Vaginal Bleeding

Last updated 20.09.12

 

Classification

-  Menstrual

-  Intramenstrual (IMB)

-  Vaginal bleeding at any time other than during normal menstruation or following intercourse in a non pregnant womam

-  Post Coital (PCB)

-  Vaginal bleeding after intercourse

-  Pelvic Inflammatory Disease (PID)

-  Post Menopausal (PMB)

-  During Pregnancy

-  Early Pregnancy

-  Threatened Miscarriage

-  Antepartum Haemorrhage (APH)

-  Post Partum Haemorrhage (PPH)

-  Post Partum Infection (Endometritis, RPOC)

 

Ix

-  Persistant IMB require Pap smear, TV US + referral to Gynae

-  PCB cardinal sign of cervical cancer, need Pap smear

-  Recurrent requires referral for colposcopy even if normal Pap

 

DDx

-  Haematuria

-  Haematochezia

 

 

 

References

 

RANZCOG: College Statement C-Gyn 6, Investigaton of Intermenstrual & Postcoital Bleeding, July 2009