A client who has been experiencing dysmenorrhea has come to the ambulatory care clinic. The health care provider has diagnosed the presence of endometriosis. The client asks how this condition is responsible for her pain
What information should be included in the teaching provided? 1. The endometrial tissue located outside of the uterus responds to the hormones responsible for the menstrual period.
2. The shedding of the endometrial lining during menstruation is the cause of the cramping she has been experiencing.
3. The elevated follicle-stimulating hormones during menstruation are causing the endometrial tissue to contract, resulting in the pains she has been experiencing.
4. The loss of blood during the menstrual period is causing a hormonal imbalance that is the underlying cause of the pain being experienced.
The endometrial tissue located outside of the uterus responds to the hormones responsible for the menstrual period.
Rationale: Endometriosis is the presence of endometrial tissue outside of the uterus. This tissue is responsive to the hormones that control menstruation. The hormonal changes during menstruation are responsible for the inflammation and pain. Shedding of the endometrial tissue is normal and is not directly responsible for the pain being experienced. Follicle-stimulating hormone plays a role in the female's reproductive physiology only prior to menstruation. The blood loss in the woman diagnosed with endometriosis may be greater than normal but is not related to hormonal imbalances.
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