A patient complaints of post coital bleed; no growth is seen, on per speculum examination; next step should be :
Ans is a i.e. Colposcopy biopsy Patient is presenting with post coital bleeding, which is a specific symptom of Ca cervix; since there is no visible lesion - colposcopic biopsy is the next line of investigation as it is a diagnostic procedure. Pap smear is only a screening method.
Colposcopy biopsy
Conisation
Repeat pap smear
Culdoscopy