Endocervical culture
Vaginal culture; Female genital tract culture; Culture - cervix
Endocervical culture is a laboratory test that helps identify infection in the female genital tract.
How the Test is Performed
During a vaginal examination, the health care provider uses a swab to take samples of mucus and cells from the endocervix. This is the area around the opening of the uterus. The samples are sent to a lab. There, they are placed in a special dish (culture). They are then watched to see if bacteria, virus, or fungus grow. Further tests may be done to identify the specific organism and determine the best treatment.
How to Prepare for the Test
In the 2 days before the procedure:
- Do NOT use creams or other medicines in the vagina.
- Do NOT douche. (You should never douche. Douching can cause infection of the vagina or uterus.)
- Empty your bladder and bowel.
- At your provider’s office, follow instructions for preparing for the vaginal exam.
How the Test will Feel
You will feel some pressure from the speculum. This is an instrument inserted into the vagina to hold the area open so that the provider can view the cervix and collect the samples. There may be a slight cramping when the swab touches the cervix.
Vagina
The vagina is the female body part that connects the womb (uterus) and cervix to the outside of the body.
Cervix
The cervix is the lower end of the womb (uterus). It is at the top of the vagina. It is about 2 inches (5 centimeters) long. The cervical canal pa...
Why the Test is Performed
The test may be done to determine the cause of vaginitis , pelvic pain, an unusual vaginal discharge , or other signs of infection.
Vaginitis
Vaginal dryness is present when the tissues of the vagina are no longer well-lubricated and healthy.
Vaginal discharge
Vaginal discharge refers to secretions from the vagina. The discharge may be:Thick, pasty, or thinClear, cloudy, bloody, white, yellow, or greenOdor...
Normal Results
Organisms that are usually present in the vagina are there in the expected amounts.
What Abnormal Results Mean
Abnormal results indicate the presence of an infection in the genital tract or urinary tract in women, such as:
-
Genital herpes
Genital herpes
Genital herpes is a sexually transmitted infection. It is caused by the herpes simplex virus. This article focuses on HSV type 2 infection.
-
Chronic swelling and irritation of the urethra (
urethritis
)
Urethritis
Urethritis is inflammation (swelling and irritation) of the urethra. The urethra is the tube that carries urine from the body.
-
Gonorrhea
or
chlamydia
Gonorrhea
Gonorrhea is a common sexually transmitted infection (STI).
Chlamydia
Chlamydia is an infection. It is caused by the bacteria Chlamydia trachomatis. It is most often spread through sexual contact.
- Pelvic inflammatory disaese (PID)
Risks
There may be slight bleeding or spotting after the test. This is normal.
References
Craft AC, Woods GL. Specimen collection and handling for diagnosis of infectious diseases. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods . 22nd ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 63.
Eckert LO, Lentz GM. Infections of the lower and upper genital tracts: vulva, vagina, cervix, toxic shock syndrome, HIV infections, endometritis, and salpingitis. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Comprehensive Gynecology . 6th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 23.
-
Female reproductive anatomy - illustration
External structures of the female reproductive anatomy include the labium minora and majora, the vagina and the clitoris. Internal structures include the uterus, ovaries and cervix.
Female reproductive anatomy
illustration
-
Uterus - illustration
The uterus is a hollow muscular organ located in the female pelvis between the bladder and rectum. The ovaries produce the eggs that travel through the fallopian tubes. Once the egg has left the ovary it can be fertilized and implant itself in the lining of the uterus. The main function of the uterus is to nourish the developing fetus prior to birth.
Uterus
illustration
-
Female reproductive anatomy - illustration
External structures of the female reproductive anatomy include the labium minora and majora, the vagina and the clitoris. Internal structures include the uterus, ovaries and cervix.
Female reproductive anatomy
illustration
-
Uterus - illustration
The uterus is a hollow muscular organ located in the female pelvis between the bladder and rectum. The ovaries produce the eggs that travel through the fallopian tubes. Once the egg has left the ovary it can be fertilized and implant itself in the lining of the uterus. The main function of the uterus is to nourish the developing fetus prior to birth.
Uterus
illustration
Review Date: 9/26/2015
Reviewed By: Daniel N. Sacks MD, FACOG, obstetrics & gynecology in private practice, West Palm Beach, FL. Review Provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.