Condensed from SOURCE: http://www.glowm.com/section_view/heading/TheGynecologicHistoryandExamination/item/3
Normal vs !!! h/o OB/GYN:
Normal vs !!! h/o OB/GYN:
Menarche: 12–13 y/o, range 9-17 y/o.
LMP: 1ST
day
Cycle length:
28-days, range 23-39 days
Period Duration: 3-5 days, range 1-7 days
Withdrawal bleeds
shorter
Amount of flow:
pt’s perception – increase!
Withdrawal bleeds
lighter
IUD heavier
PMS: onset few
days before, relieved w/ menses
Normal:
Breast tenderness, abd.distention,
wt gain, food
cravings/incr.
appetite,
irritability, lability
!!!:
severe, prolonged, interfere ADL
Pain:
Normal:
. begins within a few hours
of the onset of menses and subsides by the second day: midline
cramp-like lower abd or back pain @ at time of menses (dysmenorrhea) w/ diarrhea,
nausea, or headache.
. mittelschmerz:
unilateral pelvic pain at midcycle associated with ovulation. Mild & rarely
lasts for > 24 hrs. w/ increased clear vaginal d/c (r/t estrogen stimulation
of cervical mucus production).
!!!: Severe or prolonged
symptoms => endometriosis or adenomyosis
Intermenstrual bleeding:
Normal: small amount of bleeding (spotting) at
midcycle.
!!!: .spontaneously besides midcycle
.after intercourse
Perimenopause/menopause: 51 avg.,
40-late50s.
Normal:
Vasomotor symptoms
(hot flushes and sweats at night); poor memory, disturbances of sleep, and
aches in the neck, shoulders, and back. Vaginal dryness and difficulties
with sexual arousal
Bleeding pattern:
less predictable
Menopause: absence
of menses for 1 year.
!!! bleeding after menopause
(postmenopausal bleeding).
~Wonder Me!
