WK 7 - DB 1

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Capella University *

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Health Science

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Feb 20, 2024

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docx

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Lisa, a 34-year-old African-American woman, and her husband Josh, a 37-year-old European-American man, are grappling with the challenges posed by Lisa's recent diagnosis of endometriosis. This condition has led to excruciating pain during intercourse and has deeply impacted their relationship. The summary below highlights the key aspects of their situation and potential strategies for addressing their concerns: 1. Diagnosis and Symptoms: Lisa's diagnosis of endometriosis, a chronic condition causing intense pain during menstrual cycles, sexual intercourse, and other activities, has shed light on her struggles. Endometriosis involves tissue resembling uterine lining growing outside the uterus, leading to inflammation and the formation of scar tissue (World Health Organization, 2023). Lisa's experiences align with Genito-Pelvic Pain/Penetration Disorder, encompassing difficulties during intercourse, pelvic pain, fear of penetration, and pelvic muscle tension. 2. Impact on Relationship: Lisa's pain and anxiety have steered her away from sexual intimacy, causing frustration and emotional withdrawal in Josh. Josh's remarks about the necessity of sex for conceiving a child are inadvertently hurting Lisa, who is physically unable to engage in intercourse due to severe pain. Lisa's attempts at intercourse resulted in heightened tension and an inability to relax, further straining her emotional connection with Josh. 3. Treatment and Solutions: Lisa's case necessitates a comprehensive approach involving medical and psychological interventions. Medical treatment options for endometriosis encompass pain management strategies and hormonal therapies designed to alleviate symptoms (World Health Organization, 2023). Given the psychological dimensions of Lisa's symptoms, individual therapy can aid her in managing anxiety, fear, and the pain associated with sexual activities. Sex therapy can delve into the psychological factors fueling her anxiety about penetration, with techniques like cognitive- behavioral therapy (CBT) proving effective in altering negative thought patterns. Couples therapy can facilitate open communication between Lisa and Josh, fostering mutual understanding and collaboration in finding alternative avenues for intimacy that accommodate Lisa's comfort while maintaining their emotional connection (Hyde, 2019). Education about endometriosis, its implications for sexual health, and alternative forms of sexual intimacy can equip both partners to navigate this complex situation (World Health Organization, 2023). 4. Long-Term Outlook: Lisa and Josh need to acknowledge that endometriosis is a chronic condition, necessitating ongoing efforts to manage its impact on their relationship (World Health Organization, 2023). Josh's unwavering patience, empathy, and active support are instrumental in helping Lisa cope with her symptoms and nurturing their emotional bond. In this intricate scenario, a holistic approach encompassing medical intervention, individual therapy, sex therapy, and couples therapy can empower Lisa and Josh to address their challenges constructively and enhance their relationship. An openness to learning and adapting will be pivotal as they collaborate to discover

solutions conducive to their physical and emotional well-being (Hyde, 2019). According to the DSM-5-TR, Lisa presents with Genito-Pelvic Pain/Penetration Disorder (F52.6) (DSM-5, 2013). References Hyde, Janet. Understanding Human Sexuality . Available from: Capella, (14th Edition). McGraw- Hill Higher Education (US), 2019 The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM–5; American Psychiatric Association [APA], 2013) World Health Organization (2023). Endometriosis. Retrieved from https://www.who.int/news- room/factsheets/detail/endometriosis/? gclid=CjwKCAjwrranBhAEEiwAzbhNtfNLVz33- kf0Udhdz- upZR_XqGbxVFEY16IvPStWFaYjY1yVXGyMShoCsQQQAvD_BwE

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