ABSTRACT

B A 35-year-old woman complains of a 10-month history of pelvic pain, dysmenorrhoea and deep dyspareunia since discontinuing the combined oral contraceptive pill. She also complains of rectal bleeding during menstruation but has a regular bowel habit and there is no recent weight loss. Clinical examination showed a bulky tender uterus with decreased mobility and palpable nodules within the pouch of Douglas. Rectal examination was normal.