I read from Eve's post regarding a patient with vaginal candidiasis who denies any sexual contact earlier on (citing her religion doesn’t approve of premarital sex). On and off, we will get patients who are reluctant to reveal or hide their sexual histories. What's the point if she comes to clinic or hospital hoping the appropriate treatment given while withholding the truth? We are not the kay poh or busybody medical practitioners who enjoy digging into patient's personal details for no apparent reasons nor judge their behaviour. We will only ask relevant questions according to the clinical presentations which will aid in the diagnosis. STD is never idiopathic, and so is pregnancy. (Idiopathic means occur spontaneously or without any known cause).
This reminds me of a case I saw in the past. A 18-year-old girl presented with history of painless vaginal bleeding and she denied any history of sexual intercourse. Ultrasound was performed and the finding was suspicious, although not the classical findings. Since we can't take the patient's word 100%, so urine pregnancy test was performed and the hCG hormone level was sky high !! Not only she was pregnant, not with normal pregnancy but with the dreadful Molar Pregnancy (or Hydatidiform Mole) !!
She was admitted to hospital and despite that, she still insist she is a virgin. My goodness... If she never had sex, how the heck she will become pregnant? At last she finally admitted, but that doesn't really matter anymore. (There is only one exception which occured 2000 years ago - whereby the Virgin Mary is conceived by the Holy Spirit). Suction & Curettage was performed subsequently without any complications. Luckily she didn't suffer from Invasive or Metastatic Moles or Choriocarcinoma.