Postcoital and contact bleeding
ICD-10 N93.0 is a billable code used to indicate a diagnosis of postcoital and contact bleeding.
Postcoital and contact bleeding refers to vaginal bleeding that occurs after sexual intercourse or following contact with the vaginal area. This condition can be indicative of various underlying issues, including cervical or vaginal lesions, infections, or hormonal imbalances. It is essential to differentiate this bleeding from menstrual bleeding and other forms of abnormal uterine bleeding. In many cases, postcoital bleeding may be associated with cervical ectropion, which is a benign condition where the cells lining the cervical canal are present on the outside of the cervix. Other potential causes include cervical polyps, sexually transmitted infections (STIs), or malignancies. Proper evaluation often involves a thorough gynecological examination, Pap smear, and possibly imaging studies to rule out serious conditions. The management of postcoital bleeding depends on the underlying cause and may involve treatment of infections, removal of polyps, or other interventions as necessary. Understanding the implications of this symptom is crucial for reproductive health, especially in the context of female infertility and complications arising from artificial fertilization procedures.
Detailed patient history, physical examination findings, and results of diagnostic tests.
Patients presenting with postcoital bleeding, abnormal Pap results, or pelvic pain.
Consideration of STIs and cervical health is crucial for accurate diagnosis.
Comprehensive hormonal assessments and fertility evaluations.
Infertility evaluations where postcoital bleeding may impact conception.
Understanding the implications of bleeding on fertility treatments and outcomes.
Used for follow-up visits after initial evaluation of postcoital bleeding.
Document the reason for the visit and any changes in symptoms.
Ensure that the visit is clearly linked to the diagnosis of postcoital bleeding.
Documentation should include the patient's history of bleeding, any associated symptoms, results of examinations, and any diagnostic tests performed. Clear differentiation from menstrual bleeding is crucial.
