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Contraception

Question
8 out of 53
 

A 20 year old woman gives a history of sharp pain in the lower abdomen for 2-3 days every month approximately 2 weeks before the menses: The most probable etiology for her pain is



A Endometriosis
B Dysmenorrhea

C Pelvic tuberculosis
D Mittelschmerz

Ans. D

[Mittelschmerz]

Mittelschmerz - Midcycle ovulatory pain occurs during oocyte release from an ovarian follicle and thus produces lateral pain that migrates from one side to the other from month to month.

Cyclic causes - include primary dysmenorrhea in which periods are painful but no pelvic pathology

a. Secondary dysmenorrhea due to endometriosis, adenomyosis, or perhaps chronic salpingitis

b. Gynecological causes of continuous pain include - later stages of endometriosis, adenomyosis, uterovaginal prolapse, and chronic salpingitis or pelvic adhesions

c. Ovarian remnant syndrome - occurs after oophorectomy when residual ovarian tissue is trapped in a retroperitoneal location.

Contraception Flashcard List

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