Stable patients
Table 3 – Factors to consider
| Vaginal bleeding |
Duration of bleeding How often it occurs Amount of blood (number of pads/tampons), presence of clots Precipitating factors (specifically ask about toileting, sex and trauma) |
| Associated symptoms |
Infective symptoms including vaginal discharge, itching and pelvic pain Bowel and bladder symptoms Symptoms suggesting symptomatic anaemia including fatigue, dyspnoea |
| Gynaecological History |
Age of menarche Date of last menstrual period Any breakthrough bleeding since Are they using HRT Gravidity and parity, use of the oral contraceptive pill History of gynaecological procedures or surgeries Smear test and results PMH of gynaecological, breast of haematological malignancies |
| Other |
Any medications History of diabetes mellitus, obesity, hypertension Screen for malignancy associated symptoms e.g. weight loss Is there a family history of breast, colon, and endometrial cancer |