What are the guidelines for treating cervicitis?
The most common etiologies of cervicitis are infectious, with sexual transmission of organisms such as with C trachomatis and N gonorrhoeae being the primary means by which it is spread. Other etiologic organisms include Trichomonas vaginalis and herpes simplex virus (HSV), especially primary type 2 HSV.
Noninfectious causes of cervicitis include local trauma, radiation, chemical irritation, systemic inflammation, and malignancy. Limited data exist to suggest frequent douching, as well as Mycoplasma genitalium infection and bacterial vaginosis, as potential causes.
@sumana In 2021, the Centers for Disease Control and Prevention (CDC) updated its clinical practice guidelines on the treatment of sexually transmitted infections. These are some of the highlights of the recommendations for presumptive therapy for cervicitis.
The recommended treatment regimen for cervicitis is as follows:
Doxycycline 100 mg orally 2 times per day for 7 days
Concurrent therapy for gonococcal infection should be considered if the patient is at risk for gonorrhea or lives in a community with a high prevalence of gonorrhea.
The alternative treatment regimen for cervicitis is as follows:
Azithromycin 1 g orally in a single dose
Women who have received treatment for cervicitis should be advised to avoid sexual intercourse until they and their partners have been treated (ie, until completion of a 7-day regimen or for 7 days after single-dose therapy) and all symptoms have resolved.