Gyna. History Flashcards
Enumerate gyn. History!!
- personal
- Chief complaint
- Menstrual
- sexual history
- Relevant history( bowel&micturation)
- past obst. History
- past Gyn. History
- allergies and drugs
- Family
- Social
When partner details are relavant?
In Sub fertility patients
Current complaint?!!!
P. 4
Enumerqte menstrual history????
- Age of menarche/menopause
2.1st day of LMP - menstrual pattern
4.recent changes? In amount/ ch ch such flooding or clots
5.
Enumerqte menstrual history????
- Age of menarche/menopause
- 1st day of LMP
- menstrual pattern
- recent changes? In amount/ ch ch such flooding or clots
- Associated Pain& patterns (dysmenorrhoea)
- Pain ( dysparunia)
- Peri menopausal
- Peri menstrual
- Current contraception
- Plane of pregnancy 🤰
Define menstrual pattern??
Period length ( N of days of bleeding) Cycle length ( N of days btw periods)
How to estimate the amount of menstrual flow???
- Ask
How many pads used during the heavy days - Are they socked or soiled
Its normal for women to pass clots during menstrual periode but shouldnt be larger than the size of……..
DIME
Define menopause??
Perimenopause!!!!
Cessation of menses more than one yr
Transition of from menst. To non menstrual life when ovarian func. Begin to wane. Lasting 1 to 2 yrs
Symp. Of Perimenopause?!!
⬆️ Menst. Irregular Hot flushes Nervous Mood change ⬇️⬇️⬇️VAGINAL LUBRICANT SEX ACTIVITY ALTERED LIBIDO
How to ask about associateed pain!!! (dysmenorrhoea???
Duration
Quality
Radiation of pain
Peri menstrual symp!!!!!!!
Anxity Mood fluctuation Fluid retention Food cravibgs ⬇️⬇️Sleep
Past obs. History!!!
- All pregnancies should recorded
2. outcomes, current heakth of child 🧒, wieght, mode and complications of delivery
Past Gyn. History!!
- Other gyn. Problems
2. Surgeries
Sexual history?????
- Dysparunia
- Vaginal discharge
- STI