Leech as a cause of abnormal vaginal bleeding: Presentation of three cases in adults

Vaginal bleeding in women during their reproductive years is a common presentation with diverse list of potential causes and hence differential diagnosis. The definitive diagnosis relies on meticulous history taking, past obstetric/gynecological and medical history as well as a judicious examination including speculum examination. Leech bites are a recognized cause of bleeding from any human orifice upon exposure to water which is infested with leeches. A high level of suspicion is necessary to make the diagnosis and institute cost-effective definitive treatment for leech bite induced bleeding including vaginal bleeding as has been revealed by the three cases presented in this report.