Postcoital Bleeding

Chapter 40 Postcoital Bleeding

INTRODUCTION

Description: Postcoital bleeding is vaginal bleeding that occurs following sexual intercourse.
Prevalence: Common.
Predominant Age: Reproductive age and beyond.
Genetics: No genetic pattern.

ETIOLOGY AND PATHOGENESIS

Causes: Uterine (pregnancy, endometrial polyps, endometrial hyperplasia, endometrial carcinoma, leiomyomata), cervical (polyps, cervicitis, cervical erosion, cervical dysplasia or neoplasia), vaginal (trauma, infection, atrophy), perineal (vulvar lesions, hemorrhoids).
Risk Factors: Hypoestrogenic states (menopause without estrogen replacement, vigorous intercourse, and nonconsensual intercourse [rape]).

CLINICAL CHARACTERISTICS

Signs and Symptoms

• Painless vaginal bleeding related to (after) intercourse

DIAGNOSTIC APPROACH

Differential Diagnosis

• Pregnancy (normal or abnormal)
• Cervical polyps
• Endometrial polyps
• Uterine leiomyomata
• Cervicitis or cervical lesions (including cancer)
• Endometrial cancer
• Endometriosis
• Vaginitis (including atrophic vaginitis)
• Coagulopathy (acquired or iatrogenic)
• Nongynecologic sources of bleeding (e.g., perineal or rectal)

Related posts:

  1. Anemia
  2. Urinary Incontinence: Bypass, Overflow
  3. Acne Inversa (Hidradenitis Suppurativa)
  4. Breast: Intraductal Papilloma

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Jun 6, 2016 | Posted by in GYNECOLOGY | Comments Off on Postcoital Bleeding

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