Regular 28–30-day Cycles Lasting in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11509
SMLE Question #11509
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 23-year-old nulliparous woman has 2 years of heavy menstrual bleeding with regular 28–30-day cycles lasting 6–7 days. She soaks pads every 1–2 hours for the first 4 days and passes large clots. Pelvic examination shows a symmetrically enlarged, firm uterus with an irregular contour. Transvaginal ultrasound shows multiple well-circumscribed intramural hypoechoic masses with a normal endometrial stripe. Which of the following is the most likely diagnosis?
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