Nonpharmacologic Measures To Reduce in Medicine / Internal Medicine — Case | Endocrinology | SMLE Q#11941
SMLE Question #11941
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 27-year-old nulliparous woman reports recurrent lower abdominal cramping that starts 2–3 days before menses and improves by day 3 of bleeding. Cycles are regular every 28 days. She has no intermenstrual bleeding, dyspareunia, or infertility concerns. Pelvic examination is normal. She is otherwise healthy and takes no regular medications. She asks for nonpharmacologic measures to reduce menstrual pain. Which of the following is the most appropriate next step in management?
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