Obstetrics and Gynecology/Postcoital Bleeding

Postcoital Bleeding is bleeding after intercourse. It almost always originates from the cervix or the vagina.

Differential Diagnosis

Cervical Causes:

• Cervical Carcinoma
• Cervicitis
• Cervical Ectropion
• Cervical Polyps

Vaginal Causes

• Vaginal Carcinoma
• Vaginitis

Diagnosis

The diagnosis of postcoital bleeding is made using the following clinical skills:

• Gynecological History Taking
• Gynecological Examination
• Gynecological Investigations

References

O'Connor, J. Pathology 2nd ed. Mosby. Edinburgh. 2002.

McCarthy, A & Hunter, B (2003) Master Medicine: Obstetrics and Gynaecology (2nd ed.) Philadelphia: Elsevier Saunder

www.gpnotebook.co.uk