Marked Tenderness in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16810
SMLE Question #16810
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 25-year-old nulliparous woman has 18 months of cyclic, severe pelvic pain that worsens during menses. Menses are regular but heavy. She has had regular unprotected intercourse for 12 months without conception. Pelvic examination shows a normal-sized, retroverted, relatively immobile uterus with marked tenderness and nodularity along the uterosacral ligaments. Which diagnostic procedure is most helpful to confirm the most likely diagnosis?
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