Postcoital bleeding is a common symptom in premenopausal women and is often caused by benign conditions, e.g., infections, polyps, or physiological changes. Although cervical cancer is a rare outcome in premenopausal women with postcoital bleeding, many women are referred to gynecological clinics, resulting in unnecessary procedures. Through an investigation of the latest literature, this review finds a very low incidence of malignancy among women referred for postcoital bleeding in Denmark. Thus, there is a need for a national guideline that defines the diagnostic pathways for premenopausal women with postcoital bleeding.