A 32-year-old woman presents with chronic pelvic pain, worsening pain during menstrual periods, and deep pain during intercourse for the past two years. She reports, ‘I am scared of even bowel movements because of the pain’. She also reports difficulty conceiving despite trying for over a year. She and her husband have been thinking of adopting a baby because of her infertility. Pelvic examination reveals tenderness in the posterior cul-de-sac, multiple small nodules over the ovaries, and restricted uterine mobility. What is the most likely diagnosis?
