Differential Diagnosis for Cervix Pain in Young Adults
Single Most Likely Diagnosis
- Cervicitis: This is an inflammation of the cervix, often caused by sexually transmitted infections (STIs) such as chlamydia or gonorrhea. It's a common condition in young adults, especially those who are sexually active, making it the most likely diagnosis for cervix pain in this demographic.
Other Likely Diagnoses
- Pelvic Inflammatory Disease (PID): This condition occurs when bacteria move from the vagina and cervix upward into the uterus, ovaries, or fallopian tubes, causing infection. PID is a common cause of pelvic pain and is often associated with STIs.
- Endometriosis: Although more commonly associated with menstrual cramps and heavy bleeding, endometriosis can cause chronic pelvic pain, including pain localized to the cervix, especially during intercourse.
- Cervical Polyps: These are growths on the cervix that can cause pain, especially after intercourse. They are relatively common and can be a source of discomfort.
Do Not Miss Diagnoses
- Ectopic Pregnancy: Although less common, an ectopic pregnancy can cause severe pelvic pain, including cervix pain, and is a medical emergency. It's crucial to consider this diagnosis, especially in sexually active young adults with a missed period.
- Ovarian Torsion: This is a condition where the ovary twists around its ligaments, cutting off blood supply. It's a rare but emergency situation that can cause severe pelvic pain.
- Cervical Cancer: While rare in young adults, cervical cancer can cause pain and should not be missed. Regular screening can help in early detection.
Rare Diagnoses
- Cervical Stenosis: A narrowing of the cervical canal, which can cause pain, especially during menstruation or intercourse. It's less common and often associated with other conditions or procedures.
- Müllerian Anomalies: Congenital anomalies of the female reproductive tract can sometimes cause cervix pain, though they are relatively rare and often diagnosed during evaluation for other symptoms like infertility or recurrent miscarriages.