6. Erica, a 17-year-old female, is a member of her high school swim team. She visits her physician because she has missed her last two menstrual periods. Laboratory tests are negative for hCG. Based on this limited information, speculate about the cause of Erica's amenorrhea. What treatment, if any, would you recommend?
7. Twenty-eight-year-old Brenda visits her gynecologist complaining of irregular menstruation, back pain, and pain during intercourse. Which of the following signs would suggest that Brenda is suffering from polycystic ovary disease? a. elevated serum LH concentrations b. elevated serum hCG concentration c. mucopurulent discharge d. rebound tenderness e. dyschezia
8. Andrea, a 32-year-old female, visits her nurse practitioner complaining of constipation, pelvic pain, and dysmenorrhea. Within the last 6 months, Andrea's sister has been diagnosed with endometriosis. Laparoscopy reveals two regions of ectopic endometrial tissue on Andrea's ovaries. Since Andrea does not intend to have any children, she decides to take a GnRH agonist in an attempt to treat the disorder without resorting to surgery. Explain how this medication would help alleviate the signs and symptoms of this disorder.
9. Why is maintaining an acidic pH in the vaginal important in treating vaginitis?
10. A 15-year-old girl misses 3 days of school due to severe menstrual cramps before her mother takes her to a gynecologist. If you were the gynecologist, what issues would you discuss with the girl while taking her history? Suppose the gynecologist tells the girl simply to use a heating pad and analgesics, wait it out for another day or two, and return to school when she feels better. What do you think the diagnosis is?