Investigation of choice in postcoital bleeding in a 60-year-old lady is:
An old lady presenting to OPD with post coital bleeding with a leison visible on cervix- raises the suspium carcinoma cervix in this case because CIN is asyntomatic . In such cases pap smear is of no use and directly biopsy should be done. Since lesion is visible we will go for punch biopsy.
Investigation Protocol for Diagnosis of Carcinoma Cervix:
Pap smear
Colposcopy and biopsy
Pelvic ultrasound
Cone excision of cervix