Post-coital bleeding: a rare and unusual presentation of cervical endometriosis.
BACKGROUND
Often due to benign conditions such as cervical ectopy, post-coital bleeding is a distressing symptom for the patient. However, for the clinician, the identification of the etiology is important in order to effect proper treatment.


METHODS
We present a case referred to the colposcopy clinic because of post-coital bleeding and a smear report of 'groups of benign glandular cells of endometrial origin'. Colposcopy was normal but histology of an excised haemorrhagic nodule revealed endometriosis with resolution of symptoms.


CONCLUSIONS
Cervical endometriosis should be considered in the differential diagnosis of post-coital bleeding with no obvious ectopy or malignancy.
Selo-Ojeme
Dan
D
Women's Health Department, Whittington Hospital NHS Trust, Highgate Hill, London, UK. dseloojeme@aol.com
Freeman-Wang
Theresa
T
Khan
Navidul Haq
NH
D003075:Coitus; D004715:Endometriosis / Q000150:complications* / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D002577:Uterine Cervical Diseases / Q000150:complications* / Q000473:pathology / Q000628:therapy; D014592:Uterine Hemorrhage / Q000209:etiology*