,

and dyspareunia for the past 2 years. Pain worsens during

menstruation and partially improves afterward and the patient described her

pain as severe. She is not planning pregnancy for the next few years

and is seeking both pain relief and contraception. She

previously used ibuprofen during menses with only mild relief.

Physical examination and clinical history suggest 

. The

physician decides to start pharmacological management.

What is the best treatment regimen for the treatment of

pain? (1 points)