Nausea in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#4096
SMLE Question #4096
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 24-year-old nulliparous woman has 1 year of severe crampy lower abdominal pain that starts a few hours before menses and lasts through the first 2 days. The pain radiates to the lower back and thighs and is associated with nausea. Her menses are regular every 28 days. Pelvic examination is normal. She prefers to avoid hormonal therapy. What is the most appropriate initial pharmacologic treatment?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.