What are the symptoms of mucopurulent cervicitis? What causes mucopurulent cervicitis?

Mucopurulent cervicitis is a relatively common gynecological disease. For the majority of female friends, it is very necessary to understand the relevant knowledge of mucopurulent cervicitis. So what are the symptoms, causes and treatments of mucopurulent cervicitis? Next, this article will start from these three aspects and give you a detailed introduction to the relevant knowledge of mucopurulent cervicitis. Friends who want to know this knowledge can come and have a look!

1. Symptoms of mucopurulent cervicitis

Most patients have no typical symptoms. Those with symptoms mainly show increased vaginal discharge, which is mucopurulent, as well as intermenstrual bleeding and post-coital bleeding. Gynecological examination shows cervical congestion, edema, and mucosal eversion, with mucopurulent secretions attached to or even flowing out of the cervical canal, accompanied by contact bleeding. Under the microscope, vascular congestion is seen, and a large number of neutrophils infiltrate around the cervical mucosa and submucosal tissues and glands, and purulent secretions can be seen in the glandular cavity.

2. Causes of mucopurulent cervicitis

Acute cervicitis was rare in the past, mainly seen in infected abortion, puerperal infection, cervical injury and vaginal foreign body infection. The pathogens were common purulent bacteria such as Staphylococcus, Streptococcus, Enterococcus, etc. In recent years, with the increase of sexual diseases, acute cervicitis has become a common disease. At present, the most common acute cervicitis in clinical practice is mucopurulent cervicitis.

The characteristic of mucopurulent cervicitis is that purulent or mucopurulent secretions can be seen with the naked eye on the cervical canal or cervical canal cotton swab specimens. When the cervical canal is wiped with a cotton swab, it is easy to induce endocervical bleeding. The pathogens of mucopurulent cervicitis are mainly Neisseria gonorrhoeae and Chlamydia trachomatis.

The pathogens of some mucopurulent cervicitis are unclear. Both Chlamydia trachomatis and Neisseria gonorrhoeae infect the columnar epithelium of the endocervical canal, spreading along the mucosal surface to cause superficial infection, with the lesions being most obvious in the endocervical canal. In addition to the columnar epithelium of the endocervical canal, Neisseria gonorrhoeae often invades the transitional epithelium of the urethra, the paraurethral glands, and the greater vestibular glands. Staphylococci and Streptococci are more likely to affect the cervical lymphatic vessels and invade the deep cervical stroma.

Treatment of mucopurulent cervicitis

The main treatment is antibiotics. For those who have acquired the pathogen, antibiotics are selected for the pathogen. Empirical antibiotic treatment can be selected in the following situations: For patients with high risk factors for sexually transmitted diseases, especially women under 25 years old, with new or multiple sexual partners, and those who do not use condoms, empirical antibiotic treatment against Chlamydia trachomatis should be used; for young people and those who are susceptible to gonorrhea, empirical antibiotic treatment against Neisseria gonorrhoeae should be used; for patients whose pathogens are unclear, broad-spectrum empirical antibiotic treatment can be used, including aerobic bacteria, anaerobic bacteria, Chlamydia and (or) Neisseria gonorrhoeae, mycoplasma, etc.