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STD: TESTING FOR MUCOPURULENT CERVICITIS
The symptoms of MPC may be vague, and it may be difficult to diagnose based on history alone. Therefore a pelvic examination is necessary to diagnose MPC. Many women mistakenly believe they are being tested for infections when they have a Pap smear, which is the screen for cervical cancer (see the section on genital warts). A Pap smear may sometimes reveal changes consistent with herpes or trichomonas infection, but the real purpose of a Pap smear is to screen for cervical cancer, and specific tests must be performed to determine the causes of MPC.
The diagnosis of MPC is made based on characteristic observations during the examination and under the microscope. On examination, a discharge may be noticed; it will be examined under the microscope to help determine if it is coming from the cervix or the vagina. The cervix may show some telltale signs of infection, such as easy bleeding when it is swabbed, emission of pus from the opening (the os), and excessive redness. On examination of the cervical discharge under a microscope, numerous white blood cells can be seen. Occasionally, gonorrheal organisms can also be seen under the microscope (as noted, gonorrhea is one cause of MPC). Cultures may be performed for specific bacteria. The health care provider will also determine whether there is infection higher up in the pelvic organs.
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