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Risk factors for developing postcoital bleeding are: low estrogen levels, rape and 'rough sex'. Endometrium epithelium Myometrium Perimetrium Parametrium. Guidelines for nurse practitioners in ambulatory obstetric settings. Ovarian ligament Suspensory ligament. Some have proposed that birth control pills may cause postcoital bleeding. Postcoital bleeding rarely is associated with gynecological cancer in young women and its incidence is projected to drop due to the widespread immunizations against HPV. This may be due to Trichomonas or Candida. Other associations were noted such as the presence of leukoplakia of the cervix, an intrauterine contraceptive device , cervical polyps , cervicitis , menopause , dyspareunia , and vulvodynia. Endometrial biopsy Endometrial ablation.

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