外科病理学および診断ジャーナル

A Comparative Study between Colposcopy versus Histo and Cytopathology as Diagnostic Tools for Detection of the Causes of Post Contact Bleeding

Abstract

Mai Ahmed Gobran , Safaa AbdelSalam Ibrahim and Sabah Mohamed Hanafy

Postcontact Bleeding (PCB) is defined as bleeding occurring during or immediately after cervical contact as sexual intercourse, vaginal examination and vaginal douches at a time separate from menstruation. It is a common, multifactorial, gynecological symptom.In a review of PCB, the point prevalence of PCB among women in the community ranged from 0.7% to 9%. Occasionally, it is the first presentation of precancerous cervical lesions, and the prevalence of PCB in women with cervical cancer has been reported to vary between 0.7% and 39%.Cervical cytology is used to evaluate women with PCB, and colposcopy is usually performed when there is abnormal cytology.The current management of PCB is not constant. Colposcopy is an important component of the cervical screening program, but there are several disadvantages for patients with PCB undergoing colposcopy screening; for example, patient anxiety and undue distress, use of valuable colposcopy time, and the progression to unnecessary interventions.