OnExam

This test is used to assess for PID, appendicitis, intra-abdominal bleeding, and diverticulitis via cervical manipulation.

Performing the Test

  1. CMT is tested during the bimanual examination
  2. Examiner uses two internal fingers to move the cervix from side to side

Assessing Results

  • Minimal discomfort with cervical manipulation is a negative test
  • Pain with cervical manipulation is a positive test
  • It is most commonly associated with pelvic inflammatory disease (PID) for which it has a sensitivity of 91.6% and a specificity of 12.6%.

References

  1. Peipert JF, et al. Clinical predictors of endometritis in women with symptoms and signs of pelvic inflammatory disease. Am J Obstet Gynecol. 2001;184:856-863.
  2. Schorge JO, Schaffer JI, Halvorson LM, Hoffman BL, Bradshaw KD, Cunningham FG, eds. Williams Gynecology. New York: McGraw-Hill; 2008.