Outcome Assessment of Women with Postcoital Bleeding who Were Referred to the Colposcopy Clinic of Naghavi Hospital Between September of 2013 and March of 2016

Introduction: bleeding during intercourse or right after it which is not related ti menstrual bleeding is called postcoital bleeding (PCB).The most important reason of PCB in women under 35 is Clamidia infection whereas in those over 35 years old cervix cancer is the most important reason. The prevalence of PCB is 0.7% - 0.9%. PCB can be the first manifestation of cervical cancer as in women with cervix cancer the prevalence is reported between 0.7% to 39%. To evaluate women with with colposcopy and determine the risk factors with dysplasia and cervical gigh grade dysplasia. Method & material: this study is a retrosptive Cohort study on women with the chief complaint of PCB from September of 2013 to March of 2016 referd to colposcopy clinic of Kashan,Naghavi,Hospital.Result: among 259 women with PCB , 8% with CIN I, 10.4% high grade dysplasia that 7.5% CIN II , 2.7% CIN III and 0.4% SCC of cervix is reported. 61% of samples had cervicitis , 11.2% were healthy and 6% with benign reason like polyps. Among evaluated the risk factors, age and cervical dysplasia meaningful statistical relation ( P=0.028 , OR=1.07) . So did the lower age of the first sexual relationship high grade cervical dysplasia (P=0.12 , OR=0.82).Conclusion: this study showed the almost equal prevalence of cervical dysplasia and high grade cervical dysplasia in studied cases and other studies. It was also determined that there is a relationship between high grade cervical dysplasia and the age of first intercourse as age and cervical dysplasia

Keywords:

post coital bleeding , Colposcopy , Cervical dysplasia