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Focusing on Women’s Health

Reproductive issues are complex for women hence the importance of adhering to the components and rationale of gynecological history. The first component of a gynecological history is the chief complaint. A health practitioner must enquire whether the patient has any problems affecting her. The history of any issues raised is essential with a practitioner keen to find out the description of the health problem. Menstrual history is another important factor; hence, a health practitioner should investigate the patient’s menstrual cycles. It is crucial to determine whether the patient experiences regular or irregular menstrual cycles.

The method of contraception used by the patient is an essential feature in the gynecological history. Current and past contraception methods used by the patient are critical for determining the reproductive wellness of the patient. The cervical and vaginal health should also be investigated together with a history of sexually transmitted infections. Fertility history is also crucial with the practitioners examining past medical and surgical history. Medications and allergies are essential components with a proper record of allergic reactions to medications kept. A patient’s social history is also crucial in determining an individual’s physical and mental wellness (Stanek, 2017). A review of the gynecological systems is also essential in determining abnormalities present. Urinary and gastrointestinal review is a crucial part of the gynecological history. Symptoms and signs of irregularities in the reproductive system are identified through the review. Health and wellness habits are also essential components, including analysis of the patient’s lifestyle and diet. Drug use and abuse will be important considerations for any practitioner.

The GTPAL system is employed in the medical field to assist practitioners in keeping an efficient history of pregnancies. The first component is gravidity which involves the sum of pregnancies occurring, including current pregnancies. The second component is the term which includes the number of pregnancies that have survived to thirty-seven weeks. On the other hand, Preterm accounts for pregnancies carried for more than twenty weeks but born prematurely (Wattie & Alarcon, 2017). Abortion is another GTPAL component accounting for losses recorded before the pregnancies reach twenty weeks. The number of living children is also considered under the GTPAL system.

A woman of sixty-six years old may require a pap smear to investigate her general wellness. Having undergone a hysterectomy, a pap smear would be essential in determining her health and checking for any abnormalities. The lady has no history of a pap test hence the importance of the test. However, since the woman has undergone a hysterectomy, the pap test is not essential. Women above the age of sixty-five are exempted from the trial if their last three tests appear negative. A pelvic examination would also be critical in clarifying the wellness of the patient. She lacks a proper medical history since the lady has not had many gynecological examinations in the past. A pelvic exam assists practitioners in identifying signs of illness for the sixty-six-year-old, having in mind she has suffered from fibroids in the past. The pelvic examination also assists in detecting cancer that affects women both in menopause and before menopause.

Explanation on contraindications for hormonal contraception is vital for the wellness of the lady asking about combined hormonal contraception. The first contraindication is a BMI that is higher than thirty-five. The thirty-five-year-old lady has a BMI of forty, which is a contraindication. Smoking for women above the age of thirty-five is also a contraindication. Individuals suffering from diabetes mellitus and encountering complications must be keen on hormonal contraception. Breastfeeding women and mothers is also an important consideration. Suffering from breast cancer or having tumors in the liver is also a contraindication. Surgery or disability which results in immobility also indicates contraindication among women seeking hormonal contraception.

References

Stanek, J. (2017). Association of coexisting morphological umbilical cord abnormality and clinical cord compromise with hypoxic and thrombotic placental histology. Virchows Arch, 468, 723-732.

Wattie, L., & Alarcon, C. I. (2017). Implementation of PLAT (Preterm Labor Assessment

Toolkit): A System-Wide Initiative to Improve Preterm Labor Outcomes. Contemporary OB/GYN, 1-4.