PostCoital/IMB

Question 1

Causes of PCB?

Answer 1

• Infection
• Cervical ectropion
• Benign growths e.g. cervical and endometrial polyps
• Malignancy of the vagina or cervix
• Trauma e.g. coital laceration

Question 2

What is ectropion and how does it present?

Answer 2

• eversion of the cervical canal under the influence of oestrogen
• The COC is a risk factor for this, alongside pregnancy and puberty
• It can occasionally present with bleeding and/or excessive discharge, but is normally asymptomatic

Question 3

Management of ectropion?

Answer 3

stopping the COCP, if ectropion persists there can be cautery

Question 4

Causes of IMB?

Answer 4

-Vaginal causes:
vaginitis, malignant tumours

• Cervical causes:
  infection (TV, chlamydia, gonorrhoea), malignant tumours, ectropion, polyps
• Uterine causes:
  fibroids, polyps, malignant tumours, endometritis, adenomyosis