A 38 year-old female patient, TPAL 1-0-0-1, with sideropenia, dysmenorrhea and menorrhagia that has been diagnosed endometriosis in uterus and right ovary by transvaginal ultrasound (TVUS) and pelvic MRI.
On MRI, size of endometriosis in uterus # 5×7 centimeter and, in ovary # 1.5 centimeter.
She is managed for iron deficiency, and her endometriosis with Dienogest 2mg one tablet per day. For 5 months, focal lesions in her uterus and right ovary are getting smaller sizes. Dysmenorrhea appears slightly and she is with the new generation of progestin acceptable menorrhagia.
NOTA:
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