Dysmenorrhea

Question 1

crampy lower abd & back pain during menses; nml exam

Answer 1

primary dysmenorrhea

Question 2

pain peaks before menses, dyspareunia, infertility

Answer 2

endometriosis

Question 3

heavy menses w/ clots, constipation, urinary freq, pelvic pain/heaviness, enlarged uterus on exam

Answer 3

fibroids

Question 4

dysmenorrhea, pelvic pain, menorrhagia, bulky, globular & tender uterus

Answer 4

adenomyosis

Question 5

dull & ill defined pelvic ache that worsens w/ standing, dyspareunia

Answer 5

pelvic congestion