Multiple Partners in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11171
SMLE Question #11171
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 23-year-old nulliparous woman presents to the emergency department 5 days after copper intrauterine device insertion. She has gradually worsening lower abdominal pain and watery brown vaginal discharge. She reports dyspareunia and low-grade fever for 2 days. She is sexually active with multiple partners and uses condoms inconsistently. Pelvic examination shows cervical motion tenderness, bilateral adnexal tenderness, and purulent cervical discharge. What is the most likely diagnosis?
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