Symptoms of cyclic lower abdominal pain

A 32 –year-old gravida 0 woman presents with symptoms of cyclic lower abdominal pain, dysmenorrhea, and
inability to conceive after trying unprotected intercourse for the past year. Her partner has had semen analysis
performed, and it is reported to be normal. The patient’s abdominal pain generally starts 1 to 2 days before her
menses and lasts for the first day or so of menstrual flow. This pain has gradually worsened over the past 2
years and no longer is well controlled with non-steroidal anti-inflammatory medications. The patient has
recently begun experiencing deep-thrust dyspareunia. The patient’s period has been regular with occasional
episodes of mid-cycle spotting.
Are there any diagnostic studies that should be ordered on this patient? Why?
List the primary diagnosis and at least two differential diagnoses for this patient. Explain your reasoning for
each.
Discuss your management plan for this patient, including patient education, referrals, and follow-ups.
Submission Instructions:
Your initial post should be at least 550 words, formatted and cited in current APA style with support from at
least 2 academic sources. Please, use class book as reference i will attch it. and pleasee follow close APA
guidelines as professor takes points of if not followed.Thanks

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