Cockscomb cervix anatomical abnormality

A cockscomb cervix is a condition whereby the edge of the cervix is shaped (loosely) like a rooster’s comb.

This cervical modification was a common occurrence in daughters born to pregnant women who were given diethylstilbestrol (DES) in the 50s, 60s and 70s.

What a cockscomb cervix looks like

There are large folds or ridges of fibrous tissues and cervical cells on the cervix. There may be polyps lining the cervix.

Treatment and outcomes of a cockscomb cervix

A cockscomb cervix is considered a benign modification of a normal cervix, presenting no problems and not requiring treatment.

Some women with the cockscomb cervix may experience other issues due to exposure to DES, however.


Casey PM, Long ME, Marnach ML. Abnormal cervical appearance: what to do, when to worry?Mayo Clin Proc. 2011;86(2):147–151. doi:10.4065/mcp.2010.0512

Giusti RM, Iwamoto K, Hatch EE. Diethylstilbestrol revisited: a review of the long-term health effects. Ann Intern Med 1995;122: 778-88.

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Jessica Lloyd - Vulvovaginal Specialist Naturopathic Practitioner, BHSc(N)

Jessica is a degree-qualified naturopath (BHSc) specialising in vulvovaginal health and disease, based in Melbourne, Australia.

Jessica is the owner and lead naturopath of My Vagina, and is a member of the:

  • International Society for the Study of Vulvovaginal Disease (ISSVD)
  • International Society for the Study of Women's Sexual Health (ISSWSH)
  • National Vulvodynia Association (NVA) Australia
  • New Zealand Vulvovaginal Society (ANZVS)
  • Australian Traditional Medicine Society (ATMS)