A 20-year-old nulliparous female presents to student health with complaints of chronic pelvic pain. She shares that she has always had painful periods. She has taken OCs in the past to help with the pain but stopped secondary to side effects of weight gain. She adds that she only has sex with females and doesn’t need birth control. Her LNMP was 2 weeks ago. Her pelvic exam reveals uterosacral nodularity. Abdominal exam is negative. Height 5’ 7”, Weight 120, and BP 132/78.
1. What additional history do you need from this patient?
2. What is your differential diagnosis?
3. What laboratory tests do you need and why?
4. What is your plan of care: medications, education, and follow-up?