Clin Infect Dis 2007:44(suppl 3) S102-10.


- Two most common causes are Chlamydia trachomatis and N. gonorrhoeae.

- Other etiologies include:

  • Trichomonas vaginalis

  • Herpes simplex

  • bacterial vaginosis
  • Mycoplasmoides genitalium (previously Mycoplasma genitalium)

  • S. agalactiae and S. pyogenes

  • chemical douches/spermicides

Although a causal role has not been determined, CMV, EBV, HTLV-1 have been isolated in women with cervical inflammation.


- For all women with cervicitis recommend test and treat, if positive, for concomitant vaginal conditions especially BV and Trichomonas vaginalis, and consider genital herpes.


- NAAT (vaginal or endocervical swab, or urine (less sensitive) recommended for both Chlamydia trachomatis and Neisseria gonorrhoeae.

- Test and treat regardless of clinical signs/symptoms, all recent (60 days) sexual contacts. Patients should abstain from sexual intercourse during, and for 7 days after therapy, and until all their sexual partners are treated. Repeat treatment if re-exposed to untreated partner.