Women's Health

 

 

Focusing on women's health:
Name and describe the components and rationale of the gynecological health history.
Define and describe each component of the GTPAL system used to document pregnancy history.
Following the guidelines of the United States Preventive Service Taskforce (USPSTF) what screening recommendations would you do to G.R. a 66-year-old female patient who visits you at the office for the first time (last visit to her PCP 5 years ago) with only positive health history of hysterectomy 10 years ago due to fibroids.
A 35-year-old women with a BMI of 40 comes in asking about combined hormonal contraception’s. You explain the contraindications for hormonal contraception include (name more than 4 contraindications).

 

Sample Answer

 

 

 

 

 

Gynecological Health History

 

The gynecological health history is a critical component of a woman's overall health assessment. Its components and rationale are as follows:

Menstrual History: Includes age of menarche, cycle length, duration, and any associated symptoms (e.g., dysmenorrhea, heavy bleeding). The rationale is to identify irregular patterns that may indicate hormonal imbalances, PCOS, or other gynecological conditions.

Obstetric History: Documents all past pregnancies, including live births, miscarriages, and abortions. The rationale is to understand a patient's reproductive history and identify potential risks for future pregnancies or existing conditions related to past births.

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