6 Years Of Infertility in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#18183
SMLE Question #18183
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-OBG-GYN-001
Last updated: February 2026
A 30-year-old woman presents with 6 years of infertility. She has progressively worsening severe dysmenorrhea not relieved by naproxen, deep dyspareunia, and cyclic pelvic pain that worsens just before and during menses. Pelvic examination shows a retroverted fixed uterus with tenderness and nodularity of the uterosacral ligaments. Transvaginal ultrasound shows a 4.5-cm left ovarian cyst with homogeneous low-level internal echoes. What is the most likely diagnosis?
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