Suspected endometriosis refractory symptoms — DRCOG MCQ

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EasyGynaecologySuspected endometriosis refractory symptomsDRCOG

A 22-year-old woman has persistent pelvic pain despite NSAID and hormonal treatment in primary care. When should this patient be referred?

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Correct answer: A — Refer to gynaecology for further assessment

Refer to gynaecology for further assessment is the best answer because the vignette is testing Suspected endometriosis refractory symptoms and the recommended approach is consistent with NICE NG73. The other referral timings are either too slow for the risk described or use a pathway intended for a different presentation. Specifically, Refer early for specialist fertility assessment; Refer to emergency gynaecology care; Refer same day to the maternity assessment unit; Refer immediately to emergency obstetric care would be suboptimal in this scenario. Referral timing is determined by red flags, pregnancy stage and suspected cancer or emergency pathways.

Reference: NICE NG73