A woman has endometriosis and is visibly upset. She tells the nurse that she just got married and wants to have children but is distressed because now she will be infertile. Which response by the nurse is most appropriate?
a. "Treatment for endometriosis often causes infertility; I can refer you to a support group."
b. "Endometriosis is more common in infer-tile women, but not all treatments cause infertility."
c. "You shouldn't worry about fertility until after we know that this didn't cause can-cer."
d. "Unfortunately, you will have to take birth control pills for the rest of your life."
B
Endometriosis is more common among infertile women than in the general population. However, treatments can be chosen on the basis of symptoms, extent of the disease, and the woman's de-sire to remain fertile. Menstrual cycle control with hormones is often a choice and would not leave the woman infertile. Endometriosis only rarely causes cancer. The woman would not have to take birth control pills for the rest of her life.
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