A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months
These symptoms are most likely related to: a. Endometriosis.
b. PMS.
c. Primary dysmenorrhea.
d. Secondary dysmenorrhea.
A
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A Symptoms of endometriosis can change over time and may not reflect the extent of the disease. Major symptoms include dysmenorrhea and deep pelvic dyspa-reunia (painful intercourse). Impaired fertility may result from adhesions caused by endometriosis.
B Endometriosis is not a cause of PMS.
C Although endometriosis may be associated with secondary dysmenorrhea, it is not a cause of primary dysmenorrhea.
D Although endometriosis may be associated with secondary dysmenorrhea, this woman is complaining of dyspareunia and infertility.
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