Obstetric and Gynecological History

 

Chief Complaint

 

Menstrual History

Last menstrual period: "When was the first day of your last period?"

"How long does

 

Age at menarche

duaration of menstrual cycle

menstrual pain

menopause (if appropriate)

 

Obstetric History

 

How far along is the pregnancy?

Number of pregnancies and outcome

Ectopic gestations

Children born

Complications during pregnancy

labour

 

Past Medical History

Family History

Psychological/Psychiatric History

 

Current Medications

 

Sexual History

 

Details of Contraceptive Use, including Side Effects