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Santosh University Journal of Health Sciences


Clinical profile of women with post coital bleeding


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Author Details: Manisha Gupta, Amita Sharma, Neelima Agarwal, Alpana Agrawal

Volume : 2

Issue : 2

Online ISSN : 2455-1732

Print ISSN :

Article First Page : 106

Article End Page : 108


Abstract

Background: Post-coital bleeding increases the risk of serious pathology in women.
Method: This prospective study was carried out in 75 women attending the gynaecology OPD with complaints of post coital bleeding and 75 women with no history of post coital bleeding of 30-60 years age group. They were all screened by Pap smear and followed by a detailed colposcopic examination. Biopsy was taken in colposcopy positive patients and sent for histopathological examination. The frequency of pre invasive and early cervical cancer in both groups were compared.
Result: On histopathological examination cervical intraepithelial neoplasm (CIN) 1 was found in 14.6% of women with post-coital bleeding and it was present in 6.6 % cases of control group (p < 0.03). High grade CIN lesions (CIN 2, 3) were present in 10.7% of women with post-coital bleeding vs. 1.3% in controls (p < 0.001). No invasive cancer was detected in any group.
Conclusion: Invasive cancer is rare in women with post-coital bleeding. Cervical intra-epithelial neoplasia is associated with post-coital bleeding.

Keywords
: Post coital bleeding, Screening, Colposcopic direct biopsy cervical intraepithelial neoplasia