History and Examination of the Reproductive System

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History and Examination of the Reproductive System

Female reproductive history:
-Age, gravidity (no. of pregnancies, including miscarriages/ectopics/stillbirths), parity (no. of livebirths), LMP (last menstrual period) -History of presenting complaints:
oNature and duration
oRelation to menstrual cycle
oVaginal discharge
oVaginal bleeding
oUrinary symptoms (dysuria, frequency, urge/stress incontinence) oBowel symptoms
-Previous gynaecological history:
oPeriods – regular, duration (n/28), flow, dysmenorrhoea (painful period -> endometriosis?), IMB/PCB (post-coital bleeding), LMP, menarche (younger women) oContraception
oPID (pelvic inflammatory disease)/STI
oPap smear
oDyspareunia (pain on intercourse)/intercourse/libido
oBreast examinations/galactorrhoea
-Previous obstetric history (gravida, parity)
oPrevious miscarriages/preg 20 weeks and outcome
-Obstetric history
oAge, gravidity, parity
oMode/timing of delivery
oLabour details/birth weight/breastfeeding/progress
oPrevious pregnancy complications
-Antenatal history (of current pregnancy)
oEDD confirmation of dates
oScreening (routine; every four weeks until second trimester – maternal and foetal wellbeing) oComplications (e.g. gestational diabetes, preeclampsia)
-Previous medical/surgical history
-Medications/IVDU/allergies
-Family history
oThalassaemia, thrombophilia
-Systems review
oThyroid (HP axis)
-Social history
oRelationship, job, finances, JW

Male reproductive history
-Discharge
-Dysuria/haematuria
-Frequency/nocturia
-Obstructive – dribbling, poor stream, hesitancy
-Testicular lump/pain
-Impotence
-Premature ejaculation
-Previous medical/surgical history
-Medications/IVDU/allergies
-Family history
oFibroids, endometriosis, cancers, DVT/PE
-Systems review
oThyroid (HP axis)
-Social history
oRelationship, job, finances, JW

Examination – consent, chaperone, privacy
-...
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