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Gynaecological History


Remember

  • LMP

  • Last Smear

  • Gravity and Parity

  • Contraception

History

  • Last normal period

  • Last Menstrual Period

  • Menstrual Cycle

    • How long bleed for

    • Normal length cycle

    • Regularity

    • Number of pads / tampons

    • Age started / stopped

  • Dysmenorrhoea

    • painkillers

    • time off work

    • when

      • normal is 1-2 days before period

  • Menorrhagia

  • Amenorrhoea

    • primary - not started by 16

    • secondary - 6 month gap

    • ?Pregnant?

    • lactation

    • menopause

    • galactorrhoea - (increased prolactin)

    • drugs

  • Intermenstrual bleeding

  • Post-coital bleeding

  • Dyspareunia

    • superficial

    • deep

      • PID

  • Cervical smear

  • Contraception

  • Discharge

    • colour

    • smell

    • quantity

  • Urinary symptoms

    • frequency

    • Urgency

    • dysuria

    • haematuria

    • incontinence

      • stress

      • urgency

    • prolapse symptoms

    • obstetric history

    • impact on lifestyle

  • menopausal

    • LMP

    • post menopausal bleeding

    • past surgical history

    • family history of osteoporosis

    • contraindications to hormone replacement therapy

  • infertility

    • children before

    • pregnancies / terminations

    • trying for > 1 year

    • Intercourse

    • no contraception

    • PID

    • Past surgical history

    • endometriosis

    • chlamydia

    • male factors

      • mumps

      • smoking

      • trauma

      • underwear