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Identifying acute cervicitis in an era of less-frequent routine gynecologic examinations

Allen, Margaret PA-C, MSL, DFAAPA

Journal of the American Academy of PAs: February 2018 - Volume 31 - Issue 2 - p 50–53
doi: 10.1097/01.JAA.0000530277.12517.69
Special Topics in Women's Health

ABSTRACT Acute inflammation of the uterine cervix can lead to serious problems such as pelvic inflammatory disease (PID), endometritis, and complications of pregnancy and childbirth. As intervals for routine gynecologic screening examinations lengthen, cervical infections, especially if asymptomatic, may be missed. Annual wellness examinations and other patient visits outside routine gynecologic cancer screening visits should include brief evaluation with sexual risk assessment and a gynecologic examination if indicated. If cervicitis persists after standard treatment for sexually transmitted infections (STIs), consider Mycoplasma genitalium. Clinicians should be sensitive to the fact that the unexpected presence of infection may cause distress.

Margaret Allen is a former PA program director for the University of Worcester in the United Kingdom, former clinical instructor in the Stanford University primary care associate program, and practiced family medicine at Ravenswood Family Health Center in East Palo Alto, Calif. The author has disclosed no potential conflicts of interest, financial or otherwise.

Roy A. Borchardt, PA-C, PhD, and Michael D. Overcash, MPAS, PA-C, department editors

Copyright © 2018 American Academy of Physician Assistants
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