Diagnosis and management of endometriosis: The role of the advanced practice nurse in primary care

Alexandra J. Mao, Joyce K. Anastasi

Research output: Contribution to journalArticlepeer-review


Purpose: To discuss the etiology, clinical presentation, diagnosis, and management of endometriosis for the advanced practice nurse (APN) in primary care.Data sources: Selected research, clinical studies, clinical practice guidelines, and review articles.Conclusions: Commonly encountered by the APN in primary care, endometriosis is a chronic, progressive inflammatory disease characterized by endometrial lesions, cysts, fibrosis, or adhesions in the pelvic cavity, causing chronic pelvic pain and infertility in women of reproductive age. Because of its frequently normal physical examination findings, variable clinical presentations, and nonspecific, overlapping symptoms with other conditions, endometriosis can be difficult to diagnose. As there currently are no accurate noninvasive diagnostic tests specific for endometriosis, it is imperative for the APN to become knowledgeable about the etiology, clinical presentation, diagnosis, and current treatment options of this disease.Implications for practice: The APN in primary care plays an essential role in health promotion through disease management and infertility prevention by providing support and much needed information to the patient with endometriosis. APNs can also facilitate quality of care and manage treatments effectively to improve quality of life, reduce pain, and prevent further progression of disease. Practice recommendations include timely diagnosis, pain management, infertility counseling, patient education, and support for quality of life issues.

Original languageEnglish (US)
Pages (from-to)109-116
Number of pages8
JournalJournal of the American Academy of Nurse Practitioners
Issue number2
StatePublished - Feb 2010


  • Advanced practice nurse
  • Endometriosis
  • Infertility
  • Pelvic pain
  • Primary care
  • Women's health

ASJC Scopus subject areas

  • General Nursing


Dive into the research topics of 'Diagnosis and management of endometriosis: The role of the advanced practice nurse in primary care'. Together they form a unique fingerprint.

Cite this