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Objectives: Post Coital Bleeding (PCB) is a common reason for referral to colposcopy clinic. This study investigated the outcomes of colposcopic assessment including histologic diagnosis from biopsies taken from women referred for post coital bleeding at Capital and Coast District Health Board (CCDHB),Wellington, New Zealand. Methods: Women referred with PCB were identified fromour colposcopy database (Gynaecology Plus®) from 1 January 2012 to 31 December 2013, thehospital notes were reviewed, and the demographic details, referral smear and outcome of colposcopy was recorded. Results: Two hundred and nineteen women referred with PCB were seen during the study period. The median age was 27. Fifty two percent of women seen were nulliparous and 95% were pre menopausal. Twelve percent of women seen during this time were current smokers. At referral, 76% had a normal smear, 17% had LSIL or ASC-US, 5% did not have a smear and <1% had HSIL, ASC-H or inflammatory changes. Of the women referred, 50% had a biopsy taken at colposcopy, resulting in 13% being diagnosed with CIN1, 3% CIN2, 2% CIN3 and there was one case of cervical cancer. Conclusion: Those patients with symptoms of PCB should be referred for colposcopy even if their smear was normal or low grade as the smear is only a screening test and should not be relied upon in symptomatic women.

An Audit on the Outcomes of the Assessment of Post-Coital Bleeding at Colposcopy at Wellington Hospital in 2012-2013