A 25-year-old woman presents with post-coital bleeding and intermenstrual spotting. She is sexually active with multiple partners and has not had a ce...

Question

A 25-year-old woman presents with post-coital bleeding and intermenstrual spotting. She is sexually active with multiple partners and has not had a cervical screen. What is the most appropriate initial investigation?

Accepted Answer

Speculum examination with cervical screening test and chlamydia/gonorrhoea NAAT

Answer

Empirical treatment for chlamydia without examination

Answer

Pelvic ultrasound only

Answer

Immediate referral for hysterectomy

Answer

Start combined oral contraceptive pill to regulate bleeding

au-amc MCQ (SBA): Post-coital bleeding assessment

A 25-year-old woman presents with post-coital bleeding and intermenstrual spotting. She is sexually active with multiple partners and has not had a cervical screen. What is the most appropriate initial investigation?