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Menstrual disorders case discussions quiz Part-2

1. A 23-year-old married woman presents with excessive pain during menstruation and heavy bleeding lasting for 7-8 days for the past 2-3 years. The pain begins 1-2 days before the menses and subsides after the cessation of menses. She describes her symptoms as cramping pain in her abdomen and pelvis along with lower backache. She also complains of dyspareunia. She was diagnosed to have endometriosis on the basis of laparoscopic examination. Which of the following can be used to manage this patient? *This question is required.
2. A 30-year-old woman presents with heavy menstrual bleeding for the past 1 year. Which of the following is the most effective for controlling heavy menstrual bleeding? *This question is required.
3. A 50-year-old woman presents with heavy menstrual bleeding every 20-22 days. It is associated with pelvic pain and abdominal bloating. She also has frequent constipation. On clinical examination, the doctor suspected uterine fibroids. What are the imaging modalities to be advised in this patient? *This question is required.
4. A 15-year-old female presents with infrequent menstrual bleeding occurring once every 40-45 days with scanty bleeding since 6-8 months. She has also noticed eruption of facial hair and acne for the past few months. Her BMI was 30.1 Kg/m2. The clinical diagnosis was PCOS. What are features in this patient to suspect PCOS? *This question is required.
5. A 13-year-old female presented with severe lower abdominal pain during menstruation for the past 6 months. The pain occurs at the onset of menstrual bleeding and lasts for 24 hours. What is the management for primary dysmenorrhea in this patient? *This question is required.
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