You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A 38-year-old woman presents with painless post-coital bleeding. She had a cone biopsy for carcinoma in situ five years ago. Her last smear was three months ago, following this. Her last period was six weeks ago.Mostproable diagnosis is: and explain in detail?
The recurrence of abnormal vaginal bleeding in a patient with a previous history of a cone biopsy would raise concerns of carcinoma of the cervix.
Her last smear was nearly five years ago,indicating she defaulted from follow-up after her cone biopsy.
Six weeks amenorrhoeamight raise concerns about an ectopic pregnancy but the absence of pain makes this unlikely.
It would always be wise to perform a pregnancy test and scan if in any about.