A 30-year-old nulligravid woman presents to the clinic. Over the past five years, she has

A 30-year-old nulligravid woman presents to the clinic. Over the past five years, she has been having increasingly painful periods, to the point that she misses a day of work almost every month. Her periods are regular, and a urine pregnancy test is negative despite trying to conceive for the past two years. She has read about endometriosis online, and she would like to know before she leaves whether she has it or not. The provider discusses the natural history of endometriosis. What is the only definitive way to diagnose endometriosis? A. Endometrial sampling in the office setting B. Transvaginal ultrasound C. Colonoscopy D. Laparoscopy or laparotomy

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