From the Guidelines
A friable cervix is primarily caused by inflammation or infection of the cervical tissue, with common causes including cervical infections such as chlamydia, gonorrhea, or trichomoniasis, as well as cervicitis (inflammation of the cervix) 1. When evaluating the cause of a friable cervix, it is essential to consider the potential underlying infections or inflammatory conditions.
- Cervical infections such as chlamydia, gonorrhea, or trichomoniasis can lead to inflammation and friability of the cervix.
- Cervicitis, or inflammation of the cervix, can also cause a friable cervix.
- Other potential causes include cervical ectropion, cervical polyps, or cervical dysplasia.
- Hormonal changes during pregnancy can also make the cervix more friable due to increased blood flow and tissue softening 1. A thorough diagnosis through examination, cultures, or biopsy is essential for appropriate management of a friable cervix.
- A speculum examination can help visualize the cervix and note any lesions or abnormalities, such as an ectropion or discharge 1.
- Laboratory tests, such as wet prep, potassium hydroxide examination, and vaginal pH testing, can help diagnose underlying infections such as yeast infection, bacterial vaginosis, or trichomoniasis 1. Treatment of a friable cervix depends on the underlying cause and may include antibiotics for bacterial infections, antifungals for yeast infections, or procedures to remove abnormal tissue.
- It is crucial to address the underlying cause of the friable cervix to prevent further complications and improve patient outcomes.
- A healthcare provider should be consulted to determine the best course of treatment for a friable cervix.
From the Research
Causes of a Friable Cervix
The cause of a friable (easily broken) cervix can be attributed to several factors, including:
- Infections, such as those caused by human papillomavirus (HPV) 2, 3, Chlamydia trachomatis, and Neisseria gonorrhoeae 4, 5, 6
- Cervical inflammation, which can be caused by infections or other factors 3, 5
- Cervical cancer or precancerous lesions, which can cause the cervix to become friable 2
Infections and Friable Cervix
Infections, particularly those caused by HPV, Chlamydia trachomatis, and Neisseria gonorrhoeae, can lead to cervical inflammation and potentially cause the cervix to become friable. For example:
- HPV infection is a necessary cause of cervical cancer and its immediate precursor lesions 2, 3
- Chlamydia trachomatis and Neisseria gonorrhoeae infections can cause cervicitis, which can lead to a friable cervix 4, 5, 6
Cervical Inflammation and Friable Cervix
Cervical inflammation, which can be caused by infections or other factors, can also contribute to a friable cervix. For example: