Question

A 42-year-old woman presents with a 6-month history of heavy menstrual bleeding and pelvic pain. A transvaginal ultrasound shows a bulky, heterogeneous myometrium, described as having a 'venetian blind' appearance, and a normal endometrium. What is the most likely diagnosis?

Accepted Answer

Adenomyosis

Answer

Endometriosis

Answer

Uterine fibroids (leiomyoma)

Answer

Endometrial carcinoma

Answer

Pelvic inflammatory disease

Practice question

A 42-year-old woman presents with a 6-month history of heavy menstrual bleeding and pelvic pain. A transvaginal ultrasound shows a bulky, heterogeneous myometrium, described as having a 'venetian blind' appearance, and a normal endometrium. What is the most likely diagnosis?