Abstract

An Audit on the Outcomes of the Assessment of Post-Coital Bleeding at Colposcopy at Wellington Hospital in 2012-2013

Highlights

  • Post Coital Bleeding (PCB) is bleeding that occurs during or following sexual intercourse, not related to menstruation

  • Post coital bleeding can be caused by cervical polyps, cervicitis, ectropion, Cervical Intra-Epithelial Lesion (CIN) or cervical cancer [2]

  • The New Zealand Cervical Screening Guidelines, along with the Royal Australian and New Zealand College of Obstetrics and Gynaecology and the Australian National Centre for Gynaecological Cancers recommend that women with ongoing PCB and in whom chlamydial cervicitis has been excluded, should be referred for colposcopy [6,7,8]

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Summary

Introduction

Post Coital Bleeding (PCB) is bleeding that occurs during or following sexual intercourse, not related to menstruation. Post coital bleeding can be caused by cervical polyps, cervicitis, ectropion, Cervical Intra-Epithelial Lesion (CIN) or cervical cancer [2]. It is important that this symptom be adequately investigated as this may be the first symptom of cervical malignancy which is reported by 11% of women diagnosed with cervical cancer [4]. One study found that 30% of women with PCB had significant pathology (CIN or cervical malignancy) and had a normal or inflammatory smear [5]. It is important that all women with symptoms of PCB be assessed colposcopically. Our retrospective study investigated referral smear in women withPCB and looked at the results of colposcopic assessment and biopsy

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