skip to main content

Adenomyosis — DRCOG MCQ

Instant feedback + full explanation. One question, done properly.

HardGynaecologyAdenomyosisDRCOG

A 44-year-old woman has chronic pelvic pain, deep dyspareunia and heavy painful periods. Pelvic examination reveals a uniformly enlarged tender uterus. Pregnancy test is negative. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Adenomyosis

Adenomyosis commonly causes heavy painful periods, chronic pelvic pain, dyspareunia and a bulky tender uterus. Ovarian torsion is acute and severe rather than chronic. Cervical ectropion causes contact bleeding rather than a tender enlarged uterus. The pearl is that adenomyosis and fibroids can overlap, so pelvic ultrasound is usually helpful.

Reference: NICE NG88; NICE CKS dysmenorrhoea