Cervical Ectropion, Cervical Polyps, and Cervicitis

Question 1

What is this describing?

Columnar epithelium of endocervix visible as a red area around external os due to eversion.

Answer 1

Cervical ectropion

Question 2

In which groups is cervical ectropion a normal finding?

Answer 2

Younger women, women on COCP, and during pregnancy.

Question 3

How does cervical ectropion normally present?

Answer 3

Normally asymptomatic, can cause vaginal discharge or post-coital bleeding.

Question 4

How is cervical ectropion investigated and managed?

Answer 4

1. Smear and colposcopy to exclude cervical carcinoma

2. Cryotherapy to treat if wanted

Question 5

What are cervical polyps and who are they most common in?

Answer 5

1. Pedunculated benign tumours

2. Most common in women >40 years

Question 6

How do cervical polyps normally present?

Answer 6

Asymptomatic or may cause post-coital or intermenstrual bleeding, also may increase mucus discharge.

Question 7

How are cervical polyps managed?

Answer 7

1. Young women - avulsion

2. Older women - TVUSS +/- hysteroscopy to exclude intrauterine polyps

Question 8

What is cervicitis and which infections commonly cause it?

Answer 8

1. Inflammation or infection of the cervix, often of an ectropion.
2. Most commonly Chlamydia, also gonorrhoea/herpes

Question 9

How does cervicitis normally present?

Answer 9

Discharge and causes ‘inflammatory’ smears.

Question 10

How is cervicitis managed?

Answer 10

Cryotherapy +/- antibiotics if chronic