Question

A 30-year-old woman presents with lower abdominal pain and intermenstrual bleeding. Cervical excitation on bimanual exam. Pregnancy test negative. Best initial management?

Accepted Answer

Empirical treatment for PID with doxycycline + metronidazole + ceftriaxone

Answer

Immediate laparoscopy

Answer

Reassure and observe

Answer

Give fluconazole

Answer

Start COCP to regulate cycles

Practice question

A 30-year-old woman presents with lower abdominal pain and intermenstrual bleeding. Cervical excitation on bimanual exam. Pregnancy test negative. Best initial management?