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OB/GYNECOLOGICAL HISTORY
Whatsymptomsareyouexperiencingduetothepresenceoffibroids?
(Checktheresponsethatmostcloselyreflectstheseverityofyoursymptoms)
NoneMildModerateSevereMenstrualCramping
Pelvic
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How to fill out menstrual history

How to fill out menstrual history
01
Step 1: Gather necessary information such as first day of last menstrual period, duration of period, flow intensity, any irregularities or symptoms.
02
Step 2: Record the above information accurately on a menstrual history form or document.
03
Step 3: Provide any additional relevant details such as past medical history, contraceptive use, and sexual activity.
04
Step 4: Review the completed menstrual history form with a healthcare provider during a medical appointment.
Who needs menstrual history?
01
Healthcare providers such as gynecologists, obstetricians, and primary care physicians.
02
Women who are seeking medical care related to menstrual issues, fertility assessments, or contraceptive consultations.
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What is menstrual history?
Menstrual history refers to a record of a person's menstrual cycle, including dates of menstruation, symptoms, and any related medical information.
Who is required to file menstrual history?
Any individual who is undergoing medical treatment or seeking medical advice related to their menstrual health may be required to provide their menstrual history.
How to fill out menstrual history?
To fill out menstrual history, one should record the dates of menstruation, any symptoms experienced during the cycle, duration of menstruation, and any relevant medical conditions.
What is the purpose of menstrual history?
The purpose of menstrual history is to provide healthcare providers with essential information about a person's menstrual cycle, which can aid in diagnosing and treating menstrual health issues.
What information must be reported on menstrual history?
Information such as dates of menstruation, symptoms experienced, duration of menstruation, any changes in menstrual cycle patterns, and any relevant medical conditions should be reported on menstrual history.
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