Question

A 15-year-old girl has been experiencing dysmenorrhea for the past year. Over the past 6 months, she has been taking ibuprofen and oral contraceptives, with no improvement. What underlying condition should be assessed for in this client at this point?

1) Endometriosis
2) Mittelschmerz
3) Toxic shock syndrome
4) Amenorrhea

Answer 1

For a young female experiencing severe dysmenorrhea unrelieved by common treatments, endometriosis should be considered as an underlying condition for further assessment.

Step-by-step explanation:

Given the symptoms of severe dysmenorrhea not relieved by ibuprofen or oral contraceptives, an underlying condition that should be assessed for in this 15-year-old girl is endometriosis. Endometriosis is a condition in which endometrial tissue, which normally lines the inside of the uterus, grows outside the uterus, causing pain, inflammation, and sometimes leading to infertility. It is characterized by pelvic pain, which may be severe, and can also cause heavy or irregular menstrual bleeding.