Cervicitis: Causes, Symptoms, Diagnosis and Treatment
Written by Medicover Team and Medically Reviewed by Dr Banam Sravanthi , Gynecologists
Cervicitis is a common condition that means the cervix, the lower, narrow part of the uterus that connects to the vagina, is inflamed. Some people notice symptoms like unusual vaginal discharge, pelvic pain, or bleeding between periods, but others may not have any symptoms at all.
Most often, cervicitis is caused by sexually transmitted infections (STIs) like chlamydia or gonorrhea. However, it can also happen from other causes, such as allergies, irritation from products like douches or spermicides, or physical injury.
If cervicitis isn’t treated, it can lead to serious problems like pelvic inflammatory disease (PID), difficulties getting pregnant, or pregnancy complications.
That’s why it’s important to get checked regularly by your doctor. Early diagnosis and proper treatment, usually with antibiotics if an infection is the cause, can help prevent long-term issues.
What Is Cervicitis?
Cervicitis is the medical term for inflammation of the cervix, the opening to the uterus located at the top of the vagina. When the cervix becomes inflamed, it can appear red, swollen, and may bleed easily. The condition can be caused by infections, most commonly STIs like chlamydia, gonorrhea, or herpes, or by non-infectious irritants such as chemical products, allergic reactions, or physical injury.
In some cases, the inflammation causes symptoms such as:
- Abnormal vaginal discharge (yellow, green, or foul-smelling)
- Pain during or after sexual intercourse
- Vaginal itching or irritation
- Spotting or bleeding between periods or after sex
However, many people with cervicitis do not notice any symptoms at all. That’s why regular pelvic exams and STI screenings are important, even if you feel fine.
What Are the Cervicitis Symptoms?
Cervicitis often doesn’t cause any clear symptoms. Many people only learn they have it during a regular pelvic exam or while being tested for something else. But when symptoms do occur, they can cause discomfort and affect your daily life and reproductive health.
Common signs and symptoms of cervicitis may include:
- Unusual vaginal discharge: You may notice discharge that is heavier than normal, with a gray, white, yellow, or even greenish color. It might have a strong or unpleasant odor, especially if an infection is involved.
- Spotting or bleeding between periods: Light bleeding that occurs outside of your regular menstrual cycle especially after intercourse is a possible warning sign of inflammation in the cervix.
- Vaginal bleeding after sex: This is a common symptom due to the cervix being inflamed and more prone to irritation.
- Pain or discomfort during intercourse (dyspareunia): Inflammation can make sexual activity uncomfortable or even painful.
- Painful or frequent urination: Some people may feel a burning sensation while urinating, or notice the need to urinate more often.
- Vaginal itching, irritation, or redness: While less common, these can also be signs, especially if the cervicitis is caused by an allergic reaction or irritant.
What Are the Common Causes of Cervicitis?
Cervicitis can happen for many different reasons, and it’s more common than most people think. It occurs when the cervix, the lower part of the uterus that opens into the vagina, becomes inflamed. This inflammation can be caused by infections, irritation, or allergic reactions.
While sexually transmitted infections (STIs) are the most common cause, everyday products or devices that touch the vaginal area can also lead to cervicitis.
Knowing what causes cervicitis is important to help treat it properly and to prevent it from coming back.
Sexually Transmitted Infections (STIs)
The most common cause of cervicitis is infection, particularly from sexually transmitted infections. These bacteria or viruses can infect the cervical tissue during unprotected sexual contact. STIs linked to cervicitis include:
- Chlamydia: A frequent and often silent cause of cervicitis
- Gonorrhea: Another bacterial infection that can damage reproductive organs if left untreated
- Trichomoniasis: Caused by a parasite, leading to discharge and inflammation
- Genital herpes (HSV): A viral infection that may cause painful sores and chronic irritation
These infections may cause inflammation, irritation and an increased risk of transmission if left untreated.
Bacterial Imbalance
Cervicitis can also be caused by an overgrowth of bacteria that normally live in the vagina, a condition called bacterial vaginosis. This happens when the natural balance of bacteria is upset, allowing harmful bacteria to grow and cause infection or inflammation.
Allergic Reactions or Sensitivities
Some cases of cervicitis result from allergic reactions to products used in or around the vagina, including:
- Latex condoms
- Spermicides
- Feminine hygiene sprays or douches
- Fragranced soaps or products
These substances can irritate or inflame the cervical tissue, even in the absence of infection.
Chemical or Physical Irritation
In some cases, physical objects or devices used inside the vagina can irritate the cervix, especially with prolonged or improper use. Examples include:
- Tampons
- Menstrual cups
- Diaphragms or vaginal pessaries (used for birth control or pelvic support)
- Frequent vaginal exams or procedures
Frequent or prolonged use of these devices, especially if not cleaned or used properly, can trigger chronic inflammation.
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Get Second OpinionWhat Are the Types of Cervicitis?
Cervicitis is generally classified into two main types they are acute and chronic, depending on how quickly it develops and how long it lasts. Understanding the difference between these types can help guide the right diagnosis and treatment plan.
Acute Cervicitis
This type comes on suddenly and is often caused by an infection, usually a sexually transmitted infection (STI) like chlamydia, gonorrhea, trichomoniasis, or herpes.
Common features of acute cervicitis:
- Starts quickly
- Caused mainly by infections
- Symptoms are usually more noticeable
- May include abnormal discharge, pain during sex, or bleeding
- Treated with antibiotics or antiviral medication
Getting treated early helps prevent complications and clears the infection faster.
Chronic Cervicitis
Chronic cervicitis lasts longer, sometimes for several months, and often isn’t caused by an infection. Instead, it may be due to long-term irritation or allergic reactions.
Common causes include:
- Allergies to latex condoms or spermicides
- Frequent use of douches or scented products
- Leaving tampons, diaphragms, or pessaries in for too long
- Repeated infections that were never fully treated
Because it may go unnoticed, chronic cervicitis is often found during routine pelvic examination. Treatment may involve removing the source of irritation, using medications, or, in some cases, a minor medical procedure to remove affected tissue.
How Is Cervicitis Diagnosed?
Cervicitis is typically diagnosed during a routine gynecological visit. Because symptoms can be mild or even absent, your healthcare provider relies on a combination of a physical exam and lab tests to confirm the diagnosis and identify the underlying cause.
Here’s what usually happens during the diagnostic process:
Pelvic Exam
Your doctor will first perform a pelvic exam to check for signs of inflammation, redness, tenderness, or unusual discharge. A tool called a speculum is gently inserted into the vagina to allow a clear view of the cervix and vaginal walls.
They may look for:
- Redness or swelling of the cervix
- Pus-like or abnormal vaginal discharge
- Bleeding or irritation on contact
Sample Collection (Swab Test)
Similar to a Pap smear, your provider will use a small swab or brush to collect samples of fluid from your cervix or vaginal walls. These samples are sent to a lab to check for:
- Sexually transmitted infections (STIs) like chlamydia, gonorrhea, or trichomoniasis
- Bacterial overgrowth (such as bacterial vaginosis)
- Other possible infections or irritants
Additional Testing
In some cases, your provider may request:
- A Pap test to screen for abnormal cervical cells
- Urine tests to rule out urinary tract infections or STIs
- Blood tests, if needed, for a more detailed evaluation
Accurate diagnosis helps determine whether cervicitis is caused by an infection, irritation, or another underlying issue. This allows your doctor to tailor the right treatment, whether it’s antibiotics, lifestyle changes, or further investigation.
What Are the Treatment Options for Cervicitis?
Treatment for cervicitis depends on what’s causing the inflammation. In many cases, it's caused by an infection, usually a sexually transmitted infection (STI), but it can also result from non-infectious factors like irritation or allergies. A proper diagnosis is the first step toward choosing the right treatment.
Treatment for Infection-Related Cervicitis
If a bacterial or viral infection causes cervicitis, your doctor will typically prescribe medication to clear up the infection and reduce symptoms.
Common medications include:
- Antibiotics: used to treat bacterial infections such as chlamydia (with doxycycline or azithromycin), gonorrhea (with ceftriaxone), and trichomoniasis or bacterial vaginosis (with metronidazole or tinidazole).
- Antiviral medication: If genital herpes is the cause, antivirals such as acyclovir, valacyclovir, or famciclovir may be prescribed to manage outbreaks. While herpes can’t be cured, medication can help control symptoms and reduce transmission risk.
Important: If an STI is the cause, both you and your sexual partner(s) will need to be treated to prevent reinfection. Avoid sexual contact until treatment is complete and your doctor confirms it's safe.
Treatment for Non-Infectious Cervicitis
If cervicitis is caused by an allergic reaction or irritant (like latex condoms, douches, or spermicides), treatment usually involves removing or avoiding the trigger. Once the irritant is eliminated, the inflammation typically improves on its own.
In cases where cervicitis is caused by a foreign object (such as a tampon or diaphragm left in too long), your healthcare provider will remove it and may prescribe medication if there’s any resulting infection or inflammation.
Follow-Up and Healing Time
Most cases of cervicitis improve within 1 to 2 weeks after starting treatment. However, it’s important to:
- Take all prescribed medications exactly as directed
- Avoid sex until your doctor confirms the infection is gone
- Return for follow-up testing if you had an STI (especially chlamydia or gonorrhea)
When to See a Doctor for Cervicitis?
Cervicitis is inflammation of the cervix, the lower part of the uterus that connects to the vagina. It’s often caused by infections (like STIs), allergic reactions, or irritation.
You should see a doctor if you experience:
- Unusual vaginal discharge (thick, yellow, or foul-smelling)
- Pain during sex
- Bleeding between periods or after intercourse
- Pelvic or lower abdominal pain
- Burning or pain while urinating
Some women may have no symptoms at all. That’s why regular gynecological checkups are important, especially if you’re sexually active or have had STIs in the past.
Important: Cervicitis can lead to complications if left untreated, such as pelvic inflammatory disease (PID) or fertility problems. If you’re pregnant, it may increase the risk of complications like early labor.
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What Are the Complications of Cervicitis?
Cervicitis is generally easy to treat and isn’t life-threatening when found early. But if it’s left untreated, especially if caused by infections like chlamydia or gonorrhea, it can lead to serious health issues.
Pelvic Inflammatory Disease (PID)
If cervicitis isn’t treated, it can lead to a serious condition called pelvic inflammatory disease (PID). This happens when the infection spreads from the cervix to other reproductive organs like the uterus, fallopian tubes, or ovaries.
PID can cause:
- Long-lasting pelvic pain
- Trouble getting pregnant (infertility)
- Ectopic pregnancy, which is when a fertilized egg grows outside the uterus and can be life-threatening
- Scarring or damage to the reproductive organs
Increased Risk of Sexually Transmitted Infections (STIs)
An inflamed or irritated cervix can make it easier for viruses and bacteria to enter your body. If cervicitis is left untreated, it may raise your risk of contracting or spreading other STIs, including HIV.
Pregnancy Complications
In some cases, cervicitis during pregnancy, especially if linked to an untreated infection, may increase the risk of:
- Preterm labor
- Low birth weight
- Infections in the newborn
That’s why regular prenatal care and STI testing are so important if you’re pregnant or planning to become pregnant.
What Precautions Can Help Prevent Cervicitis?
While you can’t always prevent cervicitis completely, there are several simple steps you can take to greatly reduce your risk, especially when it comes to avoiding infections and irritants that may trigger inflammation.
Here’s how to protect your cervical health:
Practice Safe Sex
Most cases of cervicitis are caused by sexually transmitted infections (STIs), so protecting yourself during sexual activity is key.
- Always use condoms correctly during vaginal, anal, or oral sex
- Limit your number of sexual partners
- Avoid sex with anyone who has genital sores, discharge, or other signs of an STI.
- Get tested for STIs regularly and ask your partner to do the same
Avoid Vaginal Irritants
Certain personal care products can irritate the cervix and increase the risk of cervicitis, especially if used frequently.
- Skip scented feminine hygiene sprays, douches, or spermicides unless advised by your doctor.
- Use only unscented, gentle products around the vaginal area
- Follow directions carefully when using tampons, diaphragms, or menstrual cups, and avoid leaving them in for too long
Take Care of Your General Health
Good overall health can help reduce your risk of infections.
- Managing conditions like diabetes and high blood sugar can make you more vulnerable to infections
- Boost your immunity with a balanced diet, proper hydration, and regular exercise
- Stay up-to-date with gynecological checkups, even if you feel healthy
Get Timely Treatment for STIs
If you or your partner is diagnosed with an STI:
- Start treatment right away
- Ask your provider if your partner also needs treatment
- Avoid sex until treatment is complete and your doctor says it’s safe
Dos and Don’ts for Managing Cervicitis
If you’ve been diagnosed with cervicitis, taking the right steps at home can help you heal faster and avoid complications. Along with medical treatment, it's important to follow certain habits that support your recovery and prevent the infection from getting worse or coming back.
Here’s a simple guide on what you should and shouldn’t do while managing cervicitis. These tips can help reduce symptoms, protect your reproductive health, and keep you feeling better every day.
|
Do’s |
Don’ts |
|---|---|
|
Maintain vaginal hygiene |
Use tampons |
|
Understand your allergies |
Self-medicate for any rashes or infections |
|
Take medical assistance |
Sex at an early age |
|
Take the medications on time |
Apply chemical products like creams or moisturizers in the vaginal area |
|
Avoid sex with multiple partners |
Touch or scratch the infected area |
Cervicitis can cause irritation and other skin infection problems. Follow the above tips to prevent this infection.
Our Experience Treating Cervicitis at Medicover
At Medicover, we understand how cervical health is closely linked to your overall well-being. Our expert gynecologists offer confidential, compassionate care to diagnose and treat cervicitis effectively.
We provide:
- Accurate diagnosis through pelvic exams, lab tests, and swabs to identify the cause
- Antibiotics or antiviral treatment when infections are involved
- Personalized care plans for allergic or non-infectious cervicitis
- Safe sexual health advice to prevent reinfection or complications
- Follow-up care to ensure full recovery and monitor for long-term effects
Whether your condition is caused by an infection, irritation, or hormone imbalance, we’re here to support you with respectful, high-quality care every step of the way.
At Medicover, we’re committed to helping women protect their reproductive health with comfort, clarity, and expert guidance.
