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This Concept Map, created with IHMC CmapTools, has information related to: Roberta Trout_A7, Roberta Trout diagnosed with Endometriosis, Roberta Trout treated with assessment of pt and partner, Roberta Trout treated with GnRH analogs, NSAIDs for pain to block COX 2, progesterone and estrogen suppressing hypothalamo-pituitary-ovarian axis, menstruation which is initiated by Pulsatile GnRH, continuous GnRH release leading tod decreased regulation of FSH and LH receptors, estrogen resulting in estrogen rich environment, sexual intercourse leading to dyspareunia, Roberta Trout is a 33 y/o Caucasian female, tissue of the endometrium to enter peritoneal cavity, Endometriotic implants have 17 beta-hydroxysteroid dehydrogenase type 1, Dysmenorrhea/pelvic pain has laparoscopy findings of microscopic findings from uterosacral and broad ligaments of endometrial glands surrounded by endometrial stroma, effects of progesterone which normally increases Beta hydroxysteroid dehydrogenase type 2, Roberta Trout takes Tylenol PRN, Leutenizing Hormone stimulates LH receptors, implantation leading to Infertility, Roberta Trout diagnosed with Infertility, Dysmenorrhea/pelvic pain with other symptoms including blood after bowel movements, prostoglandins (PGE2) by COX 2