29th April 2024

A 30-year-old woman presents to the clinic complaining of lower abdominal pain and irregular menstrual bleeding for the past two weeks.

A 30-year-old woman presents to the clinic complaining of lower abdominal pain and irregular menstrual bleeding for the past two weeks. She also reports a fever and a new, unusual vaginal discharge. On physical examination, there is notable tenderness in the lower abdominal area, with pain intensifying during the pelvic examination, especially upon cervical motion.

Which is the most likely diagnosis?