HISTORY: Gynae

Question 1

What are key gynae symptoms to explore?

Answer 1

Vaginal discharge
Vaginal bleeding (menorrhagia, intermenstrual, post-coital, post-menopausal)
Itching/discomfort/skin changes
Abdo/pelvic pain
Dysmenorrhea/dyspareunia

Question 2

What are key system symptoms that you could explore?

Answer 2

Urinary frequency/urgency/dysuria
Bowel-frequency and pain
Fever
Tiredness/fatigue
Weight loss
Abdominal distension

Question 3

Menstrual history questions

Answer 3

Age at menarche and menopause
LMP
Duration and regularity
Flow estimation
Menstrual pain
Menstrual symptoms e.g. hot flushes, vaginal dryness, infrequent periods
Hormonal contraceptives

Question 4

Past gynae history

Answer 4

Smears-when, results
STDs
Current contraception

Question 5

Past obstetric details

Answer 5

G+P
Age and weight of babies
Complications

Question 6

Drug history

Answer 6

Gynae meds: Contraception, HRT, Antifungals, tranexamic acid
Other meds e.g. regular medication
Allergies

Question 7

Family History

Answer 7

Cancers

Question 8

Social History

Answer 8

Smoking, alcohol, drug use, living, occupation