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Medical History Taking for Gynecological Visits
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Menstrual History
Important to assess menstrual patterns and identify disorders. Gather information on age at menarche, cycle regularity, frequency, duration, flow, pain, and presence of premenstrual symptoms.
Obstetric History
Provides insight into past pregnancies and outcomes. Collect data on the number of pregnancies, live births, miscarriages, stillbirths, complications, and mode of delivery.
Contraceptive History
Important to prevent unwanted pregnancies and plan family. Information should include type of contraception used, duration, side effects, and satisfaction with the method.
Sexual History
Critical for determining risk of STDs and reproductive health issues. Include details on sexual activity, orientation, partners, protection use, and history of STDs.
Gynecological Surgical History
Surgeries can affect fertility and future gynecological care. Record all gynecological procedures, dates, indications, and any postoperative complications.
Medical History
General health can impact gynecological health. Include chronic conditions, hospitalizations, allergies, and current medications.
Family History
Genetic predispositions can be crucial for some gynecological diseases. Document history of cancer, especially breast or ovarian, and other hereditary conditions.
Social History
Lifestyle factors can influence gynecological issues. Note social habits like smoking, alcohol consumption, drug use, occupation, and stress levels.
Pap Smear History
Important for cervical cancer screening. Record dates and results of previous Pap tests, any follow-up procedures, and any HPV diagnosis.
Breast History
Breast health is part of overall gynecological care. Inquire about any lumps, pain, nipple discharge, or personal and family history of breast cancer.
Vaccination History
Vaccinations can prevent certain types of gynecological health concerns, like HPV. Detail any vaccinations received, especially HPV, and their dates.
Menopause Status
Understanding menopausal status can influence gynecological treatment. Collect specifics on the presence of menopausal symptoms, hormone replacement therapy, and age at onset.
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