A 33-year-old woman presents with chronic pelvic pain, dyspareunia and dysmenorrhoea. Examination is unremarkable. You suspect endometriosis. Accordin...

Question

A 33-year-old woman presents with chronic pelvic pain, dyspareunia and dysmenorrhoea. Examination is unremarkable. You suspect endometriosis. According to Canadian gynaecologic practice, what is an appropriate initial management step before diagnostic laparoscopy?

Accepted Answer

Empiric trial of hormonal therapy such as combined hormonal contraception or progestin

Answer

No treatment until laparoscopy confirms the diagnosis

Answer

Routine broad-spectrum antibiotics

Answer

Long-term opioids for pain control

Answer

Immediate hysterectomy for definitive treatment

ca-mccqe1 MCQ (SBA): Endometriosis initial management

A 33-year-old woman presents with chronic pelvic pain, dyspareunia and dysmenorrhoea. Examination is unremarkable. You suspect endometriosis. According to Canadian gynaecologic practice, what is an appropriate initial management step before diagnostic laparoscopy?