<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 32-year-old woman comes to the physician because she has been unable to conceive for 2 years. The patient also reports monthly episodes of pelvic and back pain accompanied by painful diarrhea for 6 years. She takes naproxen for the pain, which has provided some relief. Menses have occurred at regular 28-day intervals since menarche at the age of 11 years and last for 7 days. She is sexually active with her husband and does not use contraception. Pelvic and rectal examination shows no abnormalities. A hysterosalpingogram is unremarkable. Which of the following is the most likely underlying cause of this patients symptoms?? A: Endometrial tissue outside the uterine cavity, B: Smooth muscle tumor arising from the myometrium, C: Primary failure of the ovaries, D: Scarring of the fallopian tubes, E: Increased secretion of androgens and luteinizing hormone,  <response>: This is a medical question asking about the most likely underlying cause of a 32-year-old womans infertility and pelvicback pain with diarrhea. The key details are:- Infertility for 2 years- Monthly pelvicback pain with diarrhea for 6 years - Regular periods - Normal pelvicrectal exam and hysterosalpingogramThe answer choices mention endometrial tissue outside the uterus, myometrial tumors, ovarian failure, fallopian tube scarring, and increased androgenLH secretion. Based on the history of pelvicback pain with diarrhea, the most likely diagnosis is endometriosis, which causes endometrial tissue to implant outside the uterus. This can lead to pain and infertility. A: Endometrial tissue outside the uterine cavity 