A 28-year-old gravida 2, para 2 presents to the office complaining of a six-month history of constant right lower quadrant pelvic pain, worsening over the past two months. She describes the pain as a constant dull ache that becomes sharp and stabbing, and rates it as an 8 out of 10. She has tried non-steroidal anti-inflammatory drugs and heat with some relief. She states intercourse and increased physical activity worsen the pain. She has regular menses with mild dysmenorrhea, and her last menstrual period was one week ago. Her past medical history is significant for chlamydia and past surgical history is significant for laparoscopic appendectomy. She has a history of cocaine and marijuana use and had intercourse with multiple male partners in exchange for drugs. She is currently safe, living with her cousin, and attending an outpatient rehabilitation program.

A 21-year-old nulligravid woman presents to the office reporting three months of dull and aching right lower quadrant pain. She rates the pain a 4 out of 10. She denies any associated nausea, vomiting, or changes in bowel or bladder function. She is sexually active with one male partner and uses condoms for contraception. She has no significant past medical or surgical history. She is not taking medications and she has no known drug allergies.