Diagnosis of endometriosis, Strategic Management

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C.M. is a 28-year-old woman with a long history of dysmenorrhea managed for many years with oral contraceptives. She stopped taking the pill 8 months ago in anticipation of becoming pregnant with her first child. Having stopped the contraceptives, C.M. has been experiencing diffuse abdominal and back pain beginning about a week before menses. Her periods have become very heavy. An initial diagnosis of endometriosis is made.

Discussion Questions

What is endometriosis and how is it different from primary dysmenorrhea?
What implications does a diagnosis of endometriosis have in terms of C.M.'s plans to become pregnant?
What information should C.M. be given regarding the treatment options for endometriosis?

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