Premature Ovarian Insufficiency — Topic Test
20 questions · exam mode (answers revealed at the end). 18 min suggested.
A 25-year-old nulliparous woman presents with severe dysmenorrhoea, deep dyspareunia, and dyschezia. CA-125 is 68 U/mL. Transvaginal ultrasound shows a 5 cm left ovarian cyst with low-level internal echoes. Laparoscopy reveals a 'powder-burn' lesion on the uterosacral ligament and rectovaginal nodule. Which of the following is the most appropriate primary surgical approach for this patient who desires fertility?
AOophorectomy alone
BCystectomy with excision of endometriotic deposits
CMedical management with dienogest without surgery
DTotal abdominal hysterectomy with bilateral salpingo-oophorectomy