Possible Causes for Postcoital Bleeding Atrophic Vaginitis NICE referral guidelines recommend that every woman presenting with postcoital bleeding should have a full pelvic examination and speculum examination of the cervix and an [fastbleep.com] She does admit to some postcoital bleeding. Her cervix has atrophic changes and an endocervical polyp (Figure 81-1). [accessmedicine.mhmedical.com] There are many reasons why a woman may bleed after sex. The medical name for this is "postcoital bleeding". [nhs.uk] Cervical Polyp Occasionally it may cause intermittent vaginal or postcoital bleeding, a discharge or, in older women, postmenopausal bleeding. [med-ed.virginia.edu] No-one knows for sure what causes these little hangers-on, but they can lead to some unpleasant symptoms like postcoital bleeding. [baby-pedia.com] The condition remains asymptomatic except when there is intermenstrual or postcoital bleeding. [symptoma.com] Postcoital Bleeding Postcoital bleeding may stop without treatment. In some instances, postcoital bleeding may resemble menstrual irregularities. [en.wikipedia.org] Cervical endometriosis should be considered in the differential diagnosis of cervical masses with postcoital bleeding. [ncbi.nlm.nih.gov] The evidence base for management strategies of postcoital bleeding and calculations of risk for cervical cancer in women with postcoital bleeding are poor. [ncbi.nlm.nih.gov] Mucopurulent Cervicitis The cervix may also bleed easily when obtaining cultures or a Pap smear. May have postcoital bleeding. [encyclopedia.lubopitko-bg.com] bleeding 30-40% in STD clinics 8-10% in university student centers over 60% asymptomatic 40-60% no pathogen GROSS: yellow mucopurulent material Cervical Erythema/edema at [quizlet.com] History Part I: Pattern Recognition: Patients with cervicitis may present with abnormal discharge, intermenstrual bleeding or postcoital bleeding. [clinicaladvisor.com] Vaginal Squamous Cell Carcinoma The bleeding is typically postmenopausal, which is reflective of the age group. However, the bleeding may be in the form of menorrhagia or postcoital bleeding. [symptoma.com] […] may be postcoital, intermenstrual, or postmenopausal. watery vaginal discharge dyspareunia Evaluation Biopsy most lesions occur in the upper 1/3 of the vagina Treatment planning [medbullets.com] postmenopausal, postcoital, or intermenstrual. [merckmanuals.com] Vaginal Adenocarcinoma Depending on the type of tumor and disease stage, patients may present with symptoms related to a vaginal mass, vaginal bleeding and/or discharge, postcoital bleeding, urinary [orpha.net] Early cervical cancer typically has no symptoms Irregular bleeding Vaginal discharge Pelvic pain Postcoital bleeding It helps to focus on those risk factors you can change [ccgynonc.com] bleeding. [ccij-online.org] Carcinoma of Cervix Uteri Postcoital bleeding refers to spotting or bleeding that occurs after intercourse and is not related to menstruation. [ncbi.nlm.nih.gov] A woman presented to the hospital due to postcoital vaginal bleeding. The patient was initially diagnosed with cervical carcinoma by clinicians at a local hospital. [ncbi.nlm.nih.gov] As the tumour becomes larger, symptoms include: Bleeding between normal periods (intermenstrual bleeding). Bleeding after having sex (postcoital bleeding). [patient.info] Vaginal Sarcoma […] and a history of postcoital and intermenstrual bleeding over the previous two months. [scielo.br] […] may be postcoital, intermenstrual, or postmenopausal. watery vaginal discharge dyspareunia Evaluation Biopsy most lesions occur in the upper 1/3 of the vagina Treatment planning [medbullets.com] Menorrhagia, intermenstrual bleeding, and postcoital bleeding have also been reported. [emedicine.medscape.com] Tubal Pregnancy In an emergency or acute setting, vaginal bleeding can lead to hypovolemia.[28] Postcoital bleeding is bleeding that occurs after sexual intercourse. [en.wikipedia.org] (postcoital bleeding, bleeding between menstrual cycles), pain with intercourse, or dysuria.2 Systemic symptoms (nausea, vomiting, chills, fever) are usually absent, and [emdocs.net] occurs more frequently than every 21 days (abnormal uterine bleeding), occurs too infrequently (oligomenorrhea), or occurs after vaginal intercourse (postcoital bleeding [en.wikipedia.org] Urethral Caruncle Urethral caruncle is one of the benign disorders which occurs frequently after the menopause. We describe a case of urethral caruncle with intestinal heterotopia, in which infiltration by lymphocytes, invagination of the urethral transitional epithelium causing nest formation, lumen formation, hypervascularity as well[…] [ncbi.nlm.nih.gov] Vaginal Adhesions Abstract Stevens-Johnson syndrome is a rare, life-threatening condition characterized by epidermal necrosis and involvement of the mucosal surfaces. We report a case of Stevens-Johnson syndrome with vaginal involvement in an 11-yr-old girl who was treated conservatively in the acute stage of the disease. After[…] [ncbi.nlm.nih.gov] Endometrial Adenocarcinoma Abstract Progestins have been used in the treatment of recurrent endometrial adenocarcinoma for almost 50 yr. Some endometrial carcinomas respond to hormonal therapy, but the mechanism of action remains incompletely known. We wished to determine the efficacy of progestins to induce a histologic response in[…] [ncbi.nlm.nih.gov] Schistosomiasis Infection occurs when skin comes in contact with contaminated freshwater in which certain types of snails that carry the parasite are living. Freshwater becomes contaminated by Schistosoma eggs when infected people urinate or defecate in the water. The eggs hatch, and if the appropriate species of snails are[…] [web.archive.org] Trichomoniasis Trichomoniasis (trich) is an infectious disease caused by the parasite Trichomonas vaginalis. About 70% of women and men do not have symptoms when infected. When symptoms do occur they typically begin 5 to 28 days after exposure. Symptoms can include itching in the genital area, a bad smelling thin vaginal[…] [en.wikipedia.org] Cervicitis Comorbidity profiles among women with postcoital bleeding: a nationwide health insurance database. Archives Of Gynecology & Obstetrics [serial online]. [physio-pedia.com] bleeding. [ncbi.nlm.nih.gov] Most cases are asymptomatic or present with vaginal discharge, intermenstrual bleeding, dyspareunia or postcoital bleeding. [liebertpub.com] Chronic Cervicitis The most complaints were yellowish or bloody vaginal discharge, postcoital bleeding and spotting. The instrument utilized in this study was England Spenbry Co. [jstage.jst.go.jp] Comorbidity profiles among women with postcoital bleeding: a nationwide health insurance database. Archives Of Gynecology & Obstetrics [serial online]. [physio-pedia.com] History Part I: Pattern Recognition: Patients with cervicitis may present with abnormal discharge, intermenstrual bleeding or postcoital bleeding. [clinicaladvisor.com] Fitz-Hugh-Curtis Syndrome Other symptoms may include fevers, chills, nausea, vomiting, vaginal discharge, dyspareunia, dysuria, cramping, and postcoital bleeding.[5][13] Physical exam findings may [statpearls.com] Senile Vulvar Atrophy She does admit to some postcoital bleeding. Her cervix has atrophic changes and an endocervical polyp ( Figure 81-1 ). [accessmedicine.mhmedical.com] Vaginal bleeding or postcoital bleeding. Urinary symptoms - eg, increased frequency, nocturia, dysuria, recurrent UTI, stress incontinence or urgency. [patient.info] bleeding, and dyspareunia with the signs of vaginal inflammation and elevated vaginal pH (>5) Diagnosis is critical and laboratory tests help to confirm hypoestrogenic state [wikidoc.org] Vaginal Adenosis Maternal DES exposure Complaints of Profuse mucoid vaginal discharge from the glandular epithelium Pruritus Pain/soreness of the vaginal introitus Postcoital bleeding Dyspareunia [5minuteconsult.com] bleeding or dyspareunia have been reported The vaginal mucosa displays red granular spots or patches and fails to stain with an iodine solution Mosaicism and punctuation [pathologyoutlines.com] […] exposed to other hormones, drugs, trauma, inflammation, laser, radiation or chemotherapy (5-Fluorouracil) Clinical features Usually asymptomatic, although vaginal discharge or postcoital [pathologyoutlines.com] Primary Malignant Melanoma of the Cervix Clinical symptoms presented with irregular vaginal bleeding, postcoital bleeding, or increase of vaginal discharge. [ncbi.nlm.nih.gov] She had no personal history of vaginal discharge or postcoital bleeding. [journals.lww.com] "Postcoital bleeding: a review on etiology, diagnosis, and management". Obstetrics and Gynecology International. 2014: 192087. doi:10.1155/2014/192087. PMC 4086375. [en.wikipedia.org] Menorrhagia Invasive cervical cancer may cause menometrorrhagia or postcoital bleeding, or both. Tubal pregnancy may cause oligomenorrhea followed by metrorrhagia. [ncbi.nlm.nih.gov] […] cessation of menses The characteristics of the menstrual cycle: interval, duration, amount of flow, last monthly period Postcoital bleeding (any bleeding after intercourse [ncbi.nlm.nih.gov] The history should determine the following information: Premenarchal bleeding, which may be associated with precocious puberty (bleeding before the age of 9 years) Onset and [ncbi.nlm.nih.gov] Vulvar Hemangioma OF UTERINE CERVIX – A RARE CAUSE OF POSTCOITAL BLEEDING N. [ijpsr.com] CAVERNOUS HEMANGIOMA OF UTERINE CERVIX â A RARE CAUSE OF POSTCOITAL BLEEDING. Radiographics. [astrapace.com] Patients may present with pruritis, burning, dyspareunia, postcoital bleeding, or vaginal discharge. This disease severely affects sexual interaction. [womenshealthsection.com] Cervical Endometriosis Definition / general May cause abnormal uterine bleeding, postcoital bleeding Mean age 37 years, range 20 to 51 years Superficial endometriosis may be due to mechanical disruption [pathologyoutlines.com] Postcoital bleeding due to cervical endometriosis. [verywellhealth.com] Malignant Neoplasm of the Vagina postmenopausal, postcoital, or intermenstrual. [merckmanuals.com] […] lower vagina Through pelvic lymph nodes from lesions in the upper vagina Hematogenously Symptoms and Signs Most patients with vaginal cancer present with abnormal vaginal bleeding [merckmanuals.com] Vaginal Tubular Adenoma bleeding or dyspareunia have been reported The vaginal mucosa displays red granular spots or patches and fails to stain with an iodine solution Mosaicism and punctuation [pathologyoutlines.com] FEPs usually occur in the reproductive and postmenopausal age groups (rarely, in infants) who may be asymptomatic or have postcoital bleeding or a mass. ▪ In ~20% of cases [basicmedicalkey.com] The patient claimed no abdominal pain with twice postcoital bleeding. [dovepress.com] Vulvar Vestibulitis It was only when I began experiencing postcoital bleeding a few months later that I saw my GP. [ncbi.nlm.nih.gov] Cervix Disorder Sx: -usually asymptomatic -thick leukorrhea -postcoital bleeding -intermenstrual bleeding -menorrhagia -post-menopausal bleeding -mucopurulent or blood-tinged vaginal discharge [brainscape.com] Early physical signs of cervical cancer include abnormal vaginal bleeding, postcoital bleeding, discharge, and pelvic pain. How is cervical cancer diagnosed? [columbiadoctors.org] Occasionally, it can cause postcoital bleeding and it may present as a mass. [patient.info] Papillary Adenocarcinoma bleeding. [ccij-online.org] After that, the patients suffered from postcoital bleeding repeatedly. [alliedacademies.org] Case Report We report a case of a 47-year-old woman, Parity 1 with two live issues, presenting with a history of postcoital bleeding for six months. [ccij-online.org] Endometrial Polyp Endometrial polyp adenosarcoma occurred in a 27-year-old, nulligravid woman who presented with intermenstrual and postcoital bleeding. [ncbi.nlm.nih.gov] Bleeding can also ensue following sexual intercourse (called postcoital bleeding) or after menopause. [thailandmedical.news] Most often, a symptomatic uterine polyp causes spotting or bleeding at irregular intervals - either in between periods (which is called intermenstrual bleeding), or as irregularity [thailandmedical.news] Chronic Pelvic Inflammatory Disease Clinicians should consider milder symptoms such as abnormal vaginal discharge, metrorrhagia, postcoital bleeding, and urinary frequency as potential symptoms associated with [journals.lww.com] Other symptoms include vaginal discharge, dyspareunia, dysmenorrhea, dysfunctional uterine bleeding, postcoital bleeding, dysuria, low back pain, nausea and vomiting, and [clinicaladvisor.com] Other symptoms may include a new or abnormal vaginal discharge, fever or chills, cramping, dyspareunia, dysuria, and abnormal or postcoital bleeding. [aafp.org]
