A 35-year-old woman presents to the GP with a 12-month history of chronic pelvic pain that is worse premenstrually. She also reports dyschezia and rec...

Question

A 35-year-old woman presents to the GP with a 12-month history of chronic pelvic pain that is worse premenstrually. She also reports dyschezia and rectal bleeding during menstruation. A pelvic ultrasound is normal. What is the most likely underlying condition?

Accepted Answer

Deep infiltrating endometriosis involving the rectovaginal septum

Answer

Irritable bowel syndrome

Answer

Colorectal cancer

Answer

Haemorrhoids

Answer

Inflammatory bowel disease

uk-drcog MCQ (SBA): Deep Infiltrating Endometriosis - Bowel Involvement

A 35-year-old woman presents to the GP with a 12-month history of chronic pelvic pain that is worse premenstrually. She also reports dyschezia and rectal bleeding during menstruation. A pelvic ultrasound is normal. What is the most likely underlying condition?