Mrs. M.D. is a 30 year old Caucasian female who was referred to the gynecology clinic by her PCP after complaining of pain in her pelvic area along with increased bleeding during her menstrual cycle. She states that she has experienced this pain for quite some time, but recently it seems to have been worsening with each cycle. She also states that she is noticing pain with sexual intercourse.
Vital Signs During Office Visit
-
-
-
-
Temperature: 98.8 F
-
Pulse: 75
-
Respiratory rate: 18
-
Blood pressure: 110/75
-
-
-
Physical Examination: No abdominal or pelvic masses noted on palpation. Physical examination shows no abnormalities.
Past Medical and Surgical History
-
-
-
-
Tonsillectomy and adenoidectomy, age 8 years
-
Asthma, age 10 years
-
Age of menarche, age 9 years
-
Dysmenorrhea, age 16 years
-
Problem conceiving, age 27 years
-
-
-
Pertinent Family History
-
-
-
-
Mother alive at 62 years of age with a history of
endometriosis post cesarean-section at age 35 years
-
Father alive and healthy at age 65 years
-
Sister alive with similar symptoms at age 27
-
-
-
Pertinent Social History
-
-
-
-
Has worked full time as a teacher for 8 years
-
Has been married to her husband for 7 years and has had trouble conceiving for the past 5 years
-
Has only been sexually active with current spouse, and spouse reports no other sexual partners as well.
-
-
-