Gynaecology history taking and exam

Question 1

What are some key questions to ask in a gynae history?

Answer 1

problems with vaginal discharge?
sexually active?
any issues with sex? pain, bleeding, discharge, emotional 
number of sexual partners 
any previous problems?
smear history?
contraception? chance of pregnancy?
general - smoking, drugs, general health screen

Question 2

What are the different types of contraception?

Answer 2

rhythm method
barrier methods - condoms, diaphragm 
IUD
sterilization 
combined oral contraceptive pill 
contraceptive ring
progesterone only pill
injection 
implant 
IUS

Question 3

What are the important rare side effects of OCP?

Answer 3

VTE, CV risk
shouldnt be used in women >35 who smoke
shouldnt be used in people with focal migraines
interact with some medications - rifampicin, OTC (st. johns wort)

Question 4

In terms of obstetric history what questions should you ask?

Answer 4

parity = number of births (0=nulliparous, 1=primiparous, >1 multiparous)
gravidity = number of pregnancies 
difficulties conceiving 
how many pregnancies - list all whether 
how many children (triplets, twins)
how many fathers
what sort of deliveries 
duration of pregnancy - episiotomy / tears