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Postcoital bleeding

MedGen UID:
57849
•Concept ID:
C0156406
•
Pathologic Function
Synonyms: Bleeding after intercourse; PCB - Postcoital bleeding; Postcoital Bleeding
SNOMED CT: Bleeding after intercourse (48880000); PCB - Postcoital bleeding (48880000); Postcoital bleeding (48880000)

Definition

Non-menstrual bleeding that occurs during or after sexual intercourse. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPostcoital bleeding

Professional guidelines

PubMed

Cervical endometriosis: a diagnostic and management dilemma.
Phadnis SV, Doshi JS, Ogunnaike O, Coady A, Padwick M, Sanusi FA
Arch Gynecol Obstet 2005 Oct;272(4):289-93. Epub 2005 Oct 13 doi: 10.1007/s00404-005-0006-1. PMID: 16021490
Counseling issues and management of side effects for women using depot medroxyprogesterone acetate contraception.
Nelson AL
J Reprod Med 1996 May;41(5 Suppl):391-400. PMID: 8725701

Recent clinical studies

Etiology

The incidence of cervical cancer in women with postcoital bleeding and abnormal appearance of the cervix referred through the 2-week wait pathway in the United Kingdom: A retrospective cohort study.
Jasper B, Thorley E, Martins FC, Haldar K
J Obstet Gynaecol Res 2022 Nov;48(11):2872-2878. Epub 2022 Jul 30 doi: 10.1111/jog.15366. PMID: 35908174Free PMC Article
Hymenoplasty and Muslim Patients: Islamic Ethico-Legal Perspectives.
Bawany MH, Padela AI
J Sex Med 2017 Aug;14(8):1003-1010. doi: 10.1016/j.jsxm.2017.06.005. PMID: 28760245
The epidemiology of self-reported intermenstrual and postcoital bleeding in the perimenopausal years.
Shapley M, Blagojevic-Bucknall M, Jordan KP, Croft PR
BJOG 2013 Oct;120(11):1348-55. Epub 2013 Mar 26 doi: 10.1111/1471-0528.12218. PMID: 23530690
Pelvic inflammatory disease.
Soper DE
Obstet Gynecol 2010 Aug;116(2 Pt 1):419-428. doi: 10.1097/AOG.0b013e3181e92c54. PMID: 20664404
A systematic review of postcoital bleeding and risk of cervical cancer.
Shapley M, Jordan J, Croft PR
Br J Gen Pract 2006 Jun;56(527):453-60. PMID: 16762128Free PMC Article

Diagnosis

The incidence of cervical cancer in women with postcoital bleeding and abnormal appearance of the cervix referred through the 2-week wait pathway in the United Kingdom: A retrospective cohort study.
Jasper B, Thorley E, Martins FC, Haldar K
J Obstet Gynaecol Res 2022 Nov;48(11):2872-2878. Epub 2022 Jul 30 doi: 10.1111/jog.15366. PMID: 35908174Free PMC Article
Clinical correlation of cervical cancer screening using Pap smear test.
Sharif YH
J Popul Ther Clin Pharmacol 2022;29(1):e1-e8. Epub 2022 Feb 15 doi: 10.47750/jptcp.2022.892. PMID: 35686892
Pelvic inflammatory disease.
Soper DE
Obstet Gynecol 2010 Aug;116(2 Pt 1):419-428. doi: 10.1097/AOG.0b013e3181e92c54. PMID: 20664404
The role of hysteroscopy in the current management of the cervical polyps.
Stamatellos I, Stamatopoulos P, Bontis J
Arch Gynecol Obstet 2007 Oct;276(4):299-303. Epub 2007 Jul 25 doi: 10.1007/s00404-007-0417-2. PMID: 17653740
A systematic review of postcoital bleeding and risk of cervical cancer.
Shapley M, Jordan J, Croft PR
Br J Gen Pract 2006 Jun;56(527):453-60. PMID: 16762128Free PMC Article

Therapy

Comorbidity profiles among women with postcoital bleeding: a nationwide health insurance database.
Liu HL, Chen CM, Pai LW, Hwu YJ, Lee HM, Chung YC
Arch Gynecol Obstet 2017 Apr;295(4):935-941. Epub 2017 Feb 28 doi: 10.1007/s00404-017-4327-7. PMID: 28246983
Postcoital Bleeding From a Vaginal Lesion.
Espaillat-Rijo L, Pereira I, Davila GW
J Minim Invasive Gynecol 2016 Jan;23(1):8-9. Epub 2015 May 16 doi: 10.1016/j.jmig.2015.05.005. PMID: 25987524
Cryotherapy as the treatment modality of postcoital bleeding: a randomised clinical trial of efficacy and safety.
Kong GW, Yim SF, Cheung TH, Chung TK
Aust N Z J Obstet Gynaecol 2009 Oct;49(5):517-24. doi: 10.1111/j.1479-828X.2009.01049.x. PMID: 19780737
Ultrasonographic evaluation of the endometrium in postmenopausal vaginal bleeding.
Davidson KG, Dubinsky TJ
Radiol Clin North Am 2003 Jul;41(4):769-80. doi: 10.1016/s0033-8389(03)00060-5. PMID: 12899491
Counseling issues and management of side effects for women using depot medroxyprogesterone acetate contraception.
Nelson AL
J Reprod Med 1996 May;41(5 Suppl):391-400. PMID: 8725701

Prognosis

The incidence of cervical cancer in women with postcoital bleeding and abnormal appearance of the cervix referred through the 2-week wait pathway in the United Kingdom: A retrospective cohort study.
Jasper B, Thorley E, Martins FC, Haldar K
J Obstet Gynaecol Res 2022 Nov;48(11):2872-2878. Epub 2022 Jul 30 doi: 10.1111/jog.15366. PMID: 35908174Free PMC Article
Postcoital bleeding is a predictor for cervical dysplasia.
Cohen O, Schejter E, Agizim R, Schonman R, Chodick G, Fishman A, Hershko Klement A
PLoS One 2019;14(5):e0217396. Epub 2019 May 23 doi: 10.1371/journal.pone.0217396. PMID: 31120980Free PMC Article
Two week waits: What are we waiting for?
Abdelraheim AR, Khairy M, Mohammed M, Lawrence A
Eur J Obstet Gynecol Reprod Biol 2017 Aug;215:112-117. Epub 2017 Jul 4 doi: 10.1016/j.ejogrb.2017.06.011. PMID: 28609712
The epidemiology of self-reported intermenstrual and postcoital bleeding in the perimenopausal years.
Shapley M, Blagojevic-Bucknall M, Jordan KP, Croft PR
BJOG 2013 Oct;120(11):1348-55. Epub 2013 Mar 26 doi: 10.1111/1471-0528.12218. PMID: 23530690
A systematic review of postcoital bleeding and risk of cervical cancer.
Shapley M, Jordan J, Croft PR
Br J Gen Pract 2006 Jun;56(527):453-60. PMID: 16762128Free PMC Article

Clinical prediction guides

Cervical Cancer Screening Coverage at Tertiary Care Institutes Across India.
Rai R, Sehgal R, Singhal S, Suri V, Shivkumar P, Balasubramani L, Rajaram S, Shamsunder S, Bagga R, Vashist S, Meena J, Mishra A, Chawla L, Kumari S, Mani K, Bhatla N
Asian Pac J Cancer Prev 2023 Dec 1;24(12):4269-4275. doi: 10.31557/APJCP.2023.24.12.4269. PMID: 38156863Free PMC Article
The incidence of cervical cancer in women with postcoital bleeding and abnormal appearance of the cervix referred through the 2-week wait pathway in the United Kingdom: A retrospective cohort study.
Jasper B, Thorley E, Martins FC, Haldar K
J Obstet Gynaecol Res 2022 Nov;48(11):2872-2878. Epub 2022 Jul 30 doi: 10.1111/jog.15366. PMID: 35908174Free PMC Article
Postcoital bleeding is a predictor for cervical dysplasia.
Cohen O, Schejter E, Agizim R, Schonman R, Chodick G, Fishman A, Hershko Klement A
PLoS One 2019;14(5):e0217396. Epub 2019 May 23 doi: 10.1371/journal.pone.0217396. PMID: 31120980Free PMC Article
Two week waits: What are we waiting for?
Abdelraheim AR, Khairy M, Mohammed M, Lawrence A
Eur J Obstet Gynecol Reprod Biol 2017 Aug;215:112-117. Epub 2017 Jul 4 doi: 10.1016/j.ejogrb.2017.06.011. PMID: 28609712
A systematic review of postcoital bleeding and risk of cervical cancer.
Shapley M, Jordan J, Croft PR
Br J Gen Pract 2006 Jun;56(527):453-60. PMID: 16762128Free PMC Article

Recent systematic reviews

Association of Sexually Transmitted Diseases With Cervical Ectopy: A Systematic Review.
Soares LC, Braz FLTA, Araújo AR, Oliveira MAP
Sex Transm Dis 2019 Jul;46(7):452-457. doi: 10.1097/OLQ.0000000000000992. PMID: 30913163
A systematic review of postcoital bleeding and risk of cervical cancer.
Shapley M, Jordan J, Croft PR
Br J Gen Pract 2006 Jun;56(527):453-60. PMID: 16762128Free PMC Article

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