- Per vaginal bleeding in gynaecology can be either due to menstrual causes or other causes in the genital tract. The approach to these will differ depending on the cause.
- Multiple hormonal treatments exist for the treatment of menstrual bleeding which can be used initially until investigations and definitive management are arranged.
- The majority of non-menstrual bleeding is benign in nature but malignancy is an important differential which must be excluded.
- Packing of the vagina is an important skill to acquire to arrest vaginal bleeding.