44-year-old Multiparous in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1635
SMLE Question #1635
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 44-year-old multiparous woman has 1 year of progressively worsening dysmenorrhea and heavy regular menses. She reports soaking pads every 1–2 hours on the heaviest days. She has no history of pelvic inflammatory disease. Pelvic examination shows a diffusely enlarged, tender uterus without discrete palpable masses. Endometrial biopsy shows proliferative endometrium without hyperplasia or malignancy. What is the most likely diagnosis?
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