A clinico-pathological study of postcoital bleeding.
METHODS
To undertake a clinical study of postcoital bleeding (PCB) in a district general hospital we retrospectively reviewed the records of 248 patients referred to the gynaecology department over a 5-year period.


RESULTS
63% were in the 21-40-year age group and 80% were multiparous. Seventy per cent were referred to the gynaecology out patients' clinic and 28% to the colposcopy clinic. Associated symptoms included menstrual abnormalities (39%) and dyspareunia (13%). Twenty per cent had benign polyps, including endometrial polyps and 25% had cervical ectropion. Cervical intraepithelial neoplasia was detected in 6.8% of cases. There was no case of invasive cancer of the lower genital tract.


CONCLUSIONS
This is the first report of associated endometrial polyps contributing to PCB. We conclude that CIN may not always be asymptomatic and the incidence of cervical or endometrial cancer is low in women with PCB.
Selo-Ojeme
Daniel O
DO
Department of Obstetrics and Gynaecology, Southend Hospital, Prittlewell Chase, Westcliff-on-sea, Essex, UK. Dselooieme@aol.com
Dayoub
Nawal
N
Patel
Adila
A
Metha
Mahishi
M
D000328:Adult; D003075:Coitus; D003127:Colposcopy; D016889:Endometrial Neoplasms / Q000150:complications* / Q000473:pathology; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D008499:Medical Records; D008875:Middle Aged; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000150:complications* / Q000473:pathology; D014592:Uterine Hemorrhage / Q000453:epidemiology* / Q000209:etiology*; D002578:Uterine Cervical Dysplasia / Q000150:complications