A 25-year-old woman presents to the GP with cyclical pelvic pain and suspected endometriosis. She has tried the combined oral contraceptive pill conti...

Question

A 25-year-old woman presents to the GP with cyclical pelvic pain and suspected endometriosis. She has tried the combined oral contraceptive pill continuously for 6 months with partial improvement. She asks about further medical options before considering surgery. Which is the single most appropriate next step?

Accepted Answer

Switch to a GnRH agonist (e.g., goserelin) with add-back HRT

Answer

Prescribe high-dose danazol

Answer

Refer directly for laparoscopic excision

Answer

Prescribe oral prednisolone

Answer

Increase the dose of the combined pill

uk-drcog MCQ (SBA): Endometriosis - Second-line Treatment