Cervical motion tenderness, known as the Chandelier sign, is a sign indicative of which condition?

Cervical motion tenderness, or the Chandelier sign, is typically indicative of pelvic inflammatory disease (PID). This sign occurs when movement of the cervix causes discomfort, suggesting the presence of inflammation or infection in the reproductive organs. In PID, inflammation and infection can result from sexually transmitted infections (STIs) or other types of infections, leading to tenderness in the pelvic area, which can be palpably assessed during a pelvic examination.

PID can involve the uterus, fallopian tubes, and surrounding structures, which results in inflammatory responses that make the cervical area very sensitive. The presence of this tenderness often prompts healthcare providers to investigate further for PID, as it is a common condition that can have serious consequences if left untreated, including infertility.

Other conditions like endometriosis, ectopic pregnancy, and ovarian cysts might cause pelvic pain or discomfort, but the characteristic cervical motion tenderness specifically points toward PID due to its association with reproductive tract infections. Each of those other conditions may present with different symptoms or examination findings, but they do not typically feature cervical motion tenderness as a defining characteristic.