1st April 2022

A 32-year-old lady presents with painful periods

A 32-year-old lady presents with painful periods as she recently found out her friend has been seeing a doctor for a similar condition. The pain has been coming with every period since she was around 19 years old. Otherwise, she has been married for 5 years and has been trying for a child with her husband for the past year. On pelvic examination, there is no enlarged uterus, but point tenderness is found near the uterosacral ligaments.

What is the most likely diagnosis? Select ONE option only.