A 35yo lady who has been using IUCD for one year now complains of pelvic pain and heavy
painful periods. Select the most likely cause leading to her symptoms?
a. PID
b. Endometriosis
c. Adenomyosis
d. Fibroids
e. Asherman syndrome
Q. 1. What is the key?
Q. 2. What points favour your diagnosis?
Ans. 1. The key is A. PID.
Ans. 2. The given picture may have D/D of PID or fibroid. As IUCD is a risk factor for PID, it is the most
likely diagnosis of given picture. Menorrhagia for fibroids are usually painless].