A 33-year-old woman presents to the GP with a 12-month history of pelvic pain and dyspareunia. She has had a normal pelvic ultrasound and normal lapar...

Question

A 33-year-old woman presents to the GP with a 12-month history of pelvic pain and dyspareunia. She has had a normal pelvic ultrasound and normal laparoscopy (no endometriosis found). She is distressed and asks about psychological factors. Which is the single most appropriate response?

Accepted Answer

Acknowledge that chronic pelvic pain is real and multifactorial - psychological factors (stress, anxiety, past trauma) can amplify pain perception. Offer a multidisciplinary approach including pain management, psychological support, and physiotherapy.

Answer

Tell her the pain is imaginary since investigations are normal

Answer

Repeat the laparoscopy

Answer

Prescribe long-term opioids

Answer

Discharge from follow-up

uk-drcog MCQ (SBA): Chronic Pelvic Pain - Biopsychosocial Approach

A 33-year-old woman presents to the GP with a 12-month history of pelvic pain and dyspareunia. She has had a normal pelvic ultrasound and normal laparoscopy (no endometriosis found). She is distressed and asks about psychological factors. Which is the single most appropriate response?