A 38-year-old woman presents to the GP with a 3-month history of heavy menstrual bleeding and dysmenorrhoea. Pelvic examination reveals a symmetricall...

Question

A 38-year-old woman presents to the GP with a 3-month history of heavy menstrual bleeding and dysmenorrhoea. Pelvic examination reveals a symmetrically enlarged, tender uterus. Transvaginal ultrasound shows a diffusely enlarged uterus with heterogeneous myometrium but no discrete fibroids. What is the most likely diagnosis?

Accepted Answer

Adenomyosis

Answer

Uterine fibroids

Answer

Endometrial hyperplasia

Answer

Endometrial polyp

Answer

Endometriosis

uk-drcog MCQ (SBA): Adenomyosis