Acute Care Nurse Practitioner Certification Practice Exam

Question: 1 / 400

Which of the following fertility issues might hormonal IUDs help prevent?

Endometriosis

Asherman's syndrome

Hormonal IUDs are primarily used for contraception, but they can also have therapeutic effects on certain conditions. While Asherman's syndrome involves the formation of scar tissue in the uterus typically due to surgery or infection, hormonal IUDs release progestin which can help to thin the endometrial lining and reduce menstrual bleeding. This effect can be beneficial for women experiencing irregular or excessive bleeding potentially associated with conditions resembling or complicating Asherman’s syndrome.

On the other hand, endometriosis, polycystic ovary syndrome (PCOS), and pelvic inflammatory disease (PID) have distinct pathophysiologies where the role of hormonal IUDs is either limited or not directly preventive. For instance, while hormonal IUDs may alleviate some symptoms of endometriosis by reducing menstrual flow, they don't prevent the underlying condition itself. Similarly, they do not address the metabolic issues associated with PCOS or the infections that lead to PID. Thus, the relevance of hormonal IUDs in the context of Asherman's syndrome, particularly for managing symptoms, emphasizes their therapeutic potential effectively in this specific context.

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Polycystic ovary syndrome

Pelvic inflammatory disease

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