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Obstetrics and Gynecology International
Volume 2014, Article ID 192087, 8 pages
http://dx.doi.org/10.1155/2014/192087
Review Article

Postcoital Bleeding: A Review on Etiology, Diagnosis, and Management

1Department of Obstetrics and Gynecology, Womack Army Medical Center, 2817 Reilly Road, Fort Bragg, NC 28307, USA
2Division of Gynecology-Oncology, Department of Obstetrics and Gynecology, Womack Army Medical Center, 2817 Reilly Road, Fort Bragg, NC 28307, USA

Received 1 May 2014; Revised 29 May 2014; Accepted 5 June 2014; Published 17 June 2014

Academic Editor: W. T. Creasman

Copyright © 2014 Christopher M. Tarney and Jasmine Han. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Postcoital bleeding refers to spotting or bleeding that occurs after intercourse and is not related to menstruation. The prevalence of postcoital bleeding ranges from 0.7 to 9.0 percent of menstruating women. There are multiple etiologies for this common complaint in which most are benign such as cervicitis or cervical polyps. However, the most serious cause of postcoital bleeding is cervical cancer. There are currently no recommendations from governing bodies such as the American College of Obstetricians and Gynecologists on evaluating and treating women with postcoital bleeding. The purpose of this paper is to discuss the common causes of postcoital bleeding, the etiologies of postcoital bleeding, and the likelihood that malignancy is the underlying cause. After an extensive literature review, we compiled a paper illustrating the key concepts a practitioner should know when it comes to postcoital bleeding. Finally, this review will conclude with treatment options for women who are found to have an identifiable source for their bleeding and a discussion on the natural history of postcoital bleeding in women who are found to have no identifiable etiology on evaluation.