A 25-year-old woman went to her gynecologist after her primary care doctor dismissed her abdominal pain as normal premenstrual cramps. She explained that while the pain did coincide with her menstrual cycle, she felt it was much worse than regular cramps. She had also experienced pain with sexual intercourse and sometimes with bowel movements or when her bladder was full. She realized she had also been urinating much more frequently. She reported that she had been experiencing the symptoms for more than six months, and during that time, her periods had also become abnormally heavy.
Could it be uterine fibroids? A urinary tract infection? Endometriosis? Irritable bowel syndrome?
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