A 33-year-old woman presents with pelvic pain. She describes a dull crampy pain that typically

A 33-year-old woman presents with pelvic pain. She describes a dull crampy pain that typically begins two days before her menses and sometimes continues for a week afterward. She also frequently experiences pain with intercourse and heavy menstrual bleeding. She also occasionally experiences pain with urination and defecation. Physical exam demonstrates some pelvic discomfort to palpation and tenderness during vaginal pelvic examination without discharge or cervical motion tenderness. Which of the following is the most likely diagnosis? A. Endometriosis B. Dysmenorrhea C. Pelvic inflammatory disease D. Ovarian torsion

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