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Endocervicitis
Last reviewed: 04.07.2025

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Endocervicitis is an inflammation of the mucous membrane of the cervical canal.
Endocervical inflammation develops most often as a result of STDs (gonorrhea, chlamydia, genital herpes), cervical trauma after childbirth, abortions or gynecological operations on the uterus. There are acute and chronic forms of the disease.
Causes endocervicitis
The etiological factor in the development of endocervicitis is the penetration of staphylococci, streptococci, E. coli, enterococci, and various viruses into the cervical canal.
Acute endocervicitis is usually caused by STIs such as:
- genital herpes;
- chlamydia;
- trichomoniasis;
- human papillomavirus (HPV);
- gonorrheal infection;
Other factors that provoke the development of the acute form: allergic reactions, including to spermicides or latex in condoms, cervical caps or diaphragms, hypersensitivity to chemicals in tampons.
Chronic endocervicitis most often develops during pregnancy and after childbirth.
Risk factors
Symptoms endocervicitis
Some women with endocervicitis have no symptoms, but sometimes the following symptoms may be present:
- abnormal vaginal bleeding;
- persistent gray or white vaginal discharge;
- vaginal pain;
- pain during intercourse;
- a feeling of unpleasant discomfort in the pelvis;
- pain in the lower back.
Vaginal discharge is an assessment sign of the severity of the disease.
Where does it hurt?
Complications and consequences
What do need to examine?
What tests are needed?
Who to contact?
Treatment endocervicitis
Treatment of endocervicitis is based on the etiopathogenetic principle, using local and general procedures. Antibacterial creams and vaginal balls, douching with antiseptics are used. Broad-spectrum antibiotics (metacycline, cefazolin, clarithromycin, ofloxacin) or drugs taking into account the sensitivity of the microflora are prescribed internally, and candidiasis is prevented. In the case of a protracted treatment process and the failure of conservative therapy, diathermoexcision or cryodestruction of the cervix are used, usually simultaneously with the treatment of pseudo-erosion.
More information of the treatment