Sweeping changes in gender relations have begun in our soc…

  Sweeping changes in gender relations have begun in our society, but they have not been fully realized. For example, women can now embrace valued masculine qualities and spheres of life. However, men who enter feminized occupations, adopt feminine leisure pursuits, or do half the housework sometimes face criticism. Because of this, many sociologists today describe the state of inequality as  

A 16-year-old girl presents with chronic pelvic pain that ha…

A 16-year-old girl presents with chronic pelvic pain that has progressively worsened over the last 18 months. Her pain is both cyclic and non-cyclic, with sharp flares during menstruation and a dull ache throughout the month. She reports painful bowel movements during menses, bloating, and intermittent nausea. She denies sexual activity. NSAIDs provide limited relief. She has tried combined oral contraceptives continuously for 6 months with partial improvement. Pelvic exam is limited due to discomfort. Pelvic ultrasound is normal. Which of the following would be the most appropriate next step in evaluation or management?