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

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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.
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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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Menstrual history refers to a record of a person's menstrual cycle, including dates of menstruation, symptoms, and any related medical information.
Any individual who is undergoing medical treatment or seeking medical advice related to their menstrual health may be required to provide their 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.
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.
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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