Where is the cervical pain?

Cervical pain is usually located in the middle of the lower abdomen, behind the pubic symphysis, specifically at the junction of the top of the vagina and the uterus. The cervix is ​​a narrow, tubular structure at the lower end of the uterus, and pain may be caused by diseases such as cervicitis, cervical polyps, cervical erosion, endometriosis, or pelvic inflammatory disease.

1. Cervicitis

Cervicitis is a common cause of cervical pain, mostly caused by bacterial or viral infection. Acute cervicitis may be accompanied by yellow purulent discharge and bleeding after intercourse, while chronic cervicitis may present with persistent dull pain. Treatment requires antibiotics selected according to the pathogen, such as azithromycin tablets, doxycycline tablets or cefixime dispersible tablets. It is necessary to keep the perineum clean every day and avoid unclean sex.

2. Cervical polyps

Cervical polyps are benign tumors formed by the proliferation of cervical mucosa, which may be caused by chronic inflammation or hormonal stimulation. Typical symptoms are intermittent tingling, contact bleeding, and when the polyps are large, a sinking and distended feeling in the lower abdomen may be felt. After diagnosis, cervical polyp removal can be treated, and regular post-operative review is required to prevent recurrence.

3. Cervical erosion

The physiological changes caused by the outward migration of cervical columnar epithelium are now called cervical columnar epithelial ectopia. Most are asymptomatic, and some patients experience dull pain or dyspareunia due to co-infection. If there is no infection, no treatment is required. When inflammation occurs, local drugs such as Baofukang Suppository and Xiaomi Suppository can be used, and physical therapy can be performed if necessary.

4. Endometriosis

When endometrium tissue grows ectopically into the cervix, it may cause periodic aggravation of deep pain, often accompanied by increased menstrual flow. The pain is progressive and requires laparoscopy for diagnosis. Drugs such as dienogest tablets and drospirenone and ethinylestradiol tablets can be used for treatment. Severe cases require surgical removal of the lesions.

5. Pelvic inflammatory disease

When pelvic inflammatory disease involves the cervix, it manifests as persistent lower abdominal pain that may radiate to the lumbosacral region, accompanied by fever and abnormal vaginal discharge. Antibiotics such as levofloxacin tablets and metronidazole tablets need to be used in combination, and puncture and drainage are required when an abscess forms. In the acute stage, you should stay in bed and avoid spicy and irritating foods.

If cervical pain occurs, it is recommended to undergo a timely gynecological examination and determine the cause through colposcopy, B-ultrasound or secretion testing. In daily life, pay attention to avoid sitting for long periods of time and press the perineum. Choose cotton breathable underwear, and change sanitary napkins frequently during menstruation. In the acute pain stage, local hot compress can be used to relieve the pain, but vaginal douching or medication by yourself is prohibited. Regular work and rest and moderate exercise can help enhance pelvic blood circulation and reduce the probability of chronic inflammation.