Page 187 - Demo

Question 18Explanation: The combination of dysmenorrhea (painful periods), dyspareunia (pain during intercourse), chronic pelvic pain, and pain with bowel movements during menstruation is highly suggestive of endometriosis. Endometriosis occurs when endometrial-like tissue grows outside the uterus, often involving the ovaries, fallopian tubes, and pelvic peritoneum. When it affects the bowel, it can cause pain with defecation, especially during menstruation. While definitive diagnosis requires laparoscopy, the clinical presentation strongly points towards endometriosis.Answer: EndometriosisA 24-year-old woman presents with dysmenorrhea, dyspareunia, and chronic pelvic pain. She reports pain with bowel movements during her period. What is the most likely diagnosis?Pelvic inflammatory diseaseIrritable bowel syndrome Endometriosis Adenomyosis Ovarian cyst