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A clinico-pathological study of postcoital bleeding
Daniel O Selo-Ojeme1, Nawal Dayoub, Adila Patel
1Department of Obstetrics and Gynaecology, Southend Hospital, Prittlewell Chase, Westcliff-on-sea, Essex, UK. Dselooieme@aol.com
Archives of Gynecology and Obstetrics
|June 30, 2004
Summary
This study on postcoital bleeding (PCB) found endometrial polyps can cause symptoms. While cervical intraepithelial neoplasia (CIN) was detected, invasive cancers were absent, suggesting a low cancer incidence in women experiencing PCB.
Area of Science:
- Gynecology
- Reproductive Health
- Clinical Research
Background:
- Postcoital bleeding (PCB) is a concerning symptom for many women.
- Understanding the causes and associations of PCB is crucial for accurate diagnosis and management.
Purpose of the Study:
- To investigate the clinical characteristics and etiological factors associated with postcoital bleeding.
- To determine the incidence of cervical intraepithelial neoplasia (CIN) and lower genital tract cancers in patients presenting with PCB.
Main Methods:
- Retrospective review of 248 patient records referred to a gynaecology department over a 5-year period.
- Analysis of patient demographics, referral patterns, associated symptoms, and diagnosed conditions.
Main Results:
- The majority of patients (63%) were aged 21-40 years and multiparous (80%).
- Common findings included benign polyps (20%, including endometrial polyps) and cervical ectropion (25%).
- Cervical intraepithelial neoplasia (CIN) was detected in 6.8% of cases; no invasive cancers were found.
Conclusions:
- Endometrial polyps are identified as a potential cause of postcoital bleeding.
- Cervical intraepithelial neoplasia (CIN) may present with symptoms like PCB.
- The incidence of cervical or endometrial cancer in women with PCB appears to be low.