Comorbidity profiles among women with postcoital bleeding: a nationwide health insurance database

作者: Hsin-Li Liu , Chuan-Mei Chen , Lee-Wen Pai , Yueh-Juen Hwu , Horng-Mo Lee

DOI: 10.1007/S00404-017-4327-7

关键词:

摘要: Most of the existing studies on postcoital bleeding (PCB) in Western countries. To date, no study has focused various PCB-related comorbidities Taiwan women. This work aims to analyze and compare presence or absence PCB among Taiwanese women with gynecological comorbidity. is a population-based retrospective cohort investigation. Outpatients after index date were considered. A total 2377 female patients (ICD-9 626.7) identified using nationwide outpatient sample from 2001 2010. For comparison, 7131 cases randomly matched group terms gender age. The incidence rate was 39–59 cases/100,000 women, mean age (±SD) 36.74 ± 10.79 years, median 36 mode 29 years. Women exhibited 1.47-fold risk cervical dysplasia 1.59-fold for malignant neoplasm cervix. Young showed high cancer. most common benign diseases PCB- related erosion ectropion (20.66%), followed by vaginitis vulvovaginitis (19.18%). Comparison between non-PCB groups indicated several significant high-risk including polyps, erosion, leukoplakia cervix, intrauterine contraceptive device, cervicitis, vaginitis, menopause, dyspareunia, vulvodynia. provides evidence that manifested (51.58%), lower genital tract infection (46.11%), cancer (2.31%). Thus, healthcare providers must ensure appropriate routine screening tests counseling are given PCB.

参考文章(35)
Raeda J. Al-Qutob, Salah M. Mawajdeh, Abdul M. Farag, Prevalence and risk factors of genital prolapse. A multicenter study. Saudi Medical Journal. ,vol. 24, pp. 161- 165 ,(2003)
Hsin-Li Liu, Horng-Mo Lee, Yueh-Chin Chung, Dyspareunia and Its Comorbidities among Taiwanese Women: Analysis of the 2004–2010 Nationwide Health Insurance Database The Journal of Sexual Medicine. ,vol. 12, pp. 1012- 1018 ,(2015) , 10.1111/JSM.12820
Peter R Croft, Mark Shapley, Joanne Jordan, A systematic review of postcoital bleeding and risk of cervical cancer British Journal of General Practice. ,vol. 56, pp. 453- 460 ,(2006)
Peter R Croft, Mark Shapley, Kelvin Jordan, An epidemiological survey of symptoms of menstrual loss in the community. British Journal of General Practice. ,vol. 54, pp. 359- 363 ,(2004)
M Hakama, E Pukkala, Selective screening for cervical cancer. Experience of the Finnish mass screening system. Journal of Epidemiology & Community Health. ,vol. 31, pp. 238- 244 ,(1977) , 10.1136/JECH.31.4.238
Nancy E. Avis, Rebecca Stellato, Sybil Crawford, Catherine Johannes, Christopher Longcope, Is there an association between menopause status and sexual functioning Menopause. ,vol. 7, pp. 297- 309 ,(2000) , 10.1097/00042192-200007050-00004
Merja Viikki, Eero Pukkala, Matti Hakama, None, Bleeding symptoms and subsequent risk of gynecological and other cancers. Acta Obstetricia et Gynecologica Scandinavica. ,vol. 77, pp. 564- 569 ,(1998) , 10.1034/J.1600-0412.1998.770516.X
Banchhita Sahu, Rahamatulla Latheef, S. Aboel Magd, Prevalence of pathology in women attending colposcopy for postcoital bleeding with negative cytology Archives of Gynecology and Obstetrics. ,vol. 276, pp. 471- 473 ,(2007) , 10.1007/S00404-007-0362-0
Afsaneh Tehranian, Negar Rezaii, Mitra Mohit, Bita Eslami, Malihe Arab, Zahra Asgari, Evaluation of women presenting with postcoital bleeding by cytology and colposcopy. International Journal of Gynecology & Obstetrics. ,vol. 105, pp. 18- 20 ,(2009) , 10.1016/J.IJGO.2008.12.006
Marcus Y. CHEN, Richard ROHRSHEIM, Basil DONOVAN, Chlamydia trachomatis infection in Sydney women. Australian & New Zealand Journal of Obstetrics & Gynaecology. ,vol. 45, pp. 410- 413 ,(2005) , 10.1111/J.1479-828X.2005.00457.X