A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the past 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: 1. endometriosis.
2. PMS.
3. primary dysmenorrhea.
4. secondary dysmenorrhea.
1
1. Correct. Symptoms of endometriosis can change over time and may be disconnected from the extent of the disease. Major symptoms include dysmenorrhea and deep pelvic dyspareunia (painful intercourse). Impaired fertility may result from adhesions caused by endometriosis.
2, 3, 4. Incorrect. Although endometriosis may be associated with secondary dysmenorrhea, it is not a cause of primary dysmenorrhea or PMS. Additionally, this woman is complaining of dys-pareunia and infertility, which are associated with endometriosis, not the responses in answers 2, 3, and 4.
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