Patient History "A week before period 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...

Extracted text: Patient History "A week before period 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." Medical History • T.Ris 29 years old white female who is at the OB/Gyn office. She has painful irregular periods that start a weck before menstruation starts. The menstrual flow is heavy (need to change pads every 2 hours) with dots. She explained that she has been trying to get pregnant for the past two years. Physical Exam Abdomen Exam . LQ 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 pelvic pain and infortility in women of reproductive-age? How frequent is this disease? 2 is this disease estrogen-dependent? What ussue is stimulated to grow abnormaliy? Where can this tissue implant and grow? Explain the pathophysiology of the discase. 3. How does this disease cause pain? Explain. 4 When is surgery necessary and what is surgicaly removed? Why is t nocessary to remove the tissue? 5. How does the disease cause inforbiity? Explain. . Explain how treatments with oraliintravaginal contraceptiivos, such as progesterone-based Mirena, heip with disease symptoms heavy menstnuat Plow and pain).