26th April 2024

A 32-year-old woman presents with a 4-month history of intermittent vaginal bleeding between periods and after sexual intercourse.

A 32-year-old woman presents with a 4-month history of intermittent vaginal bleeding between periods and after sexual intercourse. She mentions recent unexplained fatigue. Her last cervical screening was five years ago.

Investigations:

Haemoglobin: 98 g/L (115–150)

White cell count: 7.2 × 10^9/L (4.0–11.0)

Platelets: 325 × 10^9/L (150–400)

HPV test: Positive

Which is the most likely diagnosis?