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