What is the likely cause of a friable cervix?

A friable cervix refers to a cervix that is easily damaged or bleeding, often during a gynecological exam. This condition is typically the result of infections or irritation.

Infections such as sexually transmitted infections (STIs), bacterial vaginosis, or cervical inflammation can lead to increased vascularity and sensitivity of the cervical tissue, making it more prone to bleeding upon contact.

Additionally, irritation from factors such as physical trauma, chemical exposure, or even aggressive cervical procedures can contribute to this condition. Understanding that the friable cervix is closely associated with inflammatory processes helps clarify why infection or irritation is the most likely cause compared to the other options provided.

Hormonal changes during pregnancy can affect the cervix, but they typically do not lead to a friable condition directly; rather, they can contribute to overall cervical changes that may not necessarily result in friability. Rapid weight loss does not correlate with cervix fragility, and while benign polyps can occur on the cervix, they do not solely account for the symptom of friability. Thus, the most direct association with the friable cervix is linked to infections or irritation.