This may follow bacterial infection at delivery or abortion, or may be due to Chlamydia trachomatis. Rarely, it is due to tuberculosis.
Presentation is typically with:
On examination, the cervix is enlarged by multiple Nabothian follicles - retention cysts of the cervical glands - which may become secondarily infected.
Management:
The patient must be informed that cautery causes a marked discharge for 2-3 weeks and may be associated with secondary haemorrhage around the 10th day as the necrotic slough is shed.
Cervical stenosis rarely complicates cautery.
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