np 703 Anna is a 32 year old patient who presents reporting increasingly painful intercourse. She has been married for
np 703 Anna is a 32 year old patient who presents reporting increasingly painful intercourse. She has been married for 10 years and things were “normal” for many years. For the past 3-4 years, sex has become more and more uncomfortable. She has two children, ages 3 and 1. She loves her husband very much, but this has put a strain on the relationship. FOLLOW-UP VISIT: After her initial visit, Anna returns three months after following the recommended treatment plan and states there have been no change in her sexual pain. Case Presentation Assess Anna for the different types of sexual dysfunction that women may experience. Address presenting symptoms and the likely underlying causes of each. As you address your patient scenario, address the following: o What subjective data would you collect? Provide rationales that illustrate the differences between the various types of pain-related sexual dysfunction. Do not provide pretend responses to your questions. o What objective data (physical exam, in-office labs/diagnostics) do you need to collect? Provide rationales. Remember that this is most likely a 15-minute visit, so you need to focus only on the priorities that are relevant to this visit. Do not provide pretend responses to your
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