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Menstrual irregularities Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Menstrual irregularities. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had menstrual irregularities?
  2. Age of menarche (when first got menstrual period)?
  3. Duration of the menstrual period?

    Why: i.e. how many days do you bleed for?

  4. Is the menstrual interval regular?

    Why: i.e. from Day 1 of menstruation to the onset of the next period. "Metrorrhagia" is menstrual bleeding that is irregular in quantity, acyclical in nature and often prolonged in nature. The condition is usually due to a pathological condition in the uterus or other internal genital organs. It's presence demands that the doctor investigate further.

  5. What is the interval of your menstrual cycle?

    Why: i.e. from day 1 of menstruation to the onset of the next menstrual period. Average interval is 28 days.

  6. What is the age of the woman with irregular menstrual bleeding?

    Why: e.g. low levels of estrogen, as found around the time of puberty may be associated with irregular bleeding.

  7. Past medical history?

    Why: some medical conditions can present with abnormal menstrual bleeding e.g. hypothyroidism, iron deficiency anemia, lupus erythematosus, cirrhosis of the liver, leukemia, lymphoma, Acromegaly, cystic fibrosis.

  8. Medications?

    Why: e.g. Depo - Provera contraceptive (intramuscular injection of progesterone) may cause irregular menstrual bleeding; irregular bleeding is common during the first few months of starting a contraceptive pill, but nearly always disappears by 3 to 6 months; the risk of irregular bleeding with the oral contraceptive pill is increased if pills are missed; about 25% of regularly menstruating women give the progesterone-only contraceptive pill develop break through bleeding (irregular bleeding); if peri-menopausal women are given continuous (rather than cyclical) hormone replacement therapy they may develop irregular bleeding.

  9. Cigarette smoking?

    Why: cigarette smokers are five times more likely to have abnormal periods.

  10. Alcohol history?

    Why: alcoholism may cause heavy menstrual flow and other menstrual disorders.

  11. Illicit drug use?

    Why: e.g. marijuana is associated with irregular menstruation.

  12. Family history?

    Why: e.g. fibroids, endometriosis, thyroid disorders, bleeding disorders.

  13. Heavy periods, and if so how many pads or tampons would you use per day whilst bleeding, and how saturated are they? Do you get clots, if yes how big would the clots be?

    Why: e.g. size of little finger nail, thumb nail, 20 cent coin, 50 cent coin, apricot. Do you get "flooding" i.e. gushing of blood from the vagina when you stand up? See also heavy_periods.

  14. Dysmenorrhea (pain with menstruation)?

    Why: should consider pelvic inflammatory disease, endometriosis, ectopic pregnancy. See also menstrual_cramps or dysmenorrhea.

  15. Inter-menstrual bleeding i.e. spotting between your menstrual periods?

    Why: usually indicate cervical "erosion", cervical polyp, presence of an IUCD and the oral contraceptive pill. Cervical cancer and intrauterine cancer must however be ruled out. See also bleeding_between_periods.

  16. Bleeding after intercourse?

    Why: i.e. post-coital bleeding? - usually indicate cervical "erosion", cervical polyp, presence of an IUCD and the oral contraceptive pill. Cervical cancer and intrauterine cancer must however be ruled out. See also bleeding_after_sex.

  17. Dyspareunia (pain during sexual intercourse), if so is the discomfort superficial within the vagina or deep within the pelvis?

    Why: if pain is deep may suggest endometriosis, pelvic inflammatory disease.

  18. Vaginal discharge, if so what is the nature of the discharge?

    Why: may suggest pelvic inflammatory disease especially if abnormal offensive pus-like vaginal discharge.

  19. Symptoms of endometriosis?

    Why: e.g. Menstrual pain that begins after years of pain free menstrual periods, pain with intercourse, non-specific pelvic pain, rectal pain especially before and during menstruation, heavy menstrual periods, irregular menstrual bleeding, reduced fertility or infertility.

  20. Symptoms of pelvic inflammatory disease?

    Why: e.g. lower abdominal pain with or without a fever, pain with sexual intercourse, painful heavy or irregular periods, bleeding between the periods, abnormal perhaps offensive pus-like discharge from the vagina, painful or frequent urination.

  21. Symptoms of pregnancy?

    Why: e.g. missed periods, nausea, breast tenderness, urinary frequency - may suggest ectopic pregnancy or miscarriage.

  22. Symptoms of ectopic pregnancy?

    Why: e.g. history of a missed period, lower unilateral abdominal pain, abnormal vaginal bleeding, may have signs of pregnancy such as enlarged tender breasts.

Conditions listing medical symptoms: Menstrual irregularities:

The following list of conditions have 'Menstrual irregularities' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Menstrual irregularities or choose View All.

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Conditions listing medical complications: Menstrual irregularities:

The following list of medical conditions have 'Menstrual irregularities' or similar listed as a medical complication in our database.

 

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