Cervicitis

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HealthLink BC File number
08f
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What is cervicitis?

Cervicitis is an inflammation of the cervix (the lower, narrow part of the uterus that opens into the vagina). Cervicitis is common and affects many people with a cervix at some point during their adult lives.

What causes cervicitis?

Cervicitis is often caused by sexually transmitted infections (STIs) like gonorrhea, chlamydia, trichomoniasis or herpes simplex (a virus). It can also be caused by other organisms that are not sexually transmitted. Reactions or irritations to latex, douches or vaginal creams can also cause cervicitis.

To find out if you have cervicitis, you need to visit a health care provider and have lab tests done.

How is it spread?

The condition of cervicitis does not spread. It is the STIs that spread through condomless oral, vaginal or anal sex that cause cervicitis.

What are the symptoms?

Symptoms of cervicitis can include:

  • Changes in the amount and/or colour of fluid from the vagina
  • Abnormal vaginal bleeding or spotting between periods or after sexual intercourse
  • Pain during insertive sex

It is also possible to have cervicitis and not have any symptoms.

What are the potential complications?

If left untreated, cervicitiscan spread to the uterus and fallopian tubes. These infections can lead to difficulty getting pregnant, ectopic or tubal pregnancy, ongoing pelvic pain or pelvic inflammatory disease (PID). Visit HealthLinkBC File #08c Pelvic inflammatory disease (PID) for more information.

What is the treatment?

Cervicitis caused by bacteria may be treated with antibiotic pills. It is important to follow your treatment instructions carefully. If you are given pills, finish all of them. If the infection is sexually transmitted, sexual partners from the last 2 months should be tested and treated. It takes time for the infection to clear from the body, so it is important that you do not have any oral, vaginal or anal sex for 7 days after you and your partner(s) start the antibiotic treatment.

Ensure you or your partner(s)finish the treatment. If you miss pills, experience vomiting after taking medication or have condomless sex before you have finished all the medication, there is a chance that the infection will stay in your body. It may also be passed back to you or your sexual partner(s) and cause health problems later. If this happens, talk to your health care provider who will help you determine if you need further treatment. Other treatments may be offered by your health care provider if another cause is identified.

Will my birth control work if I am taking antibiotics?

There is very little evidence to show that antibiotics reduce the effectiveness of hormonal birth control. Examples of hormonal birth control include the pill, the patch, the ring or the shot. If you are being treated with antibiotics, it is important to keep using your birth control as you normally would. If you have concerns, use condoms

until your next period starts after completing the antibiotics. Speak to your health care provider for more information.

How can I reduce my chance of getting a sexually transmitted infection (STI)?

Practice safer sex by using a condom

When used correctly, external (“male”) and internal (“female”) condoms help prevent the spread of many STIs during vaginal, anal and oral sex. Condoms are less effective at protecting against STIs transmitted by skin-to-skin contact, such as herpes simplex virus, genital warts (human papillomavirus (HPV)), and syphilis (when sores are present).

Important things to remember when using condoms:

  • Check the condom package for damage. Do not use a condom that has been damaged
  • Check the expiry date. Do not use a condom that has passed its expiry date
  • Carefully open the package so that the condom does not tear. Do not use a condom that has been torn
  • Keep condoms away from sharp objects such as rings, studs or piercings
  • Store condoms at room temperature
  • Use a new condom every time you have sex. Do not reuse condoms
  • Do not use 2 condoms at once. Using 2 condoms together may result in a condom breaking
  • Use only water-based lubricants with external (“male”) latex condoms. Oil-based lubricants, such as petroleum jelly, lotion or baby oil, can weaken and destroy latex
  • Water or oil-based lubricant may be used with polyurethane/nitrile condoms
  • Use only condoms made of latex or polyurethane/nitrile/polyisoprene rubbers. Latex and polyurethane condoms are the best types of condoms to use to help prevent pregnancy and STIs. (Lambskin and sheepskin condoms can help prevent pregnancy but don’t work as well as latex or polyurethane condoms to prevent STIs)
  • Avoid using condoms with spermicides containing nonoxynol-9 (N-9) as it can irritate tissue and may increase the chance of getting an STI

Practice safer sex by using dental dams or other barriers: 

A dental dam is a piece of thin latex that is placed over the vagina/internal genitals or anus during oral sex. It can also be called a latex barrier/sheet, latex dam, oral dam or sheet. Dental dams are a good way to lower the chance of getting or passing sexually transmitted infections (STIs).

Important things to remember when using dental dams: 

  • Before you use the dam, hold it up to light and check for holes
  • Rinse it gently with warm water to remove powder
  • Hold the dam over the vagina/internal genitals or anus
  • Be sure that only one side of the dam touches the vagina/internal genitals or anus
  • Use a new dam each time you have oral sex
  • Use a different dam for the anal area and the vagina/internal genital area
  • Use lubricant on the vagina/internal genitals or anus to improve sensation
  • Dispose of the dam in the garbage

Medications

There are medications that can lower your chances of getting or passing on certain STIs. For more information, visit HealthLinkBC File #08o Preventing sexually transmitted infections (STIs).

Get vaccinated

Some STIs, such as hepatitis A, B and human papillomavirus (HPV) can be prevented with vaccines. Talk to your health care provider about how to get these vaccinations.

Know your sexual health status

If you have recently changed sexual partners, or have multiple sex partners, getting regularly tested for STIs will tell you if you have an infection. Some people can have an STI and not have any symptoms. Finding and treating an STI reduces the chances of passing infections on to your partner(s).

The more partners you have, the higher your chance of getting exposed to STIs is.

Talk about prevention

Talk to your partner(s) about STIs and how you would like to prevent them before having sex. If you are having trouble discussing safer sex with your partner(s), talk about it with your health care provider or a counsellor.

For tips on how to talk to your partner(s), visit the BC Centre for Disease Control (BCCDC) Smart Sex Resource https://smartsexresource.com/sexual-health/partners-communication/talking-to-your-partners/.

Informing partners

If you have a sexually transmitted infection and are sexually active, it is important to tell your sexual partner(s). This will enable them to make decisions about their health and testing.

For more information

For more information on how you can reduce your chance of getting an STI, visit HealthLinkBC File #08o Preventing sexually transmitted infections (STIs).