Menstruation and Menstrual Disorders (1)

Question 1

What should be included when taking a menstrual history?

Answer 1

• LMP
• Age of menarche and any changes in cycles over time
• Cycle - regular/irregular
• Clots/Flooding
• Post coital bleeding
• Intermenstrual bleeding
• Contraception
• Impact on quality of life
• Systemic or iatrogenic causes eg hypothyroidism & anticoagulants/ exogenous hormones
• Other associated symptoms

Question 2

What are the menstrual disorders that can occur?

Answer 2

• Endometriosis
• Adenomyosis
• Fibroids
• Abnormal Uterine Bleeding (AUB)
• PCOS
• Anovulatory Cycles
• Premenstrual Syndrome