Dyspareunia in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#507

SMLE Question #507

Obstetrics & Gynecology General Gynecology
Last updated: February 2026
A 32-year-old sexually active woman presents with dyspareunia and fresh blood on the condom and toilet paper after intercourse for 1 month. Menstrual cycles are regular, and she denies intermenstrual bleeding. Two years ago, she underwent cryotherapy for vulvar genital warts. Pelvic examination shows no vulvar lesions. Speculum examination reveals a friable area on the ectocervix that bleeds on contact. What is the most likely site of bleeding responsible for her postcoital spotting?

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