A 30 year-old patient presents to establish care at your cli…
A 30 year-old patient presents to establish care at your clinic with a CC: painful periods. History of present illness (HPI) reveals periods occur regularly with moderate amount of menstrual flow lasting approximately 5-days. She complains that about 2-months ago, she began experiencing pain of 8 on a 1-10 scale when her periods begin. Her pain is so severe that she recently had to call in sick to work. Ibuprofen is not helping the pain as it was in previous months, and heat to her abdomen and thighs is not working either. Nothing seems to relieve the pain. Which of the following do you consider as part of her differential diagnosis?
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