Endometriosis — DRCOG MCQ

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EasyGynaecologyEndometriosisDRCOG

A 45-year-old woman has chronic pelvic pain, deep dyspareunia and pain opening bowels during periods. What is the most likely diagnosis?

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Correct answer: E — Endometriosis

Endometriosis is the best answer because the vignette is testing Endometriosis and the recommended approach is consistent with NICE NG73. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Adenomyosis; Postpartum endometritis; Overactive bladder syndrome; Vulvovaginal candidiasis would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG73