1 Year Of Progressively in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1658
SMLE Question #1658
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 44-year-old multiparous woman presents with 1 year of progressively worsening dysmenorrhea and heavy menstrual bleeding. Her cycles are regular. She reports soaking pads every 1–2 hours during the first 2 days of menses. Pelvic examination shows a symmetrically enlarged, globular, diffusely tender uterus without discrete palpable masses. Endometrial biopsy shows proliferative endometrium without hyperplasia or malignancy. Which of the following is the most likely diagnosis?
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