Condensed from SOURCE: http://www.glowm.com/section_view/heading/TheGynecologicHistoryandExamination/item/3
OB/GYN history:
Menarche:
LMP (date, difficulty? length
cycle, duration, amount)
PMS (Onset, Duration,
Relieved?; ADL?)
Pain (midcycle?
Location? Onset? Duration? ADL?)
Intermenstrual
bleeding – midcycle?
Menopause: (length, symptoms,
bleeding
pattern for peri-menopause; Hormone replacement therapy;
Estrogen/estrogen-progesterone-regimen; soy – diet/tablet; herbal prep.? )
Mammogram (frequency, last
date, results)
Pap smear (last date, h/o
abnormal results – dx, tx, f/u)
Contraceptive use (Current method - satisfied? Previous methods - complications, reasons
discontinued)
Sexual history (type, concerns –
libido, dyspareunia, orgasm? Abuse/assault?)
Obstetrtics (each pregnancy &
outcome.| maternal, fetal complications, anesthesia, GBS):
G (pregnancies #):
P (pregnancy delivered @
>20weeks regardless of outcome)
T - term deliveries (#) @ > 37
weeks (twins count as 1 pregnancy!)
P - preterm deliveries (@ <37weeks)
A - abortions
or miscarriages (spontaneous + therapeutic/elective)
L - live births
~Wonder Me!
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