Metadata

Name Postcoital and contact bleeding (PCB)
Category Genitourinary
Sex
Adult Yes
UUID de3e70ab-9eff-49b2-a2dc-573eb668c274
Definition Bleeding from the vagina in women after sexual intercourse and may or may not be associated with pain.

Ontologies

SNOMED-CT 48880000

Key Summary Statistics

Cases from any source

Total 3980
Female (%) 3980 (100%)
Male (%) 0 (0%)

Year first recorded

PCB year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced PCB cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of PCB

Baseline prevalence stratified by sex

Female 185.66 (176.57,194.74)
Male 0.0 (0.0,0.0)

Incidence stratified by sex

Female 6.03 (5.38,6.67)
Male 0.0 (0.0,0.0)

Incidence stratified by age

Ages 40-44 9.5 (7.57,11.43)
Ages 45-49 7.4 (5.93,8.86)
Ages 50-54 4.63 (3.56,5.7)
Ages 55-59 2.58 (1.85,3.3)
Ages 60-64 0.73 (0.4,1.06)
Ages 65-69 0.25 (0.03,0.47)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB PCB prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 200 (187,214) 150 (142,159) 73 (67,78)
CALIBER 476 (468,484) 342 (334,350) 166 (160,172)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 215(184,250) 190(169,213) 76(64,89)
Low 188(159,221) 148(129,169) 86(74,99)
Medium 235(204,270) 154(135,175) 71(60,84)
High 191(165,220) 132(115,152) 76(64,90)
Most deprived 179(155,206) 128(111,148) 50(40,62)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 218(203,234) 164(154,175) 77(71,83)
Scotland 57(39,80) 54(40,70) 30(21,41)
Wales 251(200,311) 175(143,212) 97(76,122)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=153508, Events=407

Factor Level Hazard Ratio P value
BMI overweight 0.96 (0.75, 1.22) 0.716
BMI obese 1.36 (1.06, 1.76) 0.0167
BMI underweight 0 (0, Inf) 0.986
smoking previous 1.37 (1.1, 1.7) 0.00438
smoking current 2.14 (1.6, 2.85) 2.26e-07
hypertension yes 1.88 (1.53, 2.31) 1.47e-09

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
41202 Diagnoses - main ICD10 N93.0 Postcoital and contact bleeding
41204 Diagnoses - secondary ICD10 N93.0 Postcoital and contact bleeding
40001 Underlying (primary) cause of death: ICD10 N93.0 Postcoital and contact bleeding
40002 Contributory (secondary) causes of death: ICD10 N93.0 Postcoital and contact bleeding
42040 GP clinical event records 1581.00 H/O: post-coital bleeding
42040 GP clinical event records K587.00 Contact bleeding of cervix
42040 GP clinical event records K597.00 Postcoital bleeding
42040 GP clinical event records K59A.00 Premenopausal postcoital bleeding
42040 GP clinical event records K59B.00 Postmenopausal postcoital bleeding
42040 GP clinical event records XaKJm Postmenopausal postcoital bleeding
42040 GP clinical event records XaKJl Premenopausal postcoital bleeding