6 Years Of Infertility in Obstetrics & Gynecology — 30yo Woman | General Gynecology | SMLE Q#18318

SMLE Question #18318

Obstetrics & Gynecology General Gynecology

Objective: OBJ-OBG-GYN-UNK

Last updated: February 2026
A 30-year-old woman presents to a gynecology clinic with 6 years of infertility and progressively worsening severe dysmenorrhea unrelieved by NSAIDs. She also reports deep dyspareunia and pain with defecation during menses. Pelvic examination shows a retroverted uterus with limited mobility and tenderness in the posterior fornix, with nodularity along the uterosacral ligaments. What is the most likely diagnosis?

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