This test is used to assess for PID, appendicitis, intra-abdominal bleeding, and diverticulitis via cervical manipulation.
Sensitivity = 91.6%
Specificity = 12.6%
Performing the Test
CMT is tested during the bimanual examination
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
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.
Schorge JO, Schaffer JI, Halvorson LM, Hoffman BL, Bradshaw KD, Cunningham FG, eds. Williams Gynecology. New York: McGraw-Hill; 2008.