Answer :
Final answer:
The patient's symptoms and examination findings suggest a diagnosis of adenomyosis.
Explanation:
The patient's symptoms of heavy menstrual bleeding and constant pelvic pain are suggestive of a condition called adenomyosis. Adenomyosis is a condition where the endometrial tissue grows into the muscular layer of the uterus, causing increased bleeding and pain. The patient's history of multiple C-sections is a risk factor for developing adenomyosis.
The examination findings of a soft, tender, and globular uterus measuring 11 weeks' gestation further support the diagnosis of adenomyosis. This condition is often characterized by an enlarged uterus with a boggy consistency.
It is important for the patient to consult with a healthcare provider for further evaluation and management of this condition.
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