Case Study #3 Pationt History "A week before perlod starts, I experience lower abdominal pain that radiates into the lower back and both legs. I have been trying to get pregnant for the past two years...

Extracted text: Case Study #3 Pationt History "A week before perlod starts, I experience lower abdominal pain that radiates into the lower back and both legs. I have been trying to get pregnant for the past two years with no suCcess. Modical History T.R. Is 29 years old white female who is at the OB/Gyn office. She has painful Ireqular perlods that start a week before menstruation starts. The menstrual tlow is heavy (need to change pads every 2 hours) with clots. She explained that she has been trying to get pregnant for the past Physical Exam Abdomen Exam 兼 LLQ and RLO palpation: Tenderness Female exam No tears, swelling of vaginal canal Normal cervical mucous, cervix of normal length, and no obstruction to cervical opening No signs of infection internally/externally of vagina and labia Questions 1 Research: What is the most common cause of chronic pehvic pain and infertility in women of reproductive-age? How frequent is this disease? 2 Is this disease eatropen dependent? What tissue is. stimulated to grow abnormally2 Where can this tissue implant and grow? Explain the pathophysiology of the disease. 3 How does this disease cause pain? Explain. 4 When is surgery necessary and what is surgically removed? Why is it necessary to remove the tissue? 3. How does the disease cause infertility2 Explain 6 Explain how treatments with oraliintravaginal contraceptives, such as progesterone-based Mirena, heip with discase symptoms (heavy menstual fiow andpain).