What diagnostic tests are used to evaluate dysmenorrhea?

• A. Colonoscopy
• B. CT scan of brain only
• C. Genetic testing only
• D. Complete blood count, urinalysis, pregnancy test, and pelvic ultrasound

Answer: (D)

When evaluating dysmenorrhea, the goal is to rule out and screen for common, addressable contributors and to check for structural pelvic issues. A complete blood count helps detect anemia from heavy menstrual bleeding, which can accompany or worsen pain. A urinalysis screens for a urinary tract infection or other urinary problems that might mimic or contribute to pelvic pain. A pregnancy test is essential to rule out pregnancy-related conditions such as miscarriage or ectopic pregnancy, which require urgent care. A pelvic ultrasound provides imaging of the pelvic organs to look for structural causes like fibroids, adenomyosis, or ovarian cysts that can be linked to painful menses. Taken together, these tests form a sensible initial workup to guide management. In contrast, colonoscopy, a CT scan of the brain, or genetic testing aren’t routine parts of the initial evaluation for dysmenorrhea.