Basic Guidelines for Components of the Gynaecologic History
- Patient profile: Name, age, occupation, marital status, gravidity/parity, age of last child
- Presenting complaint
- History of presenting complaint (Including direct questioning)
- Systematic enquiry
- Medical and Surgical History
- Drug and Allergy History
- Family History
- Social History
- Past Obstetric History
- Gynaecological history
- Menstrual history
- Contraceptive history
- Sexual history
- History of previous gynaecological investigations and treatment
- Summary of the History (This should highlight all the important risk factors obtained in the history)
- Identify the patient by: Age, Parity, Occupation
- Give key points of the history in one or two sentences