{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T19:31:00Z","timestamp":1769283060910,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2009,1,15]],"date-time":"2009-01-15T00:00:00Z","timestamp":1231977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2009,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate women with postcoital bleeding (PCB) by clinical examination, cytology, colposcopy, and histopathology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study of 123 women with PCB, who were referred to the Colposcopy Clinic of Arash Hospital, Tehran, over a 2\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Clinical examinations revealed cervical polyps in 18 women and ectropion in 14. Cervical cytology identified 13 patients with atypical squamous cells of undetermined significance, 2 with atypical glandular cells, 4 with low\u2010grade squamous intraepithelial lesions, and 3 with high\u2010grade squamous intraepithelial lesions. Colposcopy indicated invasive cancer in 1 patient. Transitional zones appeared normal in 39.8% of the cohort, were atypical grade 1 in 33.3%, and atypical grade 2 in 4.9%. Fourteen abnormalities were detected at histology, including 1 squamous cell carcinoma, 1 low\u2010grade glandular neoplasm, 9 cervical intraepithelial neoplasia (CIN) grade 1, 2 CIN grade 2, and 1 CIN grade 3. The sensitivity and specificity of cytology were 50% and 86.5%, respectively. A total of 21.4% of abnormal pathologies were missed using colposcopy, which had a sensitivity of 79%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Because of its higher sensitivity, colposcopy can be recommended for the investigation of persistent PCB, even in the presence of normal cytology.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2008.12.006","type":"journal-article","created":{"date-parts":[[2009,1,16]],"date-time":"2009-01-16T09:10:48Z","timestamp":1232097048000},"page":"18-20","source":"Crossref","is-referenced-by-count":15,"title":["Evaluation of women presenting with postcoital bleeding by cytology and colposcopy"],"prefix":"10.1002","volume":"105","author":[{"given":"Afsaneh","family":"Tehranian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Negar","family":"Rezaii","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitra","family":"Mohit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bita","family":"Eslami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malihe","family":"Arab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zahra","family":"Asgari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,1,15]]},"reference":[{"issue":"1","key":"e_1_2_5_2_2","first-page":"103","article-title":"The frequency of significant pathology in women attending a general gynecological service for postcoital bleeding","volume":"108","author":"Rosental A.N.","year":"2001","journal-title":"BJOG"},{"issue":"527","key":"e_1_2_5_3_2","first-page":"453","article-title":"A systematic review of post coital bleeding and risk of cervical cancer","volume":"56","author":"Shapley M.","year":"2006","journal-title":"Br J Gen Pract"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.48.5.405"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-007-0513-3"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610220130625"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1159\/000009957"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/9780470760093"},{"key":"e_1_2_5_9_2","volume-title":"Colposcopy and programme management. Guidelines for the NHS Cervical Screening Programme","author":"NHSCSP","year":"2004"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-007-0362-0"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610500107221"},{"issue":"1","key":"e_1_2_5_12_2","first-page":"34","article-title":"A clinico\u2010pathological study of postcoital bleeding","volume":"270","author":"Selo\u2010Ojeme D.O.","year":"2004","journal-title":"Arch Gynecol Obstet"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610500378624"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729208005766?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729208005766?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2008.12.006","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2008.12.006","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2008.12.006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T20:26:57Z","timestamp":1696364817000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2008.12.006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,1,15]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009,4]]}},"alternative-id":["10.1016\/j.ijgo.2008.12.006"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2008.12.006","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,1,15]]}}}