Which symptom is NOT typically associated with chlamydial cervicitis?

Chlamydial cervicitis often presents with a range of symptoms, some of which can be quite mild. Purulent cervical discharge and a friable cervix are commonly observed clinical signs. Patients may experience a mucopurulent discharge due to inflammation of the cervix, and the fragility of the tissue can lead to bleeding, especially during examination. Dysuria, or painful urination, may occur occasionally as a result of urinary tract involvement but is not always present.

Severe abdominal pain, however, is not typical for chlamydial cervicitis. This symptom is more indicative of pelvic inflammatory disease (PID), which can develop if chlamydia infections ascend to involve the uterus and fallopian tubes. The pain associated with PID is usually more severe and is tied to inflammation of these structures, rather than cervicitis alone. Therefore, the presence of severe abdominal pain distinguishes it from the other symptoms more commonly associated with chlamydial cervicitis.