Obgyn: Postcoital Bleeding: Free MSRA Podcast

⚕️ FREE MSRA PODCAST – Postcoital Bleeding (PCB)🎧 A focused, high-yield breakdown of this red-flag symptom – vital for MSRA prep and real-world clinical confidence🧠 Key Learning Points📌 Definition• Vaginal bleeding that occurs immediately after sexual intercourse• Non-menstrual in origin and considered a gynaecological red flag📌 Causes & Risk Factors• No cause found in ~50% of cases• Common causes include: • Cervical ectropion • Cervicitis (often chlamydia) • Cervical cancer • Polyps • Trauma• Risk ↑ with: • Previous STIs or infections • Cervical/vaginal trauma • Known abnormalities (polyps, ectropion)📌 Pathophysiology• Depends on cause: • Infection/inflammation → fragile, bleeding tissue • Trauma → mucosal tears • Malignancy → abnormal friable tissue bleeds on contact📌 Symptoms• Bleeding immediately after sex• May be painless or painful• Possible associated vaginal discharge or pelvic pain📌 Differential Diagnosis• Menstrual spotting• Intermenstrual bleeding• Endometrial polyps or fibroids• Hormonal irregularities• Vaginal atrophy or infection• Cervical or endometrial cancer📌 Diagnosis🔍 Clinical assessment:• Full gynaecological and sexual history• Smear history + contraception review🩺 Pelvic exam:• Speculum – assess cervical appearance, contact bleeding🧪 Investigations:• Pregnancy test• STI screening (especially chlamydia)• Bloods: FBC, TFTs, FSH/LH if relevant• Transvaginal ultrasound• Colposcopy if persistent or suspicious• Endometrial biopsy (e.g. Pipelle) if indicated📌 Management🎯 Depends on cause:• 🧫 Infection → antibiotics + partner notification• 💊 Hormonal → counsel, adjust contraception, biopsy if persistent• 🔥 Cervical ectropion → may resolve, or treat with cautery• 🩺 Polyps → remove + histology• ⚠️ Suspicion of cancer → urgent referral per NICE red flag criteria• 🧘‍♀️ Perimenopausal → often self-resolving, may observe📌 Complications• Missed cancer diagnosis• Recurrence impacting sexual/mental health• Over-investigation anxiety if benign📌 Prognosis• Excellent if benign cause treated• Variable in malignancy – early detection = better outcomes📎 More MSRA Resources for Postcoital Bleeding📝 Revision Noteshttps://www.passthemsra.com/topic/postcoital-bleeding-revision-notes/🧠 Flashcardshttps://www.passthemsra.com/topic/postcoital-bleeding-flashcards/💬 Accordion Q&A Noteshttps://www.passthemsra.com/topic/postcoital-bleeding-accordion-qa-notes/🚀 Rapid Quizhttps://www.passthemsra.com/topic/postcoital-bleeding-rapid-quiz/🧪 Quiz Pagehttps://www.passthemsra.com/quizzes/postcoital-bleeding/🎓 Full Course – Obstetrics & Gynaecology for the MSRAhttps://www.passthemsra.com/courses/obstetrics-and-gynaecology-for-the-msra/📢 Final TakeawayPostcoital bleeding is common and often benign — but it's a critical red flag not to ignore. Learn when to reassure, when to investigate, and when to refer. Mastering this will sharpen your clinical reasoning and exam scores! 🧠📈#MSRA #PostcoitalBleeding #PCB #MSRARevision #MSRAFlashcards #MSRAQuiz #MSRAQuestionBank #MSRATextbook #MSRAOnlineRevision #GPTraining #ObstetricsAndGynaecology #MSRARevisionWebsite