Solve exciting clinical cases specific to your field of interest via Docplexus’ clinical case challenge. In this ‘Gynecology Case Challenge’ join your fellow doctors to discuss and answer an interesting quiz. An 18-year old nulliparous woman presented with a history of severe and worsening dysmenorrhea. She complained of cramps in lower abdomen and irregular menstrual cycle with excessive bleeding since menarche, at the age of 14. These symptoms were insufficiently relieved by NSAIDs and oral contraceptives. History- No history of surgery, abortion or any trauma. Unremarkable family history.
Pelvic examination- Normal vagina, vulva and adnexa. A normal-sized anteverted uterus. Transvaginal ultrasound- Uterus of normal volume and irregular contours. Homogenous myometrium and endometrium, without any change in thickness. Ovaries were enlarged at the expense of multiple follicles. MRI -…
