A 34-year-old woman has cyclical pelvic pain, dyspareunia and dysmenorrhoea, with a fixed retroverted uterus. Which is the definitive diagnostic test?
Answer and explanation
Correct answer: B. Laparoscopy
- Step 1: Endometriosis is suspected.
- Step 2: Laparoscopy allows direct visualisation and biopsy.
Answer
Laparoscopy.
Why not the others: Urine dipstick: Dipstick does not diagnose endometriosis. Hysterosalpingogram: HSG assesses tubal patency. CA125: CA125 is non-specific.
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