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Normal vaginal discharge is composed of cervical mucus, vaginal fluid, shedding vaginal and cervical cells, and bacteria. [1] The majority of the liquid in vaginal discharge is mucus produced by glands of the cervix. [1] [4] The rest is made up of transudate from the vaginal walls and secretions from glands (Skene's and Bartholin's). [4]
The cervix is more tightly connected to surrounding structures than the rest of the uterus. [7] The cervical canal varies greatly in length and width between women or over the course of a woman's life, [3] and it can measure 8 mm (0.3 inch) at its widest diameter in premenopausal adults. [8] It is wider in the middle and narrower at each end.
A nabothian cyst (or nabothian follicle) [1] is a mucus-filled cyst on the surface of the cervix.They are most often caused when stratified squamous epithelium of the ectocervix (portion nearest to the vagina) grows over the simple columnar epithelium of the endocervix (portion nearest to the uterus).
The cervical canal is generally lined by "endocervical mucosa" which consists of a single layer of mucinous columnar epithelium. However, after menopause, the functional squamocolumnar junction moves into the cervical canal, and hence the distal part of the cervical canal may be lined by stratified squamous epithelium (conforming to a "type 3 transformation zone").
Mucopurulent cervical discharge seen on a cotton bud Micrograph of salpingitis – a component of pelvic inflammatory disease. H&E stain. Upon a pelvic examination, cervical motion, uterine, or adnexal tenderness will be experienced. [5] Mucopurulent cervicitis and or urethritis may be observed.
The cervical mucus plug (CMP) acts as a protective barrier by deterring the passage of bacteria into the uterus, and contains a variety of antimicrobial agents, including immunoglobulins, and similar antimicrobial peptides to those found in nasal mucus.The CMP inhibits the migration of vaginal bacteria towards the uterus, protecting against ...
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The fluid consists of cervical and endometrial mucus or in rare instances urine accumulated through a vesicovaginal fistula proximal to the obstruction. In some cases, it is associated with Bardet-Biedl Syndrome. [1] If it occurs in prepubertal girls, it may show up as abdominal swelling. It may be detected by using ultrasound.