Read the Health Record Information Below: History of Present Illness

Read the health record information below: History of Present Illness
Ms) Sara Miller, a 25-year-old woman, has had a 3-day history of worsening lower abdominal pain. The pain is a constant dull ache. The pain began a few days after her last menstrual cycle ended. The pain worsens with movement. Ms. Miller also reports dyspareunia and purulent vaginal discharge. She has tried over-the-counter ibuprofen, which yielded mild relief of the pain. The pain has worsened and now she also has nausea. She denies vomiting, diarrhea, or dysuria.
According to the health record information, which of the following is a symptom exhibited by the patient?

A) Dysmenorrhea
B) Hyperemesis
C) Leukorrhea
D) Painful sexual intercourse
E) Painful urination