Determining cervicitis or pelvic inflammatory disease can be determined by symptoms, site of onset, and examination. 1. Symptoms: Most patients with cervicitis are asymptomatic, while some may have symptoms such as increased leukorrhea, mucopurulent leukorrhea, vulvar itching, contact bleeding, etc. Patients with pelvic inflammatory disease may have no symptoms. Pelvic inflammatory disease can be asymptomatic in mild cases, while symptomatic patients may present with increased vaginal discharge, lower abdominal pain, prolonged menstruation, high fever and so on. 2. Site of onset: the site of cervicitis is in the cervix of the uterus, while the site of pelvic inflammatory disease may involve the endometrium, fallopian tubes, ovaries, pelvic peritoneum, and so on. 3. Examination: during gynecological examination, cervicitis can be found in the cervical canal or cervical canal cotton swab specimen of purulent or mucus secretion visible to the naked eye, and in the cotton swab wipe the cervical canal is prone to the phenomenon of bleeding, vaginal secretion test can be found in leukocytosis. Pelvic inflammatory disease may present with cervical lifting pain or uterine pressure pain or adnexal area pressure pain during the examination, and the patient’s vaginal secretions may show leukocytosis, elevated erythrocyte sedimentation rate, and elevated blood C-reactive protein. Thickening of the fallopian tubes, tubal effusion, pelvic effusion, and tubo-ovarian masses can be presented by ultrasound testing. Patients who want to clarify the two diseases should go to the hospital for professional testing in time to avoid blind judgment and affecting treatment.