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Reproductive Endocrinology, Contraception, And Gynecologic Oncology Practice Test
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Q1
A 29-year-old G0 with known endometriosis presents with worsening dysmenorrhea and deep dyspareunia despite continuous combined OCPs. She desires pregnancy in 1 year. History: laparoscopic diagnosis 3 years ago. Meds: continuous OCPs and NSAIDs. Exam: posterior uterine tenderness and nodularity of uterosacral ligaments. Pelvic ultrasound shows a 5-cm homogeneous left ovarian cyst consistent with endometrioma. What is the most appropriate management for this patient's condition?
A 29-year-old G0 with known endometriosis presents with worsening dysmenorrhea and deep dyspareunia despite continuous combined OCPs. She desires pregnancy in 1 year. History: laparoscopic diagnosis 3 years ago. Meds: continuous OCPs and NSAIDs. Exam: posterior uterine tenderness and nodularity of uterosacral ligaments. Pelvic ultrasound shows a 5-cm homogeneous left ovarian cyst consistent with endometrioma. What is the most appropriate management for this patient's condition?