Question 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 - Which of Samira’s symptoms is most likely NOT related to endometriosis?
Craving salty food