A 42-year-old woman presents to the GP with a single episode of postcoital bleeding. She has no intermenstrual bleeding. Her cervical screening 6 mont...

Question

A 42-year-old woman presents to the GP with a single episode of postcoital bleeding. She has no intermenstrual bleeding. Her cervical screening 6 months ago was HPV negative with normal cytology. Speculum examination shows a healthy cervix with no visible lesion. What is the single most appropriate management?

Accepted Answer

Reassure, advise to return if postcoital bleeding recurs or persists, and consider STI screening

Answer

Refer urgently to colposcopy

Answer

Repeat cervical screening

Answer

Arrange a pelvic ultrasound

Answer

Prescribe topical vaginal oestrogen

uk-drcog MCQ (SBA): Single Episode PCB - Safety Netting