A 19-year-old woman presents to the GP with severe cyclical pelvic pain that has not responded to paracetamol or ibuprofen. She has no desire for preg...

Question

A 19-year-old woman presents to the GP with severe cyclical pelvic pain that has not responded to paracetamol or ibuprofen. She has no desire for pregnancy. Endometriosis is suspected. According to NICE NG73, which is the single most appropriate first-line empirical treatment?

Accepted Answer

Combined oral contraceptive pill or progestogen (e.g., medroxyprogesterone acetate)

Answer

Refer for diagnostic laparoscopy before starting treatment

Answer

GnRH agonist (e.g., goserelin) for 6 months

Answer

Dienogest 2 mg daily

Answer

Naproxen 500 mg twice daily alone

uk-drcog MCQ (SBA): Endometriosis Management

A 19-year-old woman presents to the GP with severe cyclical pelvic pain that has not responded to paracetamol or ibuprofen. She has no desire for pregnancy. Endometriosis is suspected. According to NICE NG73, which is the single most appropriate first-line empirical treatment?