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Medical History Taking for Gynecological Visits
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Family History
Genetic predispositions can be crucial for some gynecological diseases. Document history of cancer, especially breast or ovarian, and other hereditary conditions.
Vaccination History
Vaccinations can prevent certain types of gynecological health concerns, like HPV. Detail any vaccinations received, especially HPV, and their dates.
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.
Gynecological Surgical History
Surgeries can affect fertility and future gynecological care. Record all gynecological procedures, dates, indications, and any postoperative complications.
Menopause Status
Understanding menopausal status can influence gynecological treatment. Collect specifics on the presence of menopausal symptoms, hormone replacement therapy, and age at onset.
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.
Social History
Lifestyle factors can influence gynecological issues. Note social habits like smoking, alcohol consumption, drug use, occupation, and stress levels.
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.
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.
Medical History
General health can impact gynecological health. Include chronic conditions, hospitalizations, allergies, and current medications.
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.
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