Clots in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11166
SMLE Question #11166
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 42-year-old multiparous woman has 1 year of progressively worsening secondary dysmenorrhea and heavy, prolonged menses with clots. Pain starts 1–2 days before menstruation and persists throughout. She has completed childbearing and does not desire future fertility. Pelvic examination shows a uniformly enlarged, boggy, tender uterus consistent with a 10-week gestation size. Transvaginal ultrasound findings are consistent with adenomyosis. She requests a definitive treatment to resolve her symptoms. What is the most appropriate definitive treatment?
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