Navigating Barriers to Care: Interprofessional Approach to Managing Endometriosis

A 25-year-old female from Rangeley, Maine, presents with a 2-year history of progressive pelvic pain, likely due to endometriosis. Her pain, severe during menstruation and worsened by physical activity, disrupts her work and daily life. Jane has a family history of endometriosis and experiences additional symptoms such as fatigue, dyspareunia, and urinary frequency. Financial barriers, lack of insurance, and rural living limit her healthcare access. To address these issues, we plan to introduce MaineCare, which Jane qualifies for based on income, enabling diagnosis and treatment of her condition. As endometriosis requires long-term management, MaineCare can help cover the costs. We will also utilize resources like the FindHelp tool through MaineHealth or the Rangeley Health Ride for transportation support. In addition, we aim to help Jane pursue her educational aspirations by connecting her to state-funded grants, scholarships, and community resources. Through FAME, Jane would be eligible for a grant of $2,500 if she were to be a full-time undergraduate student at an eligible school. Working closely with her therapist and family, we will provide the support she needs to overcome personal and social challenges, encouraging her to reconnect with old friends and meet new people. This interprofessional approach addresses both her medical needs and social determinants of health, improving her overall well-being.