The Prevalence of Pre-invasive and Invasive Lesions of the Cervix in Women with Post Coital Bleeding Referred to Gynecology Oncology Clinic of Afzalipoor Hospital, Kerman from March2015 to March2016

Abstract

Background: Bleeding during or immediately after the intercourse can be seen in women with benign cervical changes such as polyps, ectropion or infection of the cervix. But, sometimes, important diseases such as cancer of the cervix can be associated with post coital bleeding (PCB). The aim of this study was to find the prevalence of microscopic pre-cancerous lesions of the cervix in women with PCB. Methods: In this study, 120 women with PCB were entered and studied by liquid based Pap smear, colposcopy and biopsy. Also, some of them were studied with endocervical brush and the obtained data were analyzed through SPSS software. Results: In this study, 113 of 120 women had normal Pap smear, while 7 ones had abnormal Pap smear and ASCUS was reported in these 7 Pap smear samples. Of 120 studied women, 9 patients (7.5%) had endocervical polyps, 72 patients (60%) had chronic cervicitis, 12 cases (10%) had CIN І, 4 patients (3.3%) had CIN II-III and 2 patients (1.7%) had cervical cancer. Of 18 subjects who had abnormal pathology, 14 patients (77.8%) had normal Pap smear. Conclusion: Since significant percentage of patients with abnormal pathology had normal Pap smears, it is recommended that all women who complain from persistent and untreatable PCB undergo colposcopy and biopsy. Pap smear alone is not enough for triage these patients due to its vast false-negative reports.

Keywords

• post coital bleeding (pcb)
• cervical intra-epithelial neoplasia (cin)
• cervical cancer