Menstruation and Menstrual Disorders - Post-Coital Bleeding

Question 1

What is Post-Coital Bleeding?

Answer 1

Bleeding after sexual intercourse - a red flag that should make you consider cervical and other gynaecological malignancies. It is almost always abnormal except after first intercourse.

Question 2

Differential Diagnoses of Post-Coital Bleeding (9).

Answer 2

1. Idiopathic (50%).
2. Cervical Ectropion (1/3 of Non-Idiopathic and Commoner in COCP).
3. Cervical Cancer.
4. Cervical Infection (Chlamydia).
5. Trauma.
6. Atrophic Vaginitis (commonest in post-menopausal women, prone to bleeding, mucosa is drier and thinner).
7. Polyps.
8. Endometrial Cancer.
9. Vaginal Cancer.