Endometriois

30 y/o F with no h/o infertility presents with dysmenorrhea. ROS includes chronic pelvic pain, deep dyspareunia, dyschezia. Pain with lateral cervical movement and a fixed immobile uterus on exam.

• Start NSAID + combined OCP

• Infertility, contraindications to medical therapy, and desire for definitive diagnosis merit evaluation for laparoscopy; refer to OBGYN