An 18-year-old girl, who had her menarche at 13 years, presents because of severe pain during each of her periods for the last two years.

Subject
Obstetrics and Gynaecology
System
Female Reproductive System & Breasts

Kathryn

Member
Jul 29, 2020
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Singapore
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An 18-year-old girl, who had her menarche at 13 years, presents because of severe pain during each of her periods for the last two years. She has tried treatment with aspirin, panadeine and indomethacin, but little relief has been achieved, She convinced there is something seriously wrong with her. Which one of the following is the most likely reason for her dysmenorrhoea?
(A) Endometriosis
(B) Uterine myomata (fibroids)
(C) Chronic pelvic infection
(D) An endometrial polyp
(E) Endometrial prostaglandin release