Vaginal bleeding

Postcoital bleeding

Postcoital bleeding describes vaginal bleeding after sexual intercourse.

Causes

• no identifiable pathology is found in around 50% of cases
• cervical ectropion is the most common identifiable causes, causing around 33% of cases. This is more common in women on the combined oral contraceptive pill
• cervicitis e.g. secondary to Chlamydia
• cervical cancer
• polyps
• trauma

Irregular Uterine Bleeding

Common Causes

The most common invasive malignancy found in the vagina is extension of SCC spread from the cervix.

Other malignancies (decreasing order of frequency)

• metastatic adenocarcinoma from the endometrium
• Primary invasive SCC vagina
• clear cell adenocarcinoma (following DES therapy)
• carcinoma of the urethra, Bartholin gland, or Gartner duct