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Endometriosis — DRCOG MCQ

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EasyGynaecologyEndometriosisDRCOG

A 22-year-old woman has cyclical pelvic pain, deep dyspareunia and dyschezia that worsen before menstruation. What is the most appropriate management?

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Correct answer: D — Offer analgesia and hormonal treatment while arranging referral if persistent

Offer analgesia and hormonal treatment while arranging referral if persistent is the best answer because the vignette is testing Endometriosis and the recommended approach is consistent with NICE NG73. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Advise rest and hydration at home; Request outpatient ultrasound in three months; Prescribe oral metronidazole after self-swab; Repeat the pregnancy test in one week would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: NICE NG73