Endocervical culture is a laboratory test that involves taking samples from the endocervix (opening to the uterus) and using them to isolate and identify the organisms causing infection in the female genital tract.

During a vaginal examination, a scraping of mucus and cells is taken from the endocervix (the opening of the uterus). Smears are placed on slides or culture media (or both) depending on the suspected cause of infection.

The specimens are observed for growth and examined under a microscope. Special stains or biochemical reagents may be used to identify specific organisms in certain types of culture tests.

Preparations for a vaginal examination include emptying your bladder (an empty bowel is also preferable), disrobing from the waist down, placing your feet in the stirrups on the examination table, and covering your lower body with the drape or sheet provided.

There will be some pressure from the speculum, an instrument inserted into the vagina to hold the birth canal open to observe the cervix and collect the specimen. There may be a slight cramping sensation when the cervix is touched by the swab.

The test may be performed to determine the cause of vaginitis, an unusual vaginal discharge, or other signs of infection. It is also used to screen for sexually transmitted diseases.

Vaginal microorganisms that are normally present are present in the expected amounts.

Abnormal results indicate the presence of an infection in the female genital tract. Chlamydia, gonorrhea, herpes simplex, E. coli, C. trachomatis, group A streptococcus, or other microorganisms may be detected by culture.

Additional conditions under which the test may be performed:

• Chlamydia, female
• Chronic urethritis
• Gonococcemia (Disseminated)
• Pelvic inflammatory disease (PID)

There are no risks.

Not applicable.