Answer 4 Endometriosis. With a history of pain that increases during the premenstrual period and gradually declines during menstruation, endometriosis is the most likely diagnosis. The history also may be consistent with leiomyomata, but the physical examination is unrevealing. Adhesions are unlikely in a patient without a surgical history. PID is more often a cause of acute rather than chronic pelvic pain. Click here to return to the questions

Click here to read more about Acute and Chronic Pelvic Pain in Women (Requires Adobe Acrobat Reader) Check our archives to test your knowledge in other clinical signs: If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing. Download Adobe Acrobat Reader

Hospital Physician     JCOM     Seminars in Medical Practice Hospital Physician Board Review Manuals About TWC    Subscribe    Contact TWC    Home    Search   Site Map Copyright © 2009, Turner White Communications Updated 8/6/07 • kkj