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History (gynaecological)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

  • patient name, age, marital status

  • presenting complaint

  • menstrual history - age of menarche or menopause; cycle (clots? number of pads, tampons?); LMP, timing; pain

  • non-menstrual bleeding: intermenstrual (IMB); postcoital (PCB); postmenopausal (PMB)

  • contraception - requirement; present and past methods

  • pregnancies - miscarriages; terminations; babies - pregnancy, delivery, weight, complications - infection, trauma

  • coitus - ever? difficulty; pain - superficial or deep; frequency if infertile

  • vaginal discharge - quantity, colour, odour, irritation

  • micturition - frequency; dysuria; delay; incontinence

  • bowels - constipation; pain; blood; mucus

  • general - functional enquiry; past medical history; past gynaecological history; family history; drugs

  • allergies; social; smoking; alcohol


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