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Case Study Analysis

Question 1

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  1. Samira is a 26-year-old female with a history of intense dysmenorrhea. She experience menarche at age 11.
    Her menstrual cycles average 25 days in length. She has a BMI of 18. Her menstrual cycle pain had decreased
    over the last 3 years while she was consistently taking birth control pills. However, she is now planning her first
    pregnancy and has been off birth control for 6 months now. She has yet to conceive, even though she and her
    partner have been carefully timing intercourse and monitoring Samira’s fertility window each month. Her
    dysmenorrhea has returned and she has developed menometrorrhagia, along with other cyclical symptoms like
    diarrhea, bloating, and craving salty foods.
    Samira’s physician is concerned that she may have endometriosis. Briefly explain the pathophysiology of this
    condition.
    Question 2
  2. Which of Samira’s symptoms is most likely NOT related to endometriosis?
    Craving salty food

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