Managing Hyperandrogenism and AUB

Managing Hyperandrogenism and AUB

Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.

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Managing Hyperandrogenism and AUB

This week’s clinical experience provided valuable insights into patient care, diagnosis, and treatment planning. I encountered both challenges and successes, assessed a patient with complex symptoms, and developed a comprehensive management plan based on evidence-based guidelines.

Challenges and Successes Faced

One of the major challenges I encountered was managing a patient with multiple comorbidities, which complicated the diagnostic process. The patient presented with abnormal uterine bleeding (AUB) and signs of hyperandrogenism, requiring a thorough evaluation to differentiate between possible endocrine and gynecological causes. Another challenge was educating the patient about the importance of adherence to treatment, as she was hesitant to start hormonal therapy due to concerns about side effects.

A success I experienced was effectively using shared decision-making to help the patient feel comfortable with the proposed treatment plan. By explaining the risks, benefits, and alternative options, I was able to build trust and ensure adherence to treatment recommendations.

Patient Assessment: Abnormal Uterine Bleeding (AUB) with Hyperandrogenism

Patient Presentation

Age: 30-year-old female
Chief Complaint: Irregular, heavy menstrual cycles for the past six months
History: Reports hirsutism (excess facial hair), acne, weight gain, and mood changes
Menstrual History: Oligomenorrhea (infrequent menstruation) with prolonged and heavy bleeding
Past Medical History: No previous diagnosis of endocrine disorders, no history of thyroid disease
Family History: Mother has a history of polycystic ovary syndrome (PCOS)

Signs & Symptoms (S&S)

Menstrual Irregularities: Heavy and…