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Katia Gedeon

Module 2 Discussion Women’s Health

           Gynecological health history is important in women’s health as it maintains or enhances health and diagnose and treat health problems related to the reproductive and urinary system of women (Harding, 2015). It is a procedure that needs to be handled with sensitivity to ensure that there is a preservation of the patient’s dignity. Gynecological health history components include the pregnancy and menstrual history, contraceptive use, sexual health, vaginal and sexually transmitted diseases, breast/chest and genital hygiene, urological and rectal health, gynecological procedures and surgeries, cervical cancer screening, and abnormal symptoms (Schuiling & Likis, 2020). The GTPAL system used to document pregnancy history can be a confusing term, especially for medical professionals. G means gravida and this indicates the number of times the patient has conceived including the current pregnancy (Jacob, 2018). T stands for term births and this entails the times a woman has carried a pregnancy to the least 37 weeks gestation and successfully delivered (Jacobs, 2018). P stands for per term births and this indicates the times the patient has delivered after 20 weeks but before 37 weeks of gestation (Schuiling & Likis, 2020). A stands for abortions and this is the number of pregnancies lost whether it was a spontaneous or elective miscarriage before reaching 2 weeks of gestation (Jacob, 2018).  L stands for living children and this indicates live births by the patient (Jacob, 2018).

           Screening is essential to enable early risk factor identification in healthy populations. The United States Preventive Service Taskforce (USPSTF) has put in place screening recommendations. For the case of G.R., a 66-year-old female patient screening recommendation is grade B where screening is recommended. It means that there is a moderate degree of certainty that the net benefit is important and would be substantial (Schuiling & Likis, 2020). The patient has not undergone screening for long as she visited her PCP five years ago with a history of hysterectomy ten years ago as a result of fibroids. Despite the patient not showing any signs of illness over this long period, screening is important since it has not been done for a long time considering that she is an elderly patient above 65 years and is thus at high risk of most diseases.

           Contraception is an important part of women’s sex life in the United States since it has been reported that 70% of women in the United States are sexually active but do not want to become pregnant (Schuiling & Likis, 2020). Moreover, most women use contraception for about thirty years of their lives. Efficacy and effectiveness of contraception are dependent on some factors including age, consistent and correct use, fertility, frequency of intercourse, and relationship status (Schuiling & Likis, 2020). For the case of the 35-year old patient with a BMI of 40, she is under morbidity obese and thus, there is a contradiction in terms of combined contraceptive use. Some of the contradictions include congestive heart failure, hypertension, high cholesterol in the body, diabetes with vascular complications, and liver disease. All these diseases are risk factors due to obesity as the patient has a BMI of 40. Her extremely obese condition means that all these aspects can be contradicted to combined contraceptive use.

References

Harding, M. (2015). Gynecological History and Examination. Retrieved from https://patient.info/doctor/gynaecological-history-and-examination (Links to an external site.)

Jacob, A. (2018). A Comprehensive Textbook of Midwifery & Gynecological Nursing. Jaypee  Brothers Medical.

Schuiling, K. D., & Likis, F. E. (2020). Gynecologic health care: With an introduction to prenatal and postpartum care. Jones & Bartlett Learning.