A 29-year-old woman has chronic pelvic pain, deep dyspareunia, and dysmenorrhea that begins before menses. Pelvic examination shows uterosacral

Question

A 29-year-old woman has chronic pelvic pain, deep dyspareunia, and dysmenorrhea that begins before menses. Pelvic examination shows uterosacral tenderness. Pregnancy test and STI testing are negative. Which of the following is the most likely diagnosis?

Accepted Answer

Endometriosis

Answer

Ovarian torsion

Answer

Ectopic pregnancy

Answer

Pelvic inflammatory disease

Answer

Cervical cancer

Endometriosis — USMLE Step 3 MCQ

A 29-year-old woman has chronic pelvic pain, deep dyspareunia, and dysmenorrhea that begins before menses. Pelvic examination shows uterosacral tenderness. Pregnancy test and STI testing are negative. Which of the following is the most likely diagnosis?