Contact Bleeding in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#490
SMLE Question #490
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 29-year-old G2P1 woman at 18 weeks of gestation attends a routine antenatal visit. Speculum examination shows a friable exophytic lesion on the ectocervix with contact bleeding. She had a normal cervical cytology test 2 years ago. She reports no pelvic pain, abnormal vaginal discharge, or systemic symptoms. What is the most appropriate next step in management of this cervical lesion?
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