Deep Thrust Dyspareunia Diagnosis & Medical Management Plan Discussion A 32 year-old gravida 0 woman presents with symptoms of cyclic lower abdominal pain
Deep Thrust Dyspareunia Diagnosis & Medical Management Plan Discussion A 32 year-old gravida 0 woman presents with symptoms of cyclic lower abdominal pain, dysmenorrhea, and inability to conceive after trying unprotected intercourse for the past year. Her partner has had semen analysis performed, and it is reported to be normal. The patients abdominal pain generally starts 1 to 2 days before her menses and lasts for the first day or so of menstrual flow. This pain has gradually worsened over the past 2 years and no longer is well controlled with non-steroidal anti-inflammatory medications. The patient has recently begun experiencing deep-thrust dyspareunia. The patients period has been regular with occasional episodes of mid-cycle spotting. Are there any diagnostic studies that should be ordered on this patient? Why? List the primary diagnosis and at least two differential diagnoses for this patient. Explain your reasoning for each. Discuss your management plan for this patient, including patient education, referrals, and follow-ups.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
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