What are the signs and symptoms of a bruised cervix (cervical contusion)?

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From the Guidelines

A bruised cervix typically presents with signs and symptoms such as pain in the lower abdomen or pelvic region, vaginal bleeding or spotting, and discomfort or pain during urination, bowel movements, or subsequent sexual activity, as indicated by various studies including 1 and others. The symptoms of a bruised cervix can vary but generally include:

  • Pain in the lower abdomen or pelvic region, which may be sharp or dull and can last for several days
  • Vaginal bleeding or spotting not related to menstruation, ranging from light pink to bright red
  • Pain during urination or bowel movements due to the proximity of these structures to the cervix
  • Discomfort or pain during subsequent sexual activity until healing occurs
  • Nausea or a feeling of pressure in the pelvis may be present in some cases These symptoms occur because the cervix contains sensitive tissue with many nerve endings and blood vessels that can be damaged with trauma, as noted in the context of cervical examination and potential findings such as cervical motion tenderness 1. Treatment generally involves rest from sexual activity for 1-2 weeks, over-the-counter pain relievers like ibuprofen (400-600mg every 6-8 hours) or acetaminophen (500-1000mg every 6 hours), and applying a heating pad to the lower abdomen. It's crucial to seek medical attention immediately if symptoms are severe, persist beyond a week, or include heavy bleeding, fever, or severe pain, as these could indicate more serious injury or infection, a consideration also relevant when evaluating for sexually transmitted diseases 1. In clinical practice, a thorough speculum examination, as described in guidelines such as those from the American Academy of Pediatrics 1, can help identify signs of cervical injury or infection, including abnormal discharge, lesions, or friability of the cervix, guiding appropriate management and treatment.

From the Research

Signs and Symptoms of a Bruised Cervix

There are no direct research papers to assist in answering this question. However, some studies provide information on related topics:

  • A study on bleeding in cancer patients 2 mentions that bleeding may present as bruising, but it does not specifically discuss a bruised cervix.
  • Other studies focus on cervical spine surgery 3, 4, 5, infection prevention, and risk factors for postoperative spinal infection, but they do not address the signs and symptoms of a bruised cervix. Some possible signs and symptoms of a bruised cervix may include:
  • Bleeding or spotting
  • Pain or discomfort in the pelvic area
  • Abnormal vaginal discharge However, these symptoms are not specifically mentioned in the provided studies, and it is essential to consult a medical professional for an accurate diagnosis and treatment.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Bleeding in cancer patients and its treatment: a review.

Annals of palliative medicine, 2018

Research

Infection prevention in cervical spine surgery.

Journal of spine surgery (Hong Kong), 2020

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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