Endometriosisor ovarian cyst or amenorrhea
1.Patient’s personal and medical history, drug therapy andtreatments, and follow-up care
TMis a 26-year-old female who had been in her usual good health untilthe last 10 days when she started experiencing extremely painfulmenstrual cramps, abnormal and heavy bleeding during her periods andunusual back pain during menstruation. At first, TM didn’t think ofany possible complications because she was expecting her normalmonthly periods. However, the condition persisted compelling her tovisit a clinic for further advice and treatment from a gynecologist(ResearchGate, 2013).
Afterexplaining the condition to a gynecologist, it was agreed that alaparoscopy should be conducted to determine TM’s medicalcondition. After the test, it was established that the patient wasdiagnosed with endometriosis. TM has never experienced such symptomsnor diagnosed with endometriosis before. After confirming theendometriosis infection, the gynecologist recommended combined oralcontraceptive pills, Progestogens such as norethisterone whosepurpose is to shrink the endometrial tissue, Antiprogestogens, andGonadotropin which reduce the production of estrogen and progesteronehormones triggering an artificial menopause.TM was advised to see thegynecologist after every four weeks for a follow-up.
2.Treatment modalities for endometriosis, ovarian cysts, and amenorrhea
Endometriosisor ovarian cyst and amenorrhea are three distinct diseases with eachof them having different treatment modalities. Endometriosis is amedical condition that is caused by the development of an endodermaltissue outside the uterus. Ovarian cysts refers to a common conditionin which a fluid-filled sac grows on a woman’s ovaries. Whereas,amenorrhea is a situation whereby a woman who does not experience herperiods even after attaining a reproductive age. For the ovariancysts, the treatment modalities include the use of pain relievers,endometrial suppression and surgery (Cesca, Midrio, Boscolo-Berto,Snijders, Salvador, D`Antona & Gamba, 2013).On the other hand,hormonal therapy, reconstructive surgery, and lifestyle modificationare the treatment modalities for amenorrhea (Chou & Mantzoros,2015). Lastly, dabazol therapy, oral contraceptive pills and GnRHAgonists are the common treatment modalities for endometriosis. Thedifference in their treatment modalities is meant to ensure thatthere is effectiveness,high-quality care and professionalism in thetreatment and diagnosis of patients.
3.What I could have done differently on my case study
Tobegin with, I would have recommended for a recorded tape onendometriosis for the patient so that she can learn and be informedmore about the disease. This will be very helpful in enhancing herunderstanding thus enabling her to be curious and probably ask morequestions or seek clarification in her follow-up visits. Apart fromthat, I could have also offered ablation to the patient aimed atdestroying the lining thus making the periods lighter (ResearchGate,2013).
Cesca,E., Midrio, P., Boscolo-Berto, R., Snijders, D., Salvador, L.,D`Antona, D., … & Gamba, P. (2013). Conservative treatment forcomplex neonatal ovarian cysts: a long-term follow-upanalysis. Journalof pediatric surgery, 48(3),510-515.
Chou,S. H., & Mantzoros, C. (2015). Leptin Therapy in Women withHypothalamic Amenorrhea. In Leptin (pp.237-254). Springer International Publishing.
ResearchGate(2013)Endometriosis:Case Studies for Education. RetrievedJuly, 7, 2016, from:https://www.researchgate.net/publication/250927235_Endometriosis_Case_Studies_for_Education