WOMENS-HEALTH Messages for November, 2001: Re: Chronic cervicitis and painful intercourse

Re: Chronic cervicitis and painful intercourse

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 20 Nov 2001 10:39:23 -0600 (CST)

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In reply to: Ann: "Chronic cervicitis and painful intercourse"

At Tue, 20 Nov 2001, Ann wrote: >
>I am looking for treatment options for chronic cervicitis. In the 16
>months I have had a uterine polypectomy and cyst drainage done, and a
>para-ovarian cyst removal (both done laparoscopically.) The initial
>reason for a clinic visit was painful intercourse, and a abnormally
>heavy flow during menses. I am still having pain during intercourse,
>and was diagnosed with cervicitis. I have had cultures done (one was
>positive for ureaplasma germ and treated with antibiotics.) Other
>cultures have been negative. I have, over the last year been on
>Doxycycline(x4), Flagyl(x3), an i-m of Rocephin, and a Z-pak. No
>positive results, but did get yeast infections, treated with diflucan
>and otc creams. Have had cryo-surgery twice now; the second cryo
>treatment was done longer for a deeper freeze of tissue. 7 weeks after
>the second cryosurgery the cervicitis has not resolved and the cervix is
>still friable. A thin prep pap and colposcopy with biopsy were negative
>except to show cervical tissue was chronically inflamed. I have read in
>past posts that ceervicitis does not need to be treated; but without
>treatment intercourse remains painful. The clitoris is also red and
>sensitive; with an otc hydrocortisone cream the doctors choice of tx for
>that. Are there any other treatment options out there, or is surgery
>the next treatment to consider? Can any other medications cause a
>localized inflammation of the cervix? I have been searching the web,
>without much luck so far. Thank you for any direction you could assist
>me with.

I would argue that given what you have been through, cervicitis is not the cause of your painful intercourse, and is, in fact, almost never the cause of painful intercourse.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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In reply to: Ann: "Chronic cervicitis and painful intercourse"

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