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Research Article| Volume 6, ISSUE 6, P427-434, June 2010

Endometriosis: Overview and Recommendations for Primary Care Nurse Practitioners

  • Author Footnotes
    1 Gaylene Altman, RN, PhD, is associate professor at the University of Washington School of Nursing, Seattle, WA.
    Gaylene Altman
    Footnotes
    1 Gaylene Altman, RN, PhD, is associate professor at the University of Washington School of Nursing, Seattle, WA.
    Search for articles by this author
  • Author Footnotes
    2 Meegan Wolcyzk, MN, ARNP, is a staff nurse at the University of Washington Medical Center, Seattle, WA.
    Meegan Wolcyzk
    Footnotes
    2 Meegan Wolcyzk, MN, ARNP, is a staff nurse at the University of Washington Medical Center, Seattle, WA.
    Search for articles by this author
  • Author Footnotes
    1 Gaylene Altman, RN, PhD, is associate professor at the University of Washington School of Nursing, Seattle, WA.
    2 Meegan Wolcyzk, MN, ARNP, is a staff nurse at the University of Washington Medical Center, Seattle, WA.

      Abstract

      Endometriosis, the presence of endometrial tissue outside the uterine cavity, is a chronic, disabling disease of uncertain etiology, with nonspecific signs and symptoms. Patients often experience chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility, as well as psychosocial stressors. Probable diagnosis may be based on clinical findings; however, laparoscopic surgery is required for definitive diagnosis. Therefore, considerable time may pass before the disease is recognized. This article discusses etiology, clinical presentation, and treatment and reviews typical factors in cases of delayed diagnosis. With a greater understanding of endometriosis, nurse practitioners will be equipped to identify symptoms and diagnose, manage, and refer patients.

      Keywords

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