postcoital bleeding
Pronunciation: post-KOH-ih-tal bleeding
Vaginal bleeding that occurs after sexual intercourse, which may indicate various gynecological conditions.
Full Definition
Postcoital bleeding refers to vaginal bleeding that occurs after sexual intercourse and is not related to menstruation. This symptom affects approximately 0.7-9% of menstruating women and can indicate various conditions ranging from benign to serious. Common causes include cervical ectropion, infections (such as chlamydia or gonorrhea), cervical polyps, and vaginal dryness. More concerning causes include cervical dysplasia, cervical cancer, and endometrial pathology. The evaluation typically includes a detailed history, pelvic examination, cervical cytology, STI testing, and possibly colposcopy if cervical abnormalities are suspected. Any woman experiencing persistent postcoital bleeding should undergo prompt gynecological evaluation, as early detection of malignancy significantly improves outcomes.
Usage
Usage note: Use 'postcoital' as one word; distinguish from other types of abnormal uterine bleeding in documentation.
In Context
- "The patient reports postcoital bleeding for the past three months, prompting referral for colposcopy." — referral letter
- "Examination revealed a friable cervix with contact bleeding, consistent with the patient's history of postcoital bleeding." — examination findings