Patient : I am 36. i have had 2 healthy pregnancies. i had a bi-tubal ligation 15 years ago. i have had normal periods every month since i was 11 with the exception of when i was pregnant. within the last month i have developed swollen very tender breasts, lower abdominal pain, and spotting which is becoming heavier. it is NOT normal menstruation blood that i am spotting. could it be pregnancy or endometriosis?
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