Expert introduction: Comprehensive situation of acute cervicitis

Regarding the understanding of cervicitis, in general, it is difficult for patients to distinguish it from ordinary cervicitis. In view of this situation, many patients begin to ask, what are the symptoms of acute cervicitis and what kind of examinations should be done? The following is the answer from experts. I hope it will be helpful to you.

We know that acute cervicitis can be caused by direct infection of the cervix by pathogenic bacteria, or it can be secondary to inflammation of the endometrium or vagina, such as Trichomonas vaginitis, candidal vaginitis, or other non-specific bacterial infections.

The pathological changes of acute cervicitis are mainly manifested in cervical congestion and edema, ectropion of the cervical canal mucosa, and a large amount of purulent secretions often overflowing from the cervical canal. Pathological sections show extensive infiltration of polymorphonuclear leukocytes and lymphocytes in the mucosa and stroma. Inflammation can also involve the lumen of the gland through the epithelium, causing epithelial shedding, expansion of the lumen and filling with a large amount of purulent secretions. Increased leucorrhea is the main symptom of acute cervicitis. The nature of leucorrhea varies depending on the pathogen. For example, trichomonas causes yellow, thin, purulent, foamy leucorrhea, accompanied by vulvar itching. If the lesion involves the urethra, bladder or uterosacral ligament, bladder irritation symptoms, urgency, frequency, pain when urinating and lumbosacral pain will occur.

So what is the colposcopy for acute cervicitis? Mainly: the cervix is ​​in acute congestion, the mucosa is flushed, and is covered with reticular blood vessels or dot-shaped and spiral blood vessels. If there is a combined glandular infection, there will be multiple yellow vesicular pus spots scattered on the surface of the cervix, and the gland openings will be filled with pus. Under a low-power microscope, against the background of acute congestion of the cervix, there are multiple yellow millet-like bubble-like protrusions. The cervical canal is filled with purulent emboli. For acute cervicitis caused by Trichomonas infection, there are scattered bleeding spots under the mucosa, shaped like scattered rose petals. For acute cervicitis caused by fungi, the surface of the cervical mucosa is tightly covered with a layer of white membrane-like substance. Forcibly tearing off the white membrane can easily cause bleeding.

I hope the answers from the experts above will be helpful to you. If you are unable to self-diagnose acute cervicitis in your life, it is recommended that you go to a professional hospital for examination and treatment. I wish you a speedy recovery!

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