The frequency of significant pathology in women attending a general gynaecological service for postcoital bleeding

  title={The frequency of significant pathology in women attending a general gynaecological service for postcoital bleeding},
  author={A N Rosenthal and Theodore A. Panoskaltsis and T Smith and W. P. Soutter},
  journal={BJOG: An International Journal of Obstetrics \& Gynaecology},
Objectives To document the frequency of pathology in women who complain of postcoital bleeding. To determine whether negative cervical cytology excludes serious pathology in women with postcoital bleeding. To determine whether postcoital bleeding increases the risk of serious pathology in women with an abnormal smear. 
Evaluation of women presenting with postcoital bleeding by cytology and colposcopy
To evaluate women with postcoital bleeding (PCB) by clinical examination, cytology, colposcopy, and histopathology.
Post-coital bleeding: What is the incidence of significant gynaecological pathology in women referred for colposcopy?
Although most women had a benign cause for post-coital bleeding, around 2% had a colposcopy-aided diagnosis of either cervical precancer or cancer; therefore, referral of symptomatic women deserves consideration. Expand
Abnormal vaginal bleeding in women with gynaecological malignancies.
  • T. Adams, L. Denny
  • Medicine
  • Best practice & research. Clinical obstetrics & gynaecology
  • 2017
The common malignancies presenting symptoms and treatment are discussed in this article according to the age of the patient, and this article focuses on children, adolescents and women in the reproductive age group. Expand
A clinico-pathological study of postcoital bleeding
It is concluded that CIN may not always be asymptomatic and the incidence of cervical or endometrial cancer is low in women with PCB, and the first report of associatedendometrial polyps contributing to PCB is reported. Expand
Evaluation of women with postcoital bleeding by clinical examination, papsmear, colposcopy and histopathology of cervix
Cervical cancer is the second most common cancer in the women throughout the world and there are multiple etiologies among which most common are benign cervicitis, ectropion or cervical polyps. Expand
Should women with postcoital bleeding be referred for colposcopy?- A review
Postcoital bleeding is commonly caused by cervical or endometrial polyps, cervicitis as a result of chlamydia or gonorrhoea and vaginitis associated with trichomoniasis or candidiasis and endometritis in the presence of an intrauterine contraceptive device (IUCD). Expand
Prevalence of pathology in women attending colposcopy for postcoital bleeding with negative cytology
Women with postcoital bleeding even with normal smears appear to be at much greater risk of cervical neoplasia than the general population, and there is no general consensus for management of these patients. Expand
Post coital bleeding is a risk for cervical cell abnormality
There is higher prevalence of High-grade squamous intraepithelial lesions among females with PCB, and non- significant difference among those aged less or more than 40 years, therefore it’s important to examine any patient complaining of PCB with PAP smear cytology and colposcopy examination. Expand
Outcomes of women with postcoital bleeding
  • A. See, S. Havenga
  • Medicine
  • International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2013
A 1-year retrospective analysis performed to determine the frequency of pathology in women with PCB, evaluate the current service provision; and update the local guideline regarding management of PCB found a high incidence of CIN, similar to a case series analysis. Expand
Recurrent post‐coital bleeding: Should colposcopy still be mandatory?
Colposcopy has been recommended for all women with recurrent post‐coital bleeding (PCB) even if their cervical cytology or co‐test (involving oncogenic human papillomavirus (HPV) DNA testing andExpand


Epidemiology and clinical significance of cervical erosion in women attending a family planning clinic.
Cervical erosion should not be regarded as pathological in asymptomatic women, nor should it be assumed necessarily to be the cause of symptoms in women with genitourinary complaints. Expand
Histopathological findings in women with postmenopausal bleeding
Investigation of endometrial histopathology in a geographically defined population of women presenting with postmenopausal bleeding finds no significant differences between menopausal and non-menopausal women. Expand
Presentation of cervical cancer.
To determine how patients with invasive cervical cancer present and whether presentation affects disease-free survival (DFS), a review of 81 patients treated for cervical cancer by the Division ofExpand
Why do we continue to take unnecessary smears?
A questionnaire survey of all general practices and family planning doctors in Manchester Health Authority was undertaken to determine why many more smears are taken in primary care than areExpand
Multifactorial audit of invasive cervical cancer: key lessons for the National Screening Programme.
  • D. Slater
  • Medicine
  • Journal of clinical pathology
  • 1995
Why cervical cancer occurs after a true negative smear requires research and women aged over 65 with no smear must be targeted. Expand