Gynae Histories Flashcards
Men Hx
When was your last period?
How long do your periods typically last?
Are they regular and predictable?
How often do you get you periods?
When you get your period, is there any heavy bleeding? Do you get any cramping pain?
Do you notice any clots? Do ever soak or flood through the pads/tampons?
Do you ever get any bleeding between cycles?
At what age did you start getting your periods?
Sex Hx
Next, I’m going to move on to discuss your sexual history, I know this is very personal, but it would give us a better idea what else might be going on, would that be ok?
Are you currently sexually active?
When did you last have a sexual encounter?
Was this with a regular partner?
And was any form of contraception used? Condom?
Have you had any other sexual partners in past 3 months?
During intercourse do you experience any pain? Any bleeding afterwards?
Have you been to a sexual health clinic in the past? Have you had any sexually transmitted infections?
Loss of libido - Have you felt like that your sexual drive is getting low?
Discharge History
Volume - How much discharge is there? In terms of tablespoons? How often do you get this?
Colour - What colour is it?
Consistency - Have you noticed that your discharge has become more watery or thickened recently? /Have you noticed any clots?
Smell - Does it smell?
And has anything changed about the discharge since it started?
Vaginas can change secretions
PV bleeding
How much are you bleeding? How many pads/tampons are you changing?
Is it soaking through you or is there spotting?
What colour is it?
Have you noticed any clots?
Pelvic Pain
Where exactly is the pain?
Did the pain come on slowly or quickly?
How would you describe the pain?
Does the pain move anywhere?
Has the pain changed over time? Is it always there or does come and go?
Anything make it worse? Anything make it better?
On a scale of 1-10 how severe is the pain, where 10 is the worst pain ever?
Dyspareunia
For how long does this pain last?
Do you always get this pain?
Where is the pain? Deep or superficial?
How does the pain feel like?
Itching
How itchy is it? All the time? Does it wake you up during the night?
How has the skin changed? Is there any redness?
Anything make it worse? Anything helped?
Have you noticed any lumps or bumps?
Any bleeding?
Waterworks
How many times are you going to the loo to wee? Do you go during the night?
When you go is there any pain? Any burning sensation?
Do you feel its difficult to start you stream? Once you have finished do you feel like you have not emptied you bladder? Any drippling?
Do feel like you stream is weak?
Do feel a sudden urge to pass urine?
Do you ever leak? When coughing, sneezing or walking?
Lumps or Bumps
Where have you noticed it?
Is it always there? Does come on when you are coughing?
How does it look like? Smooth? What colour is it?
Is it painful? Itchy? Bleeding?
Hot flushes
Do they come on suddenly or slowly?
Do you look red? In your face or all over your body?
Do you experience any dizziness with it?
Amenorrhea
Height and Weight? Growing normally? Just a few questions about whether there are any other issues with your/her pubertal growth? Are your breasts are developing? Noticed any pubic hair growth? Do you get any cramping pain?
Nausea and Vomiting
How many times have you vomited, in a day?
How much are you vomiting?
What colour is the vomit?
Is there any blood?
Fertility
For how long have you been trying to conceive?
Have you been tracking your cycle? How many times are you having intercourse in a week?
Have you ever been pregnant, this included any miscarriage and termination? Any previous children?
Gynae System review
Any fevers? Hot flushes? Any nausea or vomiting? Any flu-like symptoms? Any vaginal bleeding? Discharge? Itching? Lumps or bumps? Any pain in your tummy? Bloating/discomfort in your tummy? Waterworks? Bowel movement? Fatigue? Faints? Change in your weight?
Reduced Foetal Movement
How have they changed?
When is the last time you felt the baby move?
