Question

A 32-year-old G0P0 woman presents with dull, crampy pelvic pain that has been intermittent over the last six months. She is currently menstruating and notes the pain seems to worsen with menses. She also reports pain with intercourse but denies any vaginal discharge. On examination, she is in no acute distress and is afebrile. She has scant blood in the vaginal vault and no significant focal tenderness. No masses are appreciated. Her pregnancy test was negative. What is the most likely diagnosis?

a) Endometriosis
b) Mittelschmerz
c) Pelvic inflammatory disease
d) Ruptured ovarian cyst

Answer 1

The most likely diagnosis is endometriosis, a condition where endometrial tissue grows outside of the uterus and causes pelvic pain.

Step-by-step explanation:

The most likely diagnosis for a 32-year-old G0P0 woman experiencing dull, crampy pelvic pain that worsens with menses and pain with intercourse is endometriosis. Endometriosis is a condition where endometrial tissue grows outside of the uterus and causes inflammation, pain, and scarring. The main symptom is pelvic pain, which can range from mild to severe and may occur during menstruation. It can also lead to infertility.