Approach to acute pelvic pain (GYN) Quiz: Ace Your Exams
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A 26-year-old woman presents to the primary care office for evaluation of pelvic pain. She has had pain with intercourse and during bowel movements, especially during her menstrual periods, for the last six months and is now having pelvic pain daily. She is sexually active with one biologically male partner, and they have been unsuccessful at conceiving a child despite one year of unprotected intercourse. Her last menstrual period was three weeks ago. Her family history is unremarkable. Temperature is 37.0°C (98.6°F), pulse is 70/min, respiratory rate is 18/min, blood pressure is 118/78 mmHg, and oxygen saturation is 99% on room air. Chaperoned pelvic examination reveals tenderness during vaginal palpation and immobility of the cervix, without adnexal masses. Serum hCG is negative. Which of the following is the best next step in management?
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