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m  m 




    
‡Cervical polyp
‡Cervicitis
‡Vaginitis

By: Rey Martino


(for educational use only)
Cervical Polyp
m 
‡ a growth arising from the mucosal surface on the lower
end of the uterus (cervix) or the endocervical canal
‡ These small growths hang from a stalk and protrude
through the cervical opening
‡ They are typically non-cancerous (benign), but are
usually removed because they can become infected,
may cause irregular bleeding and/or bleeding after
sexual intercourse and in rare cases, may become
cancerous.
m
‡ 
: leukorrhea, bleeding
‡   : felt during a routine pelvic
examination and often appear as smooth, red or
purple, finger-like projections protruding from the
cervical canal.
‡  pap smear test is performed during the
physical exam to detect any precancerous
changes in the surface layer of the cervical cells
(dysplasia)

 
‡ Removal of most cervical polyps is done as a
simple outpatient procedure
Cervicitis

m 
‡ an inflammation of the cervix that is most
often caused by an infection
‡ It can be caused by a vaginal infection; a
sexually transmitted disease such as
gonorrhea, chlamydia, or genital herpes; or
by injuries to the cervix from childbirth,
abortion, miscarriage, or surgery on the
uterus.
miagnosis
‡ H
 abnormal blood-streaked vaginal discharge,
dyspareunia, vaginal bleeding after intercourse, painful
menstrual periods, spotting between periods,
lower abdominal pain, backache, fever, dysuria
‡   cervix is found to be inflamed, red,
granular, irregular lesions on the external area of the
cervix.
‡  culture and rapid test methods to increase the
accuracy of the diagnosis

 
‡  are used to treat bacterial causes of
infection
‡ Herpes infections are treated with an antiviral medication
that controls, but does not cure the infection and gives
symptomatic relief
Vaginitis
mefinition
‡ an  that can
result in  
  
‡ The cause is usually a change in the normal
balance of vaginal bacteria or an infection
‡ Vaginitis can also result from reduced
estrogen levels after menopause.
m
‡ Made with microscopy and culture of the discharge after
a careful history and physical examination have been
completed
‡ The color, consistency, acidity and other characteristics
of the discharge may be predictive of the causative
agent


 
‡  
: metronidazole or clindamycin
‡   : antifungal cream-miconazole,
clotrimazole; Oral antifungal-fluconazole
‡ 
 : metronidazole or tinidazole tablets
‡ 
  : estrogen (vaginal creams, tablets)
‡  : pinpoint the source of
irritation & avoid it

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