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A 27-year-old woman presents with dyspareunia, cyclic pelvic pain, and dysuria. A history of present

A 27-year-old woman presents with dyspareunia, cyclic pelvic pain, and dysuria. A history of present illness reveals that her symptoms are worse around the onset of menstruation. She states that she has been trying to conceive for the past 2 years, but has not been successful. She has her husband’s semen analysis report, which is normal. Her pelvic examination reveals tenderness, palpable nodules in the posterior fornix, and immobility of the uterus. Transvaginal ultrasound reveals homogenous formations with a classic ground-glass appearance. What is the appropriate option to improve the patient’s chance to conceive? A. Watchful waiting B. Trial of leuprolide C. Oral contraceptives D. Operative laparoscopy

 
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