A 35 year old female presented with post coital bleeding. Next step of management is:
Postcoital bleeding (PCB) has many causes, including vaginitis, cervicitis, cervical dysplasia and malignancy, uterine lesions, and pregnancy. Some women with postcoital bleeding may have pathologic lesions identified at colposcopic evaluation that had been missed by Pap smear screening. Thus, colposcopic examination is considered for women with unexplained postcoital bleeding. Ref: Hoffman B.L., Schorge J.O., Schaffer J.I., Halvorson L.M., Bradshaw K.D., Cunningham F.G., Calver L.E. (2012). Chapter 8. Abnormal Uterine Bleeding. In B.L. Hoffman, J.O. Schorge, J.I. Schaffer, L.M. Halvorson, K.D. Bradshaw, F.G. Cunningham, L.E. Calver (Eds), Williams Gynecology, 2e.
Pap smear and colposcopy
Visual inspection with acetowhite
Visual inspection with lugol's iodine
Colposcopy directed biopsy