8 Months Of Progressively in Obstetrics & Gynecology — 32yo Woman | General Gynecology | SMLE Q#17778

SMLE Question #17778

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 32-year-old woman presents to a gynecology clinic with 8 months of progressively worsening crampy pelvic pain occurring with her menstrual periods. Over-the-counter ibuprofen provides only partial relief. She is sexually active with one partner and is not trying to conceive. Pelvic examination is normal with no cervical motion tenderness or adnexal mass. To narrow the differential diagnosis and guide further workup, which component of history is most important to obtain next?

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