A & P: Case study 9. Questions & Answers.

A & P: Case study 9. Questions & Answers. Question 1 Needs Grading Samira is a 26-year-old female with a history of intense dysmenorrhea. She experience menarche at age 11. Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first pregnancy and has been off birth control for 6 months now. She has yet to conceive, even though she and her partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her dysmenorrhea has returned and she has developed menometrorrhagia, along with other cyclical symptoms like diarrhea, bloating, and craving salty foods. Samira’s physician is concerned that she may have endometriosis. Briefly explain the pathophysiology of this condition. Selected Answer: Tissue that is usually lining the inside of the uterus grows on the outside of the uterus, and causes problems for the ovaries and fallopian tubes and also the lining of the pelvis. Also, can rarely spread beyond the pelvic region. ("Endometriosis - Diagnosis and treatment - Mayo Clinic", 2018)