A client, who wishes to preserve childbearing, asks the nurse to explain how taking oral contraceptives will work in the management of endometriosis. Which is the best response by the nurse?
A) "Symptoms of endometriosis are increased during normal menstrual cycle."
B) "Contraceptives will allow blood to be diverted to the peritoneal cavity."
C) "Trapping blood causes less pain or discomfort for clients with endometriosis."
D) "Endometriosis is usually cured with surgical menopause."
A
Feedback:
The use of estrogen–progestin contraceptives keeps the client in a nonbleeding phase of the menstrual cycle, therefore decreasing ectopic tissue from shedding and causing extrauterine bleeding. Blood that is trapped in the peritoneal cavity causes more pain as adhesions form. Endometriosis is cured by natural or surgical menopause but can be medically managed for periods of time with the use of oral contraceptives.
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