4 board-style questions on dysmenorrhea in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 33-year-old woman presents with chronic pelvic pain lasting 8 months. The pain is dull, constant, and worsens premenstrually. She has dyspareunia and painful bowel movements during menses. Pelvic examination reveals tenderness in the posterior cul-de-sac with uterosacral nodularity. A urine pregnancy test is negative and urinalysis is normal. What is the most likely diagnosis?
A 29-year-old woman presents with a 2-year history of progressive dysmenorrhea, deep dyspareunia, and dyschezia (pain with defecation) during menses. She has been trying to conceive for 14 months without success. Pelvic examination reveals a fixed, retroverted uterus with tender nodularity in the posterior cul-de-sac. Transvaginal ultrasound shows a 3-cm homogeneous hypoechoic cyst in the left ovary with diffuse low-level internal echoes. Which of the following is the most likely diagnosis?
Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.
PulseMD is an independent educational resource and is not affiliated with, endorsed by, sponsored by, or approved by the American Board of Family Medicine.