Oncology and Fibroids
A 35 year old lady with post coital bleeding management is (AIIMS Nov. 2009)
|A||Clinical examination and pap smear|
|B||Visual examination with lugol iodine|
|C||Visual examination with Acetic acid|
Common Causes of Post Coital Bleeding
i. Cervical cancer
vi. Vaginal cancer
1. Endophytic or exophytic lesions of the cervix were likely precursors of cervical carcinoma, and he hoped that by magnifying these tissues, precursor lesions might be identified early enough to allow effective treatment before invasive disease developed or spread
2. Colposcopic evaluation is indicated when the presence of a malignant or premalignant lesion in the cervix, vagina, or vulva is suspected. Uncommonly, this situation may arise when an unusual cervical lesion is detected as the result of inspection of the vagina and cervix for an unrelated reason.
3. Another specific indication is evaluation of a patient who presents with postcoital vaginal bleeding. Although this symptom is most commonly the result of vaginal or cervical trauma, postcoital bleeding is a classic symptom of cervical cancer.