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Endometriosis — UKMLA MCQ

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MediumObstetrics & GynaecologyEndometriosisUKMLA

A 31-year-old woman complains of severe dysmenorrhoea and chronic pelvic pain. Pelvic ultrasound shows ovarian endometriomas. What is the first-line medical management to control her pain?

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Correct answer: C — Combined oral contraceptive pill

First-line medical management for endometriosis often includes the combined oral contraceptive pill to reduce pain. GnRH analogues are usually second-line. High-dose progestins may be used if COCP is contraindicated. Surgical management is considered if medical therapy fails or there's suspicion of significant adhesions or ovarian masses requiring intervention.

Reference: NICE Endometriosis: Diagnosis and Management (NG73)