Focusing on women’s health
Details and justification of gynecological history
The subsequent physical examination is highlighted by the gynecological health history, which also determines diagnostic testing and therapy plans. The major complaint is the first element of gynecological history. Even if a patient is seen for a routine gynecological checkup, the major complaint is crucial to understanding how they have dealt with any health issues (Drosdzol-Cop et al.,2020). The second element, the history of the presenting sickness, is intended to give the patient an opportunity to explain any symptoms in her own words and help the gynecologist learn more about the nature of the issue. We can now determine the start, location, duration, characteristics, aggregating, and relieving factors. The third element is the menstrual history, which includes questions regarding the age at menarche, last menstrual cycle, menstrual pattern, perimenopause, and menopausal characteristics. The purpose of the menstrual history is to spot irregularities in reproductive characteristics and pinpoint the danger signs of a menstrual disorder. A component of the contraception history is used to determine whether the client’s family planning methods are safe and whether new or different family planning methods need to be introduced. Another element that gives data for screening to prevent reproductive disorders is cervical and vaginal cytology history (Drosdzol-Cop et al.,2020). The argument behind taking a history of STIs is that some illnesses may interfere with the woman’s reproductive system and need to be addressed to reduce difficulties. To identify any concerns with the sexual life, one looks at their sexual history, including their sexual lifestyle history.
To better understand pregnancy patterns and make plans for future pregnancies, obstetric history, and fertility history are gathered. To determine the connection between the therapeutic techniques and the presenting problems, past medical and surgical histories, pharmaceutical allergies, and other factors are also taken into account. The remaining parts of the gynecological history taken to understand the risks and causes of gynecological abnormalities are the family history, societal history, and system review.
GTPAL platform
To learn more about the woman’s obstetric history, utilize the abbreviation GTPAL (Fein & Palatine, 2020). G stands for gravida, which is the total number of pregnancies a woman has had, including the one she is currently carrying. T stands for term births or the number of pregnancies that a woman has carried to at least 36 weeks gestation and delivered. P-preterm births are those that occur before 36 weeks of pregnancy but after 20 weeks. A- stands for abortions, which refers to the number of live births a woman has had as well as the number of times she has lost preborn children (Fein & Palatine, 2020).
G.R., a 66-year-old woman with a history of fibroids and hysterectomy, case study
In women with a history of hysterectomy with cervix removal and who do not have a history of a high-grade precancerous lesion, USPSTF advises against screening for cervical cancer (Curry et al.,2018). As a result, I will advise the 66-year-old woman against getting a cancer screening. When a woman is older than 65, has had an acceptable prior screening, and is not otherwise at high risk for cervical cancer, the USPSTF advises against performing a cervical cancer screening. I will check for the same. For women 65 years of age and older, as well as postmenopausal women under 65 who are at a high risk of osteoporosis, the USPSTF advises osteoporosis screening. It is advised that the woman get screened for HCV if she is between the ages of 18 and 79. According to Curry et al. (2018), the USPSTF recommends biennial screening mammography for women between the ages of 50 and 74, and the same will be true for 66-year-old women.
Case of combined hormonal contraception
Absolute and relative contraindications apply to combination hormonal contraceptives. The potentially fatal consequences of using contraception are the only absolute contraindications.
According to Houvèssou, Faras-Antnez, and da Silveira (2020), these conditions include benign or malignant liver tumors, known or suspected pregnancies, breast cancer or another estrogen-dependent neoplasia, undiagnosed abnormal genital bleeding, coronary artery disease or cerebrovascular disease, and thromboembolic or thrombophlebitis disorders. I will help the woman understand the potentially fatal consequences of using a combination of hormonal contraceptives with these problems. As a result of the relative contraindications, combination hormonal contraceptives should only be used when the advantages outweigh the dangers. Hypertension, diabetes, gall bladder illness, gestational cholestasis, hyperlipidemia, poor liver function, and smoking are the absolute contraindications (Houvèssou, Faras-Antnez & da Silveira, 2020).
References
Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., … &
U.U.U.S. Preventive Services Task Force. (2018). Screening for cervical cancer:
U.U.U.S. Preventive Services Task Force recommendation statement. Jama, 320(7), 674- 686.
Drosdzol-Cop, A., Skrzypulec-Plinta, V., Guzik-Makaruk, E. M., Drozdowska, U., Huzarska, D., & Czech, I. J. (2020). Recommendations of the Group of Experts of the Polish Society of Gynecologists and Obstetricians regarding gynecological examination and treatment of a minor person (01.01. 2020). Ginekologia Polska, 91(11), 714-716.
Fein, A. W., & Paladine, H. L. (2020). Impact of a Student-Run Free Clinic’s Women’s Health Program on Perceived Readiness for Clinical Rotations. PRiMER: Peer-Review Reports in Medical Education Research, 4.
Houvèssou, G. M., Farías-Antúnez, S., & da Silveira, M. F. (2020). Combined hormonal contraceptives use among women with contraindications according to the who criteria: A systematic review. Sexual & Reproductive Healthcare, 100587.
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Question 
Focusing on women’s health:
Name and describe the components and rationale of the gynecological health history.
Focusing on women’s health
Define and describe each component of the GTPAL system used to document pregnancy history.
Following the guidelines of the United States Preventive Service Taskforce (USPSTF) what screening recommendations would you do to G.R. a 66-year-old female patient who visits you at the office for the first time (last visit to her PCP 5 years ago) with only positive health history of hysterectomy 10 years ago due to fibroids.
A 35-year-old women with a BMI of 40 comes in asking about combined hormonal contraception’s. You explain the contraindications for hormonal contraception include (name more than 4 contraindications).
Include at least two references in your post.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
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