Post-coital bleeding in young women: the role of genitourinary medicine

Recently published Department of Health (DoH) guidelines and National Health Service Cervical Screening Programme guidelines recommend referral to a genitourinary (GU) medicine or sexual health clinic as part of the management pathway for young women with post-coital bleeding (PCB). The objectives o...

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Bibliographic Details
Published in:International journal of STD & AIDS 2010-12, Vol.21 (12), p.826-828
Main Authors: Sonnex, C, Shafi, M
Format: Article
Language:English
Subjects:
Adolescent
Adult
AIDS/HIV
Ambulatory Care Facilities
Biological and medical sciences
Coitus
Colposcopy - utilization
Epidemiology. Vaccinations
Female
General aspects
Hemorrhage - etiology
Humans
Infectious diseases
Medical sciences
Sexually Transmitted Diseases - diagnosis
Surveys and Questionnaires
Young Adult
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Summary:Recently published Department of Health (DoH) guidelines and National Health Service Cervical Screening Programme guidelines recommend referral to a genitourinary (GU) medicine or sexual health clinic as part of the management pathway for young women with post-coital bleeding (PCB). The objectives of this questionnaire study were to ascertain whether GU medicine practitioners agreed with these recommendations and to assess which skills were considered necessary regarding the diagnosis and management of cervical pathology in departments of GU medicine and sexual health and also, therefore, in training in the specialty. The majority of respondents considered it important to check for cervical infection in determining the cause of PCB, but few GU medicine practitioners now perform colposcopy and many consider themselves insufficiently trained to assess the cervix in more detail. Since the colposcope is the optimal tool for examining the anogenital tract, we suggest that colposcopy, in its broadest sense, should be reconsidered as an essential part of GU medicine training.
ISSN:0956-4624
1758-1052
DOI:10.1258/ijsa.2010.010344