Known severe endometriosis — DRCOG MCQ

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ModerateSubfertilityKnown severe endometriosisDRCOG

A 45-year-old woman has known severe endometriosis and wants pregnancy after 6 months trying. When should this patient be referred?

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Correct answer: B — Refer early for specialist fertility assessment

Refer early for specialist fertility assessment is the best answer because the vignette is testing Known severe endometriosis and the recommended approach is consistent with NICE CG156; NICE NG73. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Arrange routine semen analysis; Refer to specialist contraception services; Refer urgently for safeguarding assessment; Refer to sexual assault referral services would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: NICE CG156; NICE NG73