A woman in her late 30s has been having unusually heavy menstrual periods combined with occasional urine and stool leakage over
the past few weeks. Upon further enquiry, she reveals that she also has postcoital pain and bleeding. To which diagnosis will the investigation most likely lead?
The symptoms mentioned of woman in late 30s are those of cervical cancer. Cervix is the part of lower uterus and is narrow. HPV is its major cause. At early stage it does not show any symptoms but at later, bleeding occurs between menstrual period cycles, vaginal discharge with foul odor and blood tinged or yellowish in color. Postcoital pain is also complaint by patients along with pelvic pains.
The earliest known case of infection with HIV-1 in a human was detected in a blood sample collected in 1959 from a man in Kinshasa, Democratic Republic of the Congo. (How he became infected is not known.)
