A 56-year-old patient comes into the gynecology clinic with the complaints of constipation and a protrusion from her vagina. This patient most likely has:
1. A cystocele.
2. A prolapsed uterus.
3. Polycystic ovarian syndrome.
4. A rectocele.
4
Rationale 1: A cystocele is a bulge from the anterior wall of the vagina which causes incontinence but not constipation.
Rationale 2: A prolapsed uterus sometimes protrudes through the vaginal opening, but does not cause constipation.
Rationale 3: Polycystic ovarian syndrome has none of these symptoms.
Rationale 4: This is the correct answer. The patient often complains of constipation, and the anterior wall of the rectum protrudes through the vagina.
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