Dr. Harald Krentel – Clinic for Gynecology, Obstretrics, Gynecological Oncology and Senology, Bethesda Hospital Duisburg, Germany ❓ Anamnesis: The 40-year old patient presented with dysmenorrhea, dyspareunia and pelvic pain. She reported bleeding disorders with hypermenorrhea and brownish spotting. Her family planning was completed. No previous surgeries and one vaginal birth in her history. 🩺 Gynecological examination: Vulva, Vagina …