A 40-year-old female presents with postcoital bleeding and dyspareunia. She has no history of sexually transmitted infections and her last Pap smear two years ago was normal. What could be the potential causes and what are the next steps?
Postcoital bleeding and dyspareunia could be due to a variety of causes, including cervical polyps, cervicitis, endometrial polyps, or malignancy. The patient should undergo a pelvic examination and a Pap smear if she hasn't had one recently. Based on these findings, further imaging or biopsy may be required.