What is the appropriate treatment for a patient with strawberry cervix?

Strawberry cervix is a clinical term often associated with trichomoniasis, a sexually transmitted infection caused by the parasite Trichomonas vaginalis. The characteristic appearance of a strawberry cervix refers to a pattern of erythema and petechiae on the cervix.

The most appropriate treatment for trichomoniasis is metronidazole. This medication is effective against anaerobic bacteria and protozoa, making it the first-line therapy for this specific infection. Metronidazole can be administered orally or vaginally, with the oral route being more widely used in clinical practice.

While azithromycin, doxycycline, and ceftriaxone are appropriate treatments for other infections (azithromycin for chlamydia, doxycycline for syphilis and other infections, and ceftriaxone for gonorrhea), they are not the first-choice therapies for trichomoniasis. In this context, metronidazole is the most targeted and effective treatment option, which directly addresses the underlying infection associated with the presentation of a strawberry cervix.