I just thought I'd write with my experience. I was not diagnosed until I had an ultrasound and they found the tell tale "ring" around my ovaries. So even if she does or doesn't have a pelvic exam they should be able to diagnose her with an ultrasound. As far as the panic attacks, I have had two in my life and it is the worst feeling of your life. The only way I feel she will be able to get the pelvic exam is with some kind of relaxer. Try finding a new doctor if this one won't help in that respect. As for her being an "adult", Anxiety Attacks happen to anyone at anytime and doesn't discriminate. Maybe a good counselor would help also. Hope this helps a little. ~Debbie