postcoital bleeding

what is postcoital bleeding?

bleeding following sexual intercourse that is not menstrual loss

what MUST be excluded in postcoital bleeding?

cervical carcinoma

what are the other causes of postcoital bleeding?

- cervical ectropion - most common

- cervical polyps

- cervicitis/vaginitis

- trauma

what would cervical carcinoma look like?

- irregular

- bleeding

- discharge

what could cause cervicitis?

chlamydia

what would chlamydia look like?

if you saw potential cervical carcinoma on examination would you do a smear?

no! - it is only for screening

what would be the investigations for cervical carcinoma?

urgent colposcopy - including biopsy