gynecology and obstetrics
Cervicitis
Treatment of Cervicitis
Usually treatment for chlamydia and gonorrhea In certain clinical situations, patients with signs and symptoms suggestive of cervicitis should be Treatment and Chlamydia:Azithromycin1 g orally once ordoxycycline100 mg orally twice a day for 7 days Gonorrhea:Ceftriaxone500 mg IM once for patients weighing < 150 kg or 1g IM once for patients weighing ≥ 150 kg plusazithromycin1 g orally once (due to emerging resistance ofN. gonorrhoeaeto cephalosporins) Once the cause or causes are identified based on the results of microbiologic testing, subsequent treatment is adjusted accordingly. If the cause is the Herpes Simplex Virus (HSV) Infections , infection usually persists for life. Antiviral medications can control but not cure these infections. If cervicitis persists despite treatment, reinfection with chlamydiae andN. gonorrhoeaeshould be ruled out, and empiric treatment withmoxifloxacin400 mg orally once a day for 7 to 14 days (eg, for 10 days) should be started to cover possibleM. genitaliuminfection.M. genitaliumhas been associated with cervicitis, pelvic inflammatory disease, preterm delivery, and infertility and should be investigated in patients with nongonococcal, nonchlamydial cervicitis if polymerase chain reaction (PCR) testing is available. If the cause is a bacterial STI, sex partners should be tested and treated simultaneously. They should abstain from sexual intercourse until the infection has been eliminated from the patient and all partners. All women with confirmed chlamydia or gonorrhea, and those diagnosed with trichomoniasis, should be tested 3 months after treatment because reinfection is common. 