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Endometriosis — MRCGP AKT MCQ

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HardO&GEndometriosisMRCGP AKTUKMLAPARA

A patient has cyclical pelvic pain and deep dyspareunia suggestive of endometriosis. Examination is normal, pregnancy is not desired and there is no contraindication to hormonal treatment. What is an appropriate initial plan?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Analgesia plus empirical hormonal treatment

The best answer is “Analgesia plus empirical hormonal treatment”. A normal examination does not exclude endometriosis, and treatment need not wait for laparoscopy. Analgesia and hormonal suppression can be offered according to preference and contraindications; persistent symptoms, fertility priorities, pelvic signs or treatment intolerance guide ultrasound and specialist referral.

Reference: NICE NG73: Endometriosis diagnosis and management: https://www.nice.org.uk/guidance/ng73/chapter/Recommendations