Moderate Flow in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1506
SMLE Question #1506
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 24-year-old nulliparous woman has severe crampy lower abdominal pain that begins a few hours before menses and continues through the first 2–3 days. Over the last year, symptoms have progressively worsened and cause her to miss work 1–2 days per month. Menstrual cycles are regular with moderate flow and no intermenstrual bleeding. Pelvic examination is normal. She prefers to avoid hormonal contraception. What is the most appropriate initial pharmacologic treatment to relieve her symptoms?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.