vaginal discharge and cervicitis"

Hey, Kulala-

If cervicitis is caused by something other than gonorrhea or chlamydia, it's very unlikely to cause PID. I have never been a fan of using cryotherapy (freezing the cervix) to treat cervicitis or an ectropion (the excess cervical tissue I mentioned before), mostly because it can cause blockage of the cervical opening, called cervical stenosis, which can make it hard to become pregnant. I usually try a vaginal antibiotic, like clindamycin, before thinking about cryotherapy. I thought of one more cause after sending my prior email: a posterior cervix. I have seen several cases of cervicitis and increased mucus discharge in women who have a cervix that "points downward." This can cause the cervix to become irritated by intercourse, jogging, and bowel movements. Good luck with everything.

Ashley Hill

At Thu, 27 Sep 2007, kulala wrote: >
>Thank you so much for your reply. May I ask a couple more questions?
>
>If the cervicitis is not caused by STDs, will it cause any
>complications, such as PID, complications during pregnancy, infertility
>or heightened risk of cancer? And does it need treatment, such as
>cryosurgery, cautery (I came across these in my own research and they
>sound very serious and the views about them seem to be mixed).
>
>Again, thank you.
>Kulala.
>

-- D. Ashley Hill, MD Division Director, Dept. of Obstetrics and Gynecology Florida Hospital Orlando Medical Director Loch Haven Ob/Gyn Group 235 East Princeton Street, #200 Orlando, Florida 32804 http://www.lochhavenobgyn.com

Please understand that due to time constraints I am unable to answer any personal emails, therefore they will receive no response.

These comments are general educational comments and should not be construed as specific medical advice. The best person to answer your health care questions is your physician or other health care provider. Thank you very much.

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