Get the free Menstrual History: Sexual history - Seattle OB/GYN

Patient Health History Today's Date: Name: Date of Birth: Age: Reason for Visit/Concerns: Primary Care Provider: Referred by: Marital Status: Single Dating Married Widowed Divorced Partners name:

How to fill out menstrual history sexual history

How to fill out menstrual history sexual history

1. To fill out menstrual history, start by noting the start date of your last menstrual period. Include any changes in the regularity, duration, or intensity of your periods. Mention if you have experienced any missed periods or abnormal bleeding.
2. Provide details about any menstrual symptoms you may have, such as cramps, bloating, mood swings, or breast tenderness. Be specific about the severity, frequency, and duration of these symptoms.
3. Include information about any hormonal birth control methods you have used or are currently using, such as oral contraceptive pills, patches, injections, or intrauterine devices. Mention the duration and any side effects experienced.
4. In the sexual history section, provide details about your sexual activity, including the number of sexual partners, the type of sexual activity (vaginal, anal, oral), and whether protection was used.
5. Include any history of sexually transmitted infections (STIs) or reproductive health conditions like endometriosis, polycystic ovary syndrome (PCOS), or uterine fibroids.
6. If you have undergone any surgeries or procedures related to your reproductive system, mention those as well.
7. Finally, it is essential to mention any concerns or questions you may have regarding your menstrual or sexual health. This will help the healthcare provider address your specific needs and provide appropriate care.

Who needs menstrual history sexual history?

1. Menstrual history sexual history is important for women of reproductive age who want to monitor and maintain their reproductive health.
2. It is beneficial for women experiencing irregular periods, abnormal bleeding, severe menstrual symptoms, or issues related to fertility.
3. Women seeking contraception or family planning methods can benefit from sharing their sexual history and menstrual patterns with healthcare providers.
4. Individuals with a history of sexually transmitted infections (STIs) or reproductive health conditions should provide their menstrual and sexual history for proper evaluation and treatment.
5. Women preparing for gynecological surgeries or procedures may be required to provide a comprehensive menstrual and sexual history.
6. Overall, anyone interested in understanding their menstrual and sexual health and receiving appropriate care should consider providing their menstrual history sexual history.

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What is menstrual history sexual history?

Menstrual history sexual history is a medical record that includes information about a woman's menstrual cycle, sexual activity, and related health history.

Who is required to file menstrual history sexual history?

Typically, a healthcare provider or a medical professional is required to document and file the menstrual history sexual history of a patient.

How to fill out menstrual history sexual history?

To fill out a menstrual history sexual history, the patient or healthcare provider must provide detailed information about the patient's menstrual cycle, sexual history, and any related health concerns.

What is the purpose of menstrual history sexual history?

The purpose of menstrual history sexual history is to track and monitor a woman's reproductive health, identify any potential issues or abnormalities, and provide appropriate medical care and treatment.

What information must be reported on menstrual history sexual history?

The information reported on a menstrual history sexual history may include details about the patient's menstrual cycle (frequency, duration, flow), sexual activity, contraceptive use, past pregnancies, and any relevant medical conditions.