MENSTRUAL HISTORY

Question 1

What general question list would you ask when taking a MENSTRUAL HISTORY?

Answer 1

PC, HPC
• SOCRATES

Menstrual History
Sexual History
Gynecological
Obstetric History
Genitourinary History
PMHx
Surgical Hx, Meds & Allergies
Family Hx
Social Hx – smoker? alcohol

Question 2

What questions would you ask in a MENSTRUAL history section?

Answer 2

• Age of Menarche
• WHAT IS A NORMAL CYCLE LIKE FOR YOU?: Length & regularity, duration of bleeding, amount of bleeding (how many tampons do you use?/double up? Always the same?
• Pain?
• Do you get instramenstrual bleeds?

ALSO- pain on intercourse, fatigue, bruising, weight loss, night sweats

Question 3

What questions would you ask in a SEXUAL HX?

Answer 3

• Currently sexually active? Have you ever been?
• Contraception/condoms? (STI risk)
o Current contraception? Previous contraception? Side effects?
• Male, female or both partners?
• Number of partners in the last year
• Advice on pap smears/safe sexual practice

Question 4

What questions would you ask in a GYNE HX?

Answer 4

Have you ever had a papsmear?
If so, was it normal? what were the results? procedures?
Have you been screened for STIs?
Have you had any Womens Health Issues - fibroids, ovarian cysts, PCOS, STIS

Fertility /menopause

Question 5

What questions would you ask in a Obstetric HX?

Answer 5

any children? how old at first pregnancy?
How many?
Have you ever had a misscarriage, termination, ectopic?
Currently pregnant?

Question 6

What questions would you ask in a GENITOURINARY HX?

Answer 6

• Change in urination frequency, urgency, dysuria, nocturia, colour, odour etc
• Vaginal discharge ?

Question 7

What questions would you ask in a PMHX HX?

Answer 7

• TFTs (hypothyroid causes menorrhagia, amenorrhoea),
FBC (endometritis – pain/heavy)
, iron studies (anemia),
pap smear/colposcopy & biopsy, vaginal/cervical swabs, pelvic USS, hysteroscopy, laparoscopy

Question 8

Surgical Hx, Meds & Allergies
Family Hx
Social Hx –

Answer 8

smoker? alcohol?