A 33-year-old woman is seen for evaluation of infertility. She complains of dyspareunia. On vaginal examination, tender nodularity along the uterosacral ligaments is noted. What is the diagnosis?: (A) Adenomyosis, (B) Diethylstilbestrol (DES)-related disease, (C) Subserosal fibroids, (D) Endometriosis
Answer is D. Tender uterosacral ligament usually are a sign of endometriosis. Although the other conditions listed may be associated with some form of pelvic pain, they do not produce tender uterosacral ligaments.