A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:

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Quizplus · Accepted Answer

The symptoms of severe abdominal and pelvic pain, pain during intercourse, and difficulty conceiving are all classic signs of endometriosis, a condition in which the tissue that normally lines the uterus grows outside of it, causing pain and inflammation. Primary dysmenorrhea is menstrual pain without an underlying condition, while PMS refers to a range of emotional and physical symptoms that occur in the days leading up to menstruation. Secondary dysmenorrhea is menstrual pain caused by an underlying condition, which in this case is likely endometriosis.

A Woman Complains of Severe Abdominal and Pelvic Pain Around