A 35-year-old female presents complaining of a one-year history of dull, cramping pain in her pelvis that comes with her menstrual cycle, yet is different from normal menstrual discomfort. She also describes pain with intercourse and frequent spotting. Of the following, what is the most likely clinical condition of this patient?
A) Mittelschmerz
B) Endometritis
C) Uterine fibroids
D) Endometriosis
D
Health Professions
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