Cervical Haemangioma: A Rare Cause of Postcoital Bleeding

Abstract

Cervical haemangioma is a rare cause of postcoital bleeding. Despite available conservative treatments, some diagnoses are made on hysterectomy specimens. We highlight the need to consider uncommon causes of postcoital bleeding. We report a case of a 42-year-old woman with recurrent postcoital bleeding and prolonged menstruation, but no heavy menstrual bleeding, intermenstrual bleeding, abnormal vaginal discharge, genital trauma, history of bleeding disorder or use of hormonal contraception. Pelvic examination was significant for a bulky cervix with widespread hyperemia. Colposcopy findings were contact bleeding at 11 – 1 O’clock and low-grade lesion at 5 – 7 O’clock. She had a loop electrosurgical excision procedure (LEEP). The histology findings were cervical haemangioma coexisting with cervical intraepithelial neoplasia II. Cervical smear and colposcopy after LEEP were normal. By increasing the awareness of cervical haemangioma as a cause of postcoital bleeding, gynaecologists can better evaluate patients and improve outcomes through accurate diagnosis and conservative treatment.