A client with suspected Endometriosis asks the nurse about its potential causes.
Which statement by the client indicates a correct understanding of the condition's etiology?

Choice A rationale:

Mammography is not a relevant diagnostic test for endometriosis.

Mammography is primarily used to detect breast abnormalities, particularly in breast cancer screening.

Endometriosis involves the presence of endometrial tissue outside the uterus, typically in the pelvic area, and is not related to breast tissue.

Choice B rationale:

Transvaginal ultrasound is a valuable diagnostic tool for evaluating endometriosis.

This imaging technique can visualize the pelvic organs and detect the presence of endometrial tissue implants or cysts in the ovaries, which are common manifestations of endometriosis.

It allows healthcare providers to assess the extent of the disease and guide treatment decisions.

Choice C rationale:

Bone density scan (DEXA scan) is not a diagnostic test for endometriosis.

DEXA scans are used to measure bone density and assess the risk of osteoporosis or bone fractures.

While endometriosis can potentially affect bone health due to hormonal changes, a bone density scan is not used to confirm the presence of endometriosis itself.

Choice D rationale:

Electrocardiogram (ECG or EKG) is a test used to record the electrical activity of the heart and is unrelated to the diagnosis of endometriosis.

ECGs are typically used to evaluate cardiac function, detect arrhythmias, or assess the overall health of the heart.

Choice A rationale:

The statement "Early menarche is a protective factor against Endometriosis" is not accurate.

Early menarche, which is an early onset of menstruation, is actually considered a risk factor for developing endometriosis.

The rationale behind this is that women who start menstruating at a younger age have a longer exposure to estrogen, which is believed to contribute to the development of endometriosis.

Choice B rationale:

The statement "Nulliparity does not increase the risk of developing Endometriosis" is not accurate.

Nulliparity, which means never having given birth to a child, is indeed considered a risk factor for endometriosis.

Women who have not had children are at a higher risk because pregnancy and childbirth have protective effects against the development of endometriosis.

Choice C rationale:

The statement "Prolonged menstrual cycles are not associated with Endometriosis" is not accurate.

Prolonged menstrual cycles, or irregular menstrual cycles, can be associated with endometriosis.

This is because endometriosis can lead to menstrual irregularities and changes in the menstrual cycle.

Choice D rationale:

The statement "Family history of Endometriosis is a risk factor for developing the condition" is accurate.

Family history is indeed a risk factor for endometriosis.

Women who have close relatives (such as a mother or sister) with a history of endometriosis are at an increased risk of developing the condition themselves.

This suggests a genetic predisposition to the condition.