Rachel was referred in 2006. She was only 35 but already had a chequered gynaecological history. She had delivered four children (with depression in both antenatal and postnatal periods) but lost one from a cot death. She had a long history of pain attributed to pelvic inflammatory disease with removal of first one ovary and then attempted vaginal hysterectomy. Due to bleeding from iliac vessels an abdominal incision was needed. The remaining ovary was then removed.
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