1st April 2022

You are an F2 on your GP rotation. Miss Barnes is a nulliparous 21-year-old student

You are an F2 on your GP rotation. Miss Barnes is a nulliparous 21-year-old student studying architecture at university; she previously presented due to having painful periods (dysmenorrhoea). She was advised to take ibuprofen for the pains, but she mentions the pains have not only continued but worsened. She described the pain as cramping in nature. She mentions that the cramping pains are sometimes present even when she is not on her periods. These pains have been going on for the last 4 months, and they sometimes prevent her from carrying out her daily activities.

She has a known family history of endometriosis.

Based on Miss Barnes symptoms what first-line investigation to find a diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.