A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis.
When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

Choice A rationale
Smoking has been associated with an increased risk of developing endometriosis. It is thought that certain substances found in tobacco smoke may have a role in the development or progression of endometriosis14.
Choice B rationale
Regular exercise has been associated with a decreased risk of endometriosis. Physical activity may influence the body’s production of estrogen, a hormone that is thought to play a role in endometriosis14.
Choice C rationale
A higher body mass index (BMI) has been associated with a decreased risk of endometriosis. It is thought that body fat may influence the levels of hormones such as estrogen in the body14.
Choice D rationale
Age is a risk factor for endometriosis, with the condition being more common in women in their 30s and 40s. However, endometriosis can occur in any woman who has menstrual periods14.

Choice A rationale
Age of 25 years is not typically identified as a potential risk factor for infertility. Women in their mid-twenties are often in their peak reproductive years.
Choice B rationale
A history of smoking can potentially impact fertility. Smoking can harm the ovaries and the eggs they produce, potentially leading to fertility issues.
Choice C rationale
Diabetes since the age of 15 could potentially impact fertility. Diabetes can cause irregular menstrual cycles and other reproductive issues, which could lead to difficulty conceiving. Choice D rationale
Weight below the standard for height and age could potentially impact fertility. Being underweight can lead to irregular menstrual cycles and ovulation, which could lead to difficulty conceiving.