More Chronicity

A 25 year old lady presents with pelvic pain of 2 years duration, which worsens with menstruation.

Her periods became heavier during the last 6 months, while she also experienced marked dyspareunia.

Her medical and gynecological histories are otherwise unremarkable. She married 6 months ago, and is currently planning a pregnancy.

Select Relevant Investigations
Urine culture + ABST

Performed

No growth.
Pelvic ultrasound

Performed

Retroverted uterus of normal size. Ovaries attached to each other, behind uterus. No other abnormalities noted.
CA-125

Performed

The CA-125 level is 50 IU/L (normal < 35)
Cervical swab + GC/CT NAAT

Performed

Negative for both gonorrhea and chlamydia.

Select Relevant Management
Antispasmodics
Antibiotics
Oral Contraceptive Pills
Laparoscopic ablation