robin082006
Forum Hero
Topics: 471
Posts: 5,123
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A 29-year-old nulligravida woman comes to your office complaining of pain during intercourse. She is single but has been in a committed relationship with her boyfriend, for the past 18 months. The pain started 10 months ago and steadily increased until it became completely disabling, a month ago. Associated clinical symptoms include an occasional pre and postmenstrual spotting and pain on defecation. The patient is using oral contraception and denies any history of pelvic inflammatory disease or sexually transmitted disease. She is very concerned about her relationship. Her digital rectal exam (DRE) is without anomalies and last menstrual period was 15 days back. Pelvic exam reveals a firm and exquisitely painful mass on the uterosacral ligaments, normal sized uterus, and normal adnexae. What is the most appropriate method of investigation?
A. Pelvic ultrasound
B. Laparoscopy
C. CA-125 levels
D. Hysterosalpingogram
E. Serial beta-hCG
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| sarika
Forum Guru
Topics: 195
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endometriosis laproscopy
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| studying hard
Forum Junior
Topics: 5
Posts: 11
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yup i agree
laproscopy as it is endometriosis
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