Gynaecological history

Question 1

What would you want to ask about in history of presenting complaint in a gynaecological history?

Answer 1

• Timeframe
• Symptom specific questions
• Gynae (4 Ps)
  
  • PV Bleeding
  • PV discharge
  • Pain - pelvic, dysmenorrhoea, dyspareunia
  • Pregnancy
• GI
• Urological

Question 2

Then taking a gynaecological history, what extra information would you want to ask about (on top of normal history structure)?

Answer 2

MOSC

• Mentrual history
• Obstetric history
• Sexual history
• Contraception and Smear Histroy

Question 3

What would you want to ask about as part of a menstrual history?

Answer 3

MR FLOPPI DICS

• Menopause
• Regularity
• Flow - light/heavy, flooding, clots
• Last menstrual period
• Odd bleeding - Post coital, post menopausal, intermenstrual
• Dysmenorrhoa
• Initiation - menarche
• Cycle - days on, days off, Contraception
• Smear history

Question 4

What would you want to ask about in obstetric history as part of a gynaecological history

Answer 4

GMC

• Gravidity and parity
• Miscarriages, ectopic pregnancies and terminations - stage, treatment, complications
• Children - number, age, birth weights, type of delivery, problems

Question 5

What would you ask about as part of a sexual history in a gynaecological history?

Answer 5

• Partners - current, previous, high-risk
• Intercourse - type, pain/discomfort, contraception
• Subfertility

Question 6

What would you ask about in terms of contraception and smear history in a gynaecological history?

Answer 6

• Contraception - current use, previous methods
• Cervical smear - date of last smear, results