18.22 Learning Activities

Endometriosis Case Study^[1]

Situation/Background

Samantha Lee, a 28-year-old nulliparous woman, presents to her primary care provider with complaints of severe pelvic pain that worsens during menstruation, pain during intercourse, and fatigue. She reports a history of irregular and heavy menstrual periods since menarche. Samantha has been trying to conceive for the past year without success. A pelvic exam reveals tenderness in the lower abdomen and nodularity along the uterosacral ligaments. An ultrasound shows the presence of ovarian cysts consistent with endometriomas. Samantha is diagnosed with endometriosis.

Critical Thinking Questions

1. What are the hallmark symptoms of endometriosis, and how do they guide the diagnosis?
2. What diagnostic tools and procedures are commonly used to confirm endometriosis?
3. What are the primary treatment options for endometriosis, including both medical and surgical interventions?
4. How can the nurse support Samantha’s goals regarding pain management and fertility?
5. What education should the nurse provide to Samantha regarding lifestyle modifications and symptom management?
6. What resources or support networks can the nurse recommend to help Samantha cope with the chronic nature of endometriosis?