Benign Conditions of the Cervix

Question 1

CERVICAL ECTROPION

Answer 1

• normal finding in younger women especially if pregnant or on COCP.
• normally asymptomatic but occassionally vaginal discharge/post-coital bleeding
• Erythema around cervical os
• Tx: Cryotherapy after carcinoma excluded
• Complications: Infection

Question 2

CERVICITIS:

1. Acute
2. Chronic

Answer 2

1. Acute:
   - Causes: STI, severe prolapse
2. Chronic:
   - usually inflammation/infection of an ectropion
   - vaginal discharge, inflammatory smears
   - Tx: Cryotherapy with/without antibiotics based on bacterial culture

Question 3

CERVICAL POLYP

Answer 3

1. Most common >40y
2. Usually asymptomatic
   - <1cm
   - Can cause intermenstrual bleeding or post-coital bleeding
3. Tx: Avulsion of small polyps without anaesthetic. Can use Silver nitrate
   - Histological examination of tissue and appropriate investigations for bleeding

Question 4

NABOTHIAN FOLLICLES

Answer 4

• White/opaque swellings on ectocervix

- No treatment required unless symptomatic(rare)