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Full Version: A woman presents to the gynecologist because of pelvic pain
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A 27-year-old white woman presents to the gynecologist because of pelvic pain. She has experienced painful periods since beginning menses at age 12 years. The pain is sometimes present when she is not menstruating, and has become progressively worse over the years. She experienced some improvement during the 4 years she took oral contraceptives, which she stopped taking 2 years ago when she got married. She and her husband have been trying to conceive for the past 18 months without success. Her current menstrual cycle is 25–30 days, with heavy periods lasting 5–7 days. Her last menstrual period was 3 weeks ago and was accompanied by severe cramps that were unresponsive to ibuprofen and prevented her from going to work for 2 days. The pain usually improves with onset of menses, and is aggravated by pain with intercourse and bowel movements. Her β-human chorionic gonadotropin test is negative. Which of the following is the best test for diagnosing her underlying condition?

A) Diagnostic laparoscopy with biopsies
B) Endometrial biopsy
C) Hysterosalpingography
D) Measurement of prostaglandin F2α level
E) Pelvic ultrasound



Members may check the correct answer file posted below Arrow d (2)
please reveal the correct answer
the answer is b
THANKS....
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