MEDICAL

A 22-YEAR-OLD Go WITH BIOPSY-CONFIRMED ENDOMETRIOSIS CONTINUES TO HAVE DISABLING DYSMENORRHEA FOR 3 DAYS AT THE TIME OF MENSES DESPITE CYCLIC ORAL CONTRACEPTIVES. WHAT IS THE BEST MANAGEMENT OPTION

  • A. Endometrial ablation
  • B. Uterine artery embolization
  • C. Danazol/gestrinone
  • D. GnRH agonist (Lupron)
  • E. Continuous OCs ✓

 

The best management option for a 22-year-old G0 with biopsy-confirmed endometriosis who continues to have disabling dysmenorrhea for 3 days at the time of menses despite cyclic oral contraceptives (OCs) would be Continuous OCs. Continuous OCs can help suppress menstruation and reduce the symptoms associated with endometriosis, including dysmenorrhea.

Continuous OCs work by providing a steady level of hormones to the body, which can help prevent the hormonal fluctuations that trigger symptoms of endometriosis. By skipping the placebo pills in the pack and taking active pills continuously, a person can avoid having a menstrual period and potentially reduce the pain associated with endometriosis.