A clinico-pathological study of postcoital bleeding

Archives of Gynecology and Obstetrics
Daniel O Selo-OjemeMahishi Metha

Abstract

To undertake a clinical study of postcoital bleeding (PCB) in a district general hospital we retrospectively reviewed the records of 248 patients referred to the gynaecology department over a 5-year period. 63% were in the 21-40-year age group and 80% were multiparous. Seventy per cent were referred to the gynaecology out patients' clinic and 28% to the colposcopy clinic. Associated symptoms included menstrual abnormalities (39%) and dyspareunia (13%). Twenty per cent had benign polyps, including endometrial polyps and 25% had cervical ectropion. Cervical intraepithelial neoplasia was detected in 6.8% of cases. There was no case of invasive cancer of the lower genital tract. This is the first report of associated endometrial polyps contributing to PCB. We conclude that CIN may not always be asymptomatic and the incidence of cervical or endometrial cancer is low in women with PCB.

Citations

Mar 31, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Fadi Alfhaily, Ayman A A Ewies
Jan 20, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Afsaneh TehranianZahra Asgari
Aug 10, 2015·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Cagri GulumserAli Ayhan
Apr 29, 2016·American Journal of Clinical Pathology·Rebecca Ocque, R Marshall Austin
Jul 31, 2013·Sexually Transmitted Infections·C Sonnex
Oct 19, 2007·The Cochrane Database of Systematic Reviews·K YangP Zhang
Jul 25, 2018·Journal of Neurointerventional Surgery·Riikka TulamoMika Niemelä
Oct 20, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Sukru YildizHuseyin Cengiz

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